Nursing Elites

1. The home health nurse visits older adult clients at an assisted living center. Which foods should the nurse recommend to correct the main nutrient deficits for this population?

• A. Carbohydrates
• B. Oily fish and krill oil
• C. Yellow vegetables
• D. Dairy products

Correct answer: D

Rationale: The correct answer is D: Dairy products. Older adults are often deficient in calcium and vitamin D, which are abundant in dairy products. These nutrients are essential for maintaining bone health. Choice A (Carbohydrates) is incorrect because while carbohydrates are an essential nutrient, they are not specifically addressing the main nutrient deficits for older adults. Choice B (Oily fish and krill oil) is incorrect as these foods are sources of omega-3 fatty acids and not specifically addressing the main nutrient deficits common in older adults. Choice C (Yellow vegetables) is incorrect because although vegetables are important for overall health, they do not directly address the main nutrient deficits typically seen in older adults.

2. Which of the following is NOT a part of a process recording?

• A. Non-verbal narrative account
• B. Analysis and interpretation
• C. Audio-visual recording
• D. Verbal narrative account

Correct answer: C

Rationale: A process recording typically includes a non-verbal narrative account (Choice A), an analysis and interpretation (Choice B), and a verbal narrative account (Choice D). These components help in providing a comprehensive assessment of a patient's condition and ensuring that interventions are appropriately targeted for optimized outcomes. An audio-visual recording (Choice C), while it can be a part of some data collection processes, is not typically included in a process recording, making it the correct answer.

3. Earliest sign of skin reaction to radiation therapy is:

• A. desquamation
• B. erythema
• C. atrophy
• D. pigmentation

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

4. Which of the following is a form of primary prevention?

• A. Regular Check-ups
• B. Regular Screening
• C. Self-Medication
• D. Immunization

Correct answer: D

Rationale: The correct answer is D, 'Immunization.' Primary prevention aims to prevent disease before it occurs by preventing exposure to risk factors. Immunization is a classic example of primary prevention as it helps prevent the development of infectious diseases. Choice A, 'Regular Check-ups,' is more related to secondary prevention by detecting diseases early. Choice B, 'Regular Screening,' is also more aligned with secondary prevention as it involves early detection of diseases. Choice C, 'Self-Medication,' is not a form of primary prevention but rather a risky practice that can lead to adverse outcomes.

5. Approximately 75% of reputable producers of bottled water use groundwater as their water source. Plain tap water is the most natural source of fluids.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: A

Rationale: Both statements are true. Approximately 75% of reputable producers of bottled water use groundwater as their water source, which is the same source as the public water supply. Plain tap water, coming from underground sources or reservoirs, is indeed a natural source of fluids. The first statement is supported by the fact that groundwater is a common source for bottled water due to its purity and taste. The second statement is true as tap water is sourced from natural reservoirs or underground aquifers in most cases, making it a natural fluid source for consumption. Other choices are incorrect because both statements are factually accurate based on common practices in the production and sourcing of bottled water and tap water.

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