Nursing Elites

1. 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.

2. The nurse interprets the statement “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!” as important in documenting in which of the following areas of mental status examination?

• A. Thought content
• B. Mood
• C. Affect
• D. Attitude

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. A patient who reports stomach ulcers should avoid all the following foods, except one. Which is the exception?

• A. Proteins
• B. Caffeine
• C. Calcium
• D. Wheat

Correct answer: D

Rationale: Patients with stomach ulcers are advised to avoid foods that can increase stomach acid levels, such as caffeine, proteins, and calcium. Wheat, on the other hand, is generally well-tolerated by individuals with ulcers as it does not stimulate gastric secretions. Therefore, the correct answer is D. Choice A (Proteins), B (Caffeine), and C (Calcium) are not recommended for patients with stomach ulcers due to their potential to exacerbate symptoms.

4. Each of the following foods has cariostatic properties, with one exception. Which food is the exception?

• A. Eggs
• B. Instant oatmeal
• C. Cheese
• D. Seafood

Correct answer: B

Rationale: Cariostatic foods are those that contribute to the prevention of tooth decay. Eggs, cheese, and seafood are all cariostatic foods, as they can aid in protecting against tooth decay. On the contrary, instant oatmeal does not possess these cariostatic properties. Due to its processed nature, it is more fermentable and cariogenic, which means it can encourage cavity formation. Although it is not directly harmful to the teeth, it does not provide the same defensive benefits against tooth decay as the other choices do. Therefore, 'Instant oatmeal' is the exception among these foods and is the correct answer.

5. Studies suggest that leukoplakia is resolved by excess vitamin A (a fat-soluble vitamin), retinoids, and beta-carotene. Leukoplakia is a white plaque that forms on oral mucous membranes.

• 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: B

Rationale: Both statements are false. Studies suggest that leukoplakia, a white plaque that forms on oral mucous membranes, can be resolved by vitamin A, retinoids, and beta-carotene. Despite the potential to resolve leukoplakia, relapse is common. Also pertinent, evidence does not indicate that any of these nutrients prevent malignant transformation. The extract provided clarifies that leukoplakia is a white plaque, not an erythematous lesion, and that vitamin A, retinoids, and beta-carotene can help resolve it.

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