Nursing Elites

1. Which term is used to describe medical practices that have been thoroughly evaluated using scientific methods?

• A. Meta-analysis
• B. Systematic reviews
• C. Evidence-based
• D. Observational studies

Correct answer: C

Rationale: The correct answer is C, 'Evidence-based.' Evidence-based practices refer to medical practices that have been thoroughly evaluated and supported by scientific research. Meta-analysis (A) involves statistical analysis that combines the results of multiple studies. Systematic reviews (B) are comprehensive reviews that synthesize evidence from multiple studies. Observational studies (D) are research methods where researchers observe subjects in their natural environment.

2. Miss CEE is admitted for treatment of major depression. She appears withdrawn, disheveled, and states 'Nobody wants me'. What does the nurse most likely expect that Miss CEE is to be placed on?

• A. Neuroleptics medication
• B. Special diet
• C. Suicide precaution
• D. Anxiolytics medication

Correct answer: C

Rationale: Given Miss CEE's state of major depression and her expressed feelings of worthlessness ('Nobody wants me'), the nurse would most likely expect her to be placed on suicide precaution. This means that measures would be taken to ensure her safety and to prevent her from harming herself. While medications like neuroleptics (Choice A) and anxiolytics (Choice D) might be employed as part of her overall treatment, these medicines are primarily used for conditions like psychosis and anxiety respectively, not specifically for depression or suicidal ideation. A special diet (Choice B) may be part of a comprehensive treatment plan, but it is not as immediate or as directly related to her current emotional and psychological state as suicide precaution is.

3. Plant stanols and sterols help to lower LDL cholesterol and are often added to which food product?

• A. margarine
• B. milk
• C. cereal
• D. yogurt

Correct answer: A

Rationale: Plant stanols and sterols are commonly added to margarine to help lower LDL cholesterol levels. Margarine acts as a vehicle for these compounds, making it easier for individuals to incorporate them into their daily diet. While milk, cereal, and yogurt are healthy food options, they are not typically enriched with plant stanols and sterols for cholesterol-lowering purposes, making them less likely candidates as the correct answer.

4. A Hazard Analysis and Critical Control Points (HACCP) program would address which element of food service?

• A. cleaning and disinfecting of utensils
• B. developing healthy menus
• C. controlling patient calorie intake
• D. prescribing diets for patients with swallowing problems

Correct answer: A

Rationale: The correct answer is A. Hazard Analysis and Critical Control Points (HACCP) programs are designed to ensure food safety by identifying and controlling potential hazards. This includes addressing the cleaning and disinfecting of utensils to prevent contamination and maintain safe food handling practices. Choices B, C, and D are incorrect because HACCP primarily focuses on preventing food safety hazards rather than developing menus, controlling calorie intake, or prescribing diets for specific medical conditions.

5. The nutrient facts panel was established by the USDA and the FDA to improve health and well-being by enhancing nutritional knowledge. Nutrient content claims describe a relationship between a food or food component and reduced risk of a disease or health-related condition.

• 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: C

Rationale: The correct answer is C. The first statement is true as the nutrient facts panel was indeed established by the USDA and the FDA to improve health and well-being by enhancing nutritional knowledge. However, the second statement is false. Nutrient content claims actually refer to the amount of a nutrient in a food, not to the relationship between a food and disease risk. Therefore, the second statement is incorrect, making choice C the correct option. Choice A is incorrect because the second statement is false. Choice B is incorrect as the first statement is true. Choice D is incorrect because the second statement is false.

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