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A comprehensive nutritional assessment always includes
-anthropometric measures.
-a direct observation of feeding and eating processes.
-a work history. Incorrect
-a comprehensive metabolic panel.
anthropometric measures.
-Anthropometric measures evaluate growth, development, and body composition.
-Examples include height, weight, waist circumference, derived weight measures (e.g., body
mass index, waist-to-hip ratio), and triceps skinfold thickness.
Which of the following is the most accurate and easy to implement nutritional assessment
method?
-24-hour recall
-Food frequency questionnaire
-Food diary
-Direct observation
Food diary
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,-The food diary is most complete and accurate if the nurse teaches the individual to record
information immediately after eating.
-The 24-hour recall is the easiest and most popular method but contains several sources for
error including difficulty with memory recall, atypical intake in previous 24 hours, altered
truth telling, and underreporting of snacks, sauces, and condiments.
-The food frequency questionnaire does not always quantify amount of intake and relies on
the individual’s memory.
-Direct observation is the most accurate method; however, it is difficult to implement and
usually is only done when the nurse is concerned about parent feeding patterns or eating
issues leading to malnutrition for a patient who is hospitalized (i.e., patient with anorexia
nervosa).
Which of the following signs and symptoms would indicate malnutrition? (Select all that apply.)
-Skin color appropriate for race, intact, without evidence of dryness
-Hair dull and dry
-Bleeding gums
-Erect posture with symmetric gait and muscle tone appropriate for age
-Lips cracked and pale pink, tongue beefy red.
-Hair dull and dry
-Bleeding gums
-Lips cracked and pale pink, tongue beefy red.
-There are several signs and symptoms of malnutrition which are included in Table 12-2.
-Skin color appropriate for race, intact, without evidence of dryness is a normal expected
finding for skin assessment.
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,-Erect posture with symmetric gait and muscle tone appropriate for age is a normal expected
finding for musculoskeletal assessment.
Which of the following changes in aging adults affect nutritional status? (Select all that apply.)
-Decreased visual acuity
-Slowed GI motility
-Increased saliva production
-Increased muscle mass
-Poor dentition
-Decreased visual acuity
-Slowed GI motility
-Poor dentition
-The normal physiologic changes in aging adults that affect nutritional status include poor
dentition, decreased visual acuity, decreased saliva production, slowed GI motility, decreased
GI absorption, and diminished olfactory and taste sensitivity.
-Aging adults experience decreased saliva production.
-Aging adults experience loss of lean body mass and increase in fat mass.
What is an advantage for using SBAR during staff communication?
-It improves verbal communication and reduces medical errors.
-It provides a complete patient health history.
-It focuses on a comprehensive physical examination.
-It avoids making recommendations.
It improves verbal communication and reduces medical errors.
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, -SBAR improves verbal communication and reduces medical errors.
-SBAR communication is concise and focused; SBAR does not include a complete patient
health history.
-SBAR communication is concise and focused; SBAR communication does not include a
comprehensive physical examination.
-SBAR communication includes “R,” which is making recommendations.
The nurse is calling the health care provider about a patient's changing condition. Which of the
following would be included in the SBAR communication?
-Situation, background, assessment, and recommendation
-Subjective information, background, assessment, and revisions needed
-Situation, background, all vitals, and review of orders
-Summary, better plan, accurate diagnosis, and rights
Situation, background, assessment, and recommendation
SBAR communication stands for situation, background, assessment, and recommendation.
The nursing assistant takes the vital signs for the 12 patients on the unit. Who is responsible for
interpreting the results?
-The nursing assistant should review the results for abnormalities.
-The registered nurse assigned to the patient(s) should interpret the vital signs.
-The charge nurse is responsible for reviewing the vital signs on all 12 patients.
-The unit manager must ensure that the nursing assistant reports any abnormal results.
The registered nurse assigned to the patient(s) should interpret the vital signs.
-The registered nurse assigned to the patient(s) is responsible for interpreting the results.
-The registered nurse is also responsible for delegating vital signs and for supervising the
nursing assistant.
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