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Nutritional Foundations and Clinical Applications: A Nursing Approach
7th Edition
Author: Michele Grodner, Sylvia Escott-Stump, Suzanne Dorner
Table of Content
Chapter 01: Wellness Nutrition
Chapter 02: Personal and Community Nutrition
Chapter 03: Digestion, Absorption, and Metabolism
Chapter 04: Carbohydrates
Chapter 05: Fats
Chapter 06: Protein
Chapter 07: Vitamins
Chapter 08: Water and Minerals
Chapter 09: Energy, Weight, and Fitness
Chapter 10: Nutrition Across the Life Span
Chapter 11: Nutrition Assessment and Patient Care
Chapter 12: Food-Related Issues
Chapter 13: Nutrition for Disorders of the Gastrointestinal Tract
Chapter 14: Nutrition for Disorders of the Liver, Gallbladder, and Pancreas
Chapter 15: Nutrition for Diabetes Mellitus
Chapter 16: Nutrition in Metabolic Stress: Burns, Trauma, and Surgery
Chapter 17: Nutrition for Cardiopulmonary Diseases
Chapter 18: Nutrition for Diseases of the Kidneys
Chapter 19: Nutrition for Neuro-Psychiatric Disorders
Chapter 20: Nutrition in Cancer and HIV/AIDS
Chapter 01: Wellness Nutrition
Grodner et al.: Nutritional Foundations and Clinical Applications: A Nursing Approach,
7th Edition
MULTIPLE CHOICE
1. Examples of informal education include
a. attending a workshop on coronary artery disease sponsored by the American Heart
Association.
b. watching a television show about diabetes.
c. learning about food safety techniques in a high school economics course.
d. joining a support group to help overcome an eating disorder.
ANS: B
, Watching a television show about diabetes is an example of informal education because it is an
experience that occurs through a daily activity. Attending a workshop or joining a support group
would be considered nonformal education; a high school course would be considered formal
education.
DIF: Cognitive Level: Applying REF: Page 13
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A college student exercises regularly and generally eats a healthy variety of foods, is taking a
course in general nutrition, buys locally produced food whenever possible, is an active member
of an on-campus faith-based organization, and keeps a journal to help process her emotions.
What else could be important for her to include in her life in order to develop her overall
wellness?
a. Growing some of her own food
b. Keeping a food record to help evaluate what she eats
c. Eating meals with friends throughout the week
d. Meeting with a registered dietitian to review her food choices
ANS: C
Wellness enhances a person’s level of health through development of each of the six dimensions
of health: physical health, intellectual health, emotional health, social health, spiritual health, and
environmental health. Exercise and eating a healthy variety of foods help develop physical health;
taking a course in general nutrition helps develop intellectual health; buying locally produced
food helps develop environmental health; being part of a faith-based organization helps develop
spiritual health; and keeping a journal helps develop emotional health. The missing dimension in
this example is development of social health; eating meals with friends throughout the week
would add this dimension. Growing her own food would be another example of environmental
health; keeping a food record would be another contributor to physical health; and meeting with a
registered dietitian may contribute to physical, intellectual, and emotional health.
DIF: Cognitive Level: Analyzing REF: Page 7 | Page 8
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
, 3. For a client who is missing meals because of poor planning or is too busy to eat, emotional
health can be affected by _____, which can cause confusion or anxiety.
a. low blood sugar levels
b. high blood sugar levels
c. high blood pressure
d. extremely low blood pressure
ANS: A
Poor eating habits affect emotional health. Missing meals may cause blood sugar levels to
decrease, which can cause anxiety or confusion or make difficult to control emotions. Late night
binges on snack food are likely to result in excessive energy intake but would have a less direct
effect on emotional health. Eating small meals throughout the day is likely to maintain more
constant blood sugar levels, which would actually have a positive effect on emotional health.
Excessive caffeine consumption may contribute to anxiety, but 2 cups of caffeinated coffee is not
considered excessive.
DIF: Cognitive Level: Analyzing REF: Page 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. The best example of the type of concern that is likely to be addressed by the U.S. Department of
Health and Human Services when target goals for Healthy People 2030 are updated is
a. preference for vegetarian eating patterns among white women.
b. low intake of fruits and vegetables by African American children.
c. widespread use of bottled water in higher socioeconomic groups.
d. common use of protein and vitamin supplements in athletes.
ANS: B
Healthy People is used to set targets for health promotion to improve the health of all
individuals. It addresses environmental and social issues that affect health outcomes. Low intake
of fruits and vegetables by African American children is likely to have an adverse effect on their
health and so may be addressed when target goals are set. Vegetarian eating patterns, use of
bottled water, and use of protein and vitamin supplements do not necessarily have an adverse
effect on nutritional health and so are less likely to be addressed.
Nutritional Foundations and Clinical Applications: A Nursing Approach
7th Edition
Author: Michele Grodner, Sylvia Escott-Stump, Suzanne Dorner
Table of Content
Chapter 01: Wellness Nutrition
Chapter 02: Personal and Community Nutrition
Chapter 03: Digestion, Absorption, and Metabolism
Chapter 04: Carbohydrates
Chapter 05: Fats
Chapter 06: Protein
Chapter 07: Vitamins
Chapter 08: Water and Minerals
Chapter 09: Energy, Weight, and Fitness
Chapter 10: Nutrition Across the Life Span
Chapter 11: Nutrition Assessment and Patient Care
Chapter 12: Food-Related Issues
Chapter 13: Nutrition for Disorders of the Gastrointestinal Tract
Chapter 14: Nutrition for Disorders of the Liver, Gallbladder, and Pancreas
Chapter 15: Nutrition for Diabetes Mellitus
Chapter 16: Nutrition in Metabolic Stress: Burns, Trauma, and Surgery
Chapter 17: Nutrition for Cardiopulmonary Diseases
Chapter 18: Nutrition for Diseases of the Kidneys
Chapter 19: Nutrition for Neuro-Psychiatric Disorders
Chapter 20: Nutrition in Cancer and HIV/AIDS
Chapter 01: Wellness Nutrition
Grodner et al.: Nutritional Foundations and Clinical Applications: A Nursing Approach,
7th Edition
MULTIPLE CHOICE
1. Examples of informal education include
a. attending a workshop on coronary artery disease sponsored by the American Heart
Association.
b. watching a television show about diabetes.
c. learning about food safety techniques in a high school economics course.
d. joining a support group to help overcome an eating disorder.
ANS: B
, Watching a television show about diabetes is an example of informal education because it is an
experience that occurs through a daily activity. Attending a workshop or joining a support group
would be considered nonformal education; a high school course would be considered formal
education.
DIF: Cognitive Level: Applying REF: Page 13
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A college student exercises regularly and generally eats a healthy variety of foods, is taking a
course in general nutrition, buys locally produced food whenever possible, is an active member
of an on-campus faith-based organization, and keeps a journal to help process her emotions.
What else could be important for her to include in her life in order to develop her overall
wellness?
a. Growing some of her own food
b. Keeping a food record to help evaluate what she eats
c. Eating meals with friends throughout the week
d. Meeting with a registered dietitian to review her food choices
ANS: C
Wellness enhances a person’s level of health through development of each of the six dimensions
of health: physical health, intellectual health, emotional health, social health, spiritual health, and
environmental health. Exercise and eating a healthy variety of foods help develop physical health;
taking a course in general nutrition helps develop intellectual health; buying locally produced
food helps develop environmental health; being part of a faith-based organization helps develop
spiritual health; and keeping a journal helps develop emotional health. The missing dimension in
this example is development of social health; eating meals with friends throughout the week
would add this dimension. Growing her own food would be another example of environmental
health; keeping a food record would be another contributor to physical health; and meeting with a
registered dietitian may contribute to physical, intellectual, and emotional health.
DIF: Cognitive Level: Analyzing REF: Page 7 | Page 8
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
, 3. For a client who is missing meals because of poor planning or is too busy to eat, emotional
health can be affected by _____, which can cause confusion or anxiety.
a. low blood sugar levels
b. high blood sugar levels
c. high blood pressure
d. extremely low blood pressure
ANS: A
Poor eating habits affect emotional health. Missing meals may cause blood sugar levels to
decrease, which can cause anxiety or confusion or make difficult to control emotions. Late night
binges on snack food are likely to result in excessive energy intake but would have a less direct
effect on emotional health. Eating small meals throughout the day is likely to maintain more
constant blood sugar levels, which would actually have a positive effect on emotional health.
Excessive caffeine consumption may contribute to anxiety, but 2 cups of caffeinated coffee is not
considered excessive.
DIF: Cognitive Level: Analyzing REF: Page 6
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. The best example of the type of concern that is likely to be addressed by the U.S. Department of
Health and Human Services when target goals for Healthy People 2030 are updated is
a. preference for vegetarian eating patterns among white women.
b. low intake of fruits and vegetables by African American children.
c. widespread use of bottled water in higher socioeconomic groups.
d. common use of protein and vitamin supplements in athletes.
ANS: B
Healthy People is used to set targets for health promotion to improve the health of all
individuals. It addresses environmental and social issues that affect health outcomes. Low intake
of fruits and vegetables by African American children is likely to have an adverse effect on their
health and so may be addressed when target goals are set. Vegetarian eating patterns, use of
bottled water, and use of protein and vitamin supplements do not necessarily have an adverse
effect on nutritional health and so are less likely to be addressed.
