Approach By Michele Grodner, EdD, CHES, Sylvia Escott-Stump, MA, RD, LDN and Suzanne
Dorner, MSN, RN, CCRN | All 1-20 Chapters Covered With Questions And Verified Solutions
With Detailed Tationales And Case Studies.
, TABLE OF CONTENT
PART I: Wellness, Nutrition, and the Nursing Role
1. Wellness Nutrition
2. Personal and Community Nutrition
PART II: Nutrients, Food, and Health
3. Digestion, Absorption, and Metabolism
4. Carbohydrates
5. Fats
6. Protein
7. Vitamins
8. Water and Minerals
PART III: Health Promotion Through Nutrition and Nursing Practice
9. Energy, Weight and Fitness
10. Nutrition Across the Life Span
PART IV: Overview of Medical Nutrition Therapy
11. Nutrition Assessment and Patient Care
12. Food-Related Issues
13. Nutrition for Disorders of the Gastrointestinal Tract
14. Nutrition for Disorders of the Liver, Gallbladder, and Pancreas
15. Nutrition for Diabetes Mellitus
16. Nutrition in Metabolic Stress: Burns, Trauma, and Surgery
17. Nutrition for Cardiopulmonary Disease
18. Nutrition for Diseases of the Kidneys
19. Nutrition for Neuro-Psychiatric Disorders
20. Nutrition in Cancer and HIV-AIDS
Chapter 1: Wellness Nutrition
Multiple Choice Questions (21 Questions)
1. A nurse is teaching a client about the six dimensions of wellness. Which action by the client best
demonstrates improvement in social health?
, • A) Joining a community walking group to exercise with neighbors
• B) Keeping a journal to process stressful emotions
• C) Attending a seminar on heart-healthy cooking
• D) Practicing meditation daily to reduce anxiety
<details> <summary><strong> Correct Answer: A</strong></summary>
Rationale: Social health involves interacting with others, forming relationships, and contributing to
the community. Joining a walking group fosters social connections. Option B (journaling) relates
to emotional health. Option C (seminar) relates to intellectual health. Option D (meditation) relates
to emotional or spiritual health.
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2. A client watches a television documentary about the benefits of plant-based eating and decides
to try meatless Mondays. This is an example of which type of education?
• A) Formal education
• B) Informal education
• C) Continuing education
• D) Professional education
<details> <summary><strong> Correct Answer: B</strong></summary>
Rationale: Informal education occurs through media, reading, conversations, or self-directed
learning outside a structured curriculum. The client learned from a TV documentary. Formal
education (A) occurs in schools/universities. Continuing education (C) is for
professionals. Professional education (D) is job-specific training.
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3. Which of the following is an example of a primary prevention activity?
• A) Administering insulin to a client with diabetes
• B) Teaching a class on low-sodium cooking to clients with hypertension
• C) Providing a flu shot to healthy older adults in a senior center
• D) Prescribing physical therapy for a client after a stroke
<details> <summary><strong> Correct Answer: C</strong></summary>
Rationale: Primary prevention aims to prevent disease before it occurs (vaccination, health
education, lifestyle changes). Flu shots prevent influenza infection. Option A (insulin) and D (physical
therapy) are tertiary prevention (managing existing disease). Option B (cooking class for
hypertensive clients) is secondary or tertiary prevention (managing established hypertension).
, </details>
4. A nurse screens a client for high blood pressure during a routine checkup. This is an example of
which level of prevention?
• A) Primary prevention
• B) Secondary prevention
• C) Tertiary prevention
• D) Health promotion
<details> <summary><strong> Correct Answer: B</strong></summary>
Rationale: Secondary prevention involves early detection and screening to identify disease in its
early stages, allowing prompt treatment. Blood pressure screening identifies hypertension before it
causes complications. Primary prevention (A) prevents disease onset. Tertiary prevention
(C) manages existing disease to prevent complications.
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5. The nurse is assessing a client's dietary intake. Which finding indicates a nutritional risk factor?
• A) Eating fast food once per week
• B) Drinking 8 cups of water daily
• C) Consuming 5 servings of fruits and vegetables daily
• D) Having a family history of heart disease
<details> <summary><strong> Correct Answer: D</strong></summary>
Rationale: Non-modifiable risk factors include family history, age, and genetics. A family history of
heart disease increases nutritional risk (e.g., may benefit from a low-saturated-fat diet). Option A
(fast food once weekly) is not excessive. Options B and C are positive health behaviors. Risk factors
can be modifiable (diet, exercise) or non-modifiable (genetics).
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6. A client asks the nurse, "What is the difference between health and wellness?" Which response
is most accurate?
• A) "Health and wellness mean the same thing."
• B) "Health is the absence of disease; wellness is a state of thriving and optimal well-being."
• C) "Wellness is physical only; health includes mental and social aspects."
• D) "Health requires medical intervention; wellness requires no intervention."
<details> <summary><strong> Correct Answer: B</strong></summary>