Grodner et al.: Nutritional Foundations and Clinical Applications: A Nursing Approach, 7th E
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 experie
daily activity. Attending a workshop or joining a support group would be considered nonformal educat
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
locally produced food whenever possible, is an active member of an on-campus faith-based organizatio
help process her emotions. What else could be important for her to include in her life in order to develo
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 hea
intellectual health, emotional health, social health, spiritual health, and environmental health. Exercise
of foods help develop physical health; taking a course in general nutrition helps develop intellectual he
produced food helps develop environmental health; being part of a faith-based organization helps deve
keeping a journal helps develop emotional health. The missing dimension in this example is developme
meals with friends throughout the week would add this dimension. Growing her own food would be an
environmental health; keeping a food record would be another contributor to physical health; and meet
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 b
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, wh
confusion or make difficult to control emotions. Late night binges on snack food are likely to result in
would have a less direct effect on emotional health. Eating small meals throughout the day is likely to m
blood sugar levels, which would actually have a positive effect on emotional health. Excessive caffeine
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
, 5. An example of community support for health promotion is
a. teaching a young mother skills in safe food preparation.
b. watching a television documentary about industry errors in food processing.
c. labeling fresh poultry packages with information about proper food storage.
d. being aware that Salmonella can be transmitted because of inadequate food
preparation.
ANS: C
Food labeling information is an example of community support because it is a regulatory measure that
health-promoting behaviors within a social context. Teaching, watching television, and awareness may
they do not alter the social context by regulation or environmental change.
DIF: Cognitive Level: Applying REF: Page 8
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
6. An example of a technique for health promotion is
a. exercising five times a week.
b. local supermarkets’ expanding the availability of fresh fruits and vegetables.
c. teaching a teenager how to choose healthier foods at fast-food restaurants.
d. information about the relationship of dietary intake and diet-related disorders.
ANS: C
Health promotion consists of strategies that are designed to improve the health of individuals, families,
such as teaching a teenager how to choose healthier fast foods. Exercising regularly contributes to well
about a change in health unless this is a change in behavior. Stocking a wider availability of fresh prod
unless the supermarket uses specific strategies to encourage consumption. Information about the relatio
disease is simply information unless it is used to promote behavior change.
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TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
7. For the efficient functioning and maintenance of the body, a person needs to consume sufficient amoun
a. fiber.
b. nutrients.
c. minerals.
d. supplements.
ANS: B
The body needs sufficient amounts of all nutrients for efficient functioning and maintenance. Both fibe
but each represents only one type of nutrient. Supplements are not always necessary because sufficient
obtained from food.
DIF: Cognitive Level: Understanding REF: Page 5
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
8. A nurse has just been assigned to a community health program for older adults. She should check the d
2020 to become familiar with
a. nutrition priorities and goals for older American adults.
b. dietary standards for Americans older than 50 years.
c. dietary guidelines recommended for older adults.
d. MyPlate recommendations for older adults.
ANS: A
Healthy People 2020 focuses on targets and goals for improving the health of the nation. The nurse wo
Reference Intakes for information about dietary standards. The Dietary Guidelines for Americans and M
documents from Healthy People 2020 and focus on specific advice and guidelines for healthy eating.
DIF: Cognitive Level: Applying REF: Pages 8-10 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
9. A healthy female middle-aged client asks what she can do to prevent the development of type 2 diabete