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Chapter 11: Nutritional Assessment

Chapter 11: Nutritional Assessment


Jarvis: Physical Examination & Health Assessment, 7th Edition


MULTIPLE CHOICE


1. The nurse recognizes which of these persons is at greatest risk for
undernutrition?


a. 5-month-old infant



b. 50-year-old woman



c. 20-year-old college student



d. 30-year-old hospital administrator




ANS: A

,Vulnerable groups for undernutrition are infants, children, pregnant women,
recent immigrants, persons with low incomes, hospitalized people, and aging
adults.


DIF: Cognitive Level: Remembering (Knowledge) REF: p. 181


MSC: Client Needs: Health Promotion and Maintenance


2. When assessing a patient’s nutritional status, the nurse recalls that the best
definition of optimal nutritional status is sufficient nutrients that:


a. Are in excess of daily body requirements.



b. Provide for the minimum body needs.



c. Provide for daily body requirements but do not support increased
metabolic demands.


d. Provide for daily body requirements and support increased metabolic
demands.



ANS: D


Optimal nutritional status is achieved when sufficient nutrients are consumed to
support day-to-day body needs and any increased metabolic demands resulting
from growth, pregnancy, or illness.

,DIF: Cognitive Level: Remembering (Knowledge) REF: p. 181


MSC: Client Needs: Health Promotion and Maintenance


3. The nurse is providing nutrition information to the mother of a 1-year-old
child. Which of these statements represents accurate information for this age
group?


a. Maintaining adequate fat and caloric intake is important for a child in this
age group.


b. The recommended dietary allowances for an infant are the same as for an
adolescent.


c. The baby’s growth is minimal at this age; therefore, caloric requirements
are decreased.


d. The baby should be placed on skim milk to decrease the risk of coronary
artery disease when he or she grows older.



ANS: A


Because of rapid growth, especially of the brain, both infants and children
younger than 2 years of age should not drink skim or low-fat milk or be placed
on low-fat diets. Fats (calories and essential fatty acids) are required for proper
growth and central nervous system development.

, DIF: Cognitive Level: Applying (Application) REF: pp. 181-182


MSC: Client Needs: Health Promotion and Maintenance


4. A pregnant woman is interested in breastfeeding her baby and asks several
questions about the topic. Which information is appropriate for the nurse to
share with her?


a. Breastfeeding is best when also supplemented with bottle feedings.



b. Babies who are breastfed often require supplemental vitamins.



c. Breastfeeding is recommended for infants for the first 2 years of life.



d. Breast milk provides the nutrients necessary for growth, as well as natural
immunity.



ANS: D


Breastfeeding is recommended for full-term infants for the first year of life
because breast milk is ideally formulated to promote normal infant growth and
development, as well as natural immunity. The other statements are not correct.


DIF: Cognitive Level: Applying (Application) REF: p. 181


MSC: Client Needs: Health Promotion and Maintenance

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