Erin E. Mazur | All Chapters with Answers and Rationals
A nurse leading a seminar with middle school students on healthy food choices at the community
health center every Tuesday. The nurse knows that the seminar is a forms of what prevention
-tertiary
-complication
-secondary
-primary prevention - ANSWER: Primary prevention.
page 3
a nurse knows that energy nutrients are measured in which of the following
-proteins
-kilocalories
-electric signals
-heat (thermal) - ANSWER: kilocalories
page 4
A nurse is caring for a client with Crohn disease. The nurse notes that the health-care provider has
ordered the addition of omega-3 fatty acids to the diet and omega-3 fatty acid supplement to the
medication regimen. The nurse suspects the health-care provider is applying which process to help
this client minimize chronic inflammation from the disease?
-Nutrigenomics
-Epigenetics
-Nutrigenetics
-Epigenomics - ANSWER: Nutrigenomics
Page 5
Which is the main focus of the 2015-2020 Dietary Guidelines?
-Increase the number of schools providing fruits and vegetables.
-Monitor dietary intake through a telephone survey.
-Overall eating patterns should be based on personal and cultural choice.
-Provide simple instructions that promote healthy eating patterns. - ANSWER: Overall eating patterns
should be based on personal and cultural choice.
Page 7
Which statement made to a nurse about food insecurity is concerning?
-"We often eat at the local shelter when we can.!"
- " love to cook. I often cook for my friends and family."
-" often feel like I don't want to eat; I'm getting so fat!"
-'My mom cooks once a week and we go out to eat the other days." - ANSWER: "We often eat at the
local shelter when we can.!"
Page 9
In order to make suitable recommendations about nutritional status, which criteria must the nurse
gather during assessment from a client diagnosed with diabetes?
-Dietary recalls and self-report
-Reported dietary intake and physical examination
-Food diary and interview
-Anthropomorphic measurements and physical examination - ANSWER: Reported dietary intake and
physical examination
Page 12
A nurse is caring for a client diagnosed with diverticulitis. Which question asked during nutritional
assessment is most appropriate for the nurse to ask?
,-"What comfort foods do you enjoy?"
-"Doesn't everyone like grilled chicken?"
-"Do you consume meat at most of your meals?"
-"What types of food do you do you consume regularly?" - ANSWER: "What types of food do you do
you consume regularly?"
Page 18
A nurse is caring for a client admitted to the emergency department (ED). When the nurse learns that
the client is an Alaskan native, which diagnosis of acculturation does the nurse suspect?
-Crohn disease
-Gastrointestinal bleeding
- COPD
- Diabetes - ANSWER: Diabetes
Page 19
When taking care of a client with irritable bowel syndrome (IBS), the nurse talks about new genetic
knowledge that could personalize nutrition prescriptions. The nurse does this to:
-Cure the disease
-Help address nutritional needs
-Utilize nutrients properly
-Research proper use of prescriptions - ANSWER: Utilize nutrients properly
Page 5
A nurse is caring for a client diagnosed with bulimia. In addition to the nurse, which other members of
the health-care team are involved in the comprehensive nutritional assessment?
Select all that apply.
-Social worker
-Laboratory staff
-Dietitian
-Physician
-Physical therapist - ANSWER: -Social worker
-Laboratory staff
-Dietitian
-Physician
Page 11
When discharging a client who had gastric-bypass surgery, the nurse makes sure to include which
information in the client's discharge planning? Select all that apply.
-Eat plenty of protein shakes.
-Limit carbohydrates and fats.
-Take vitamins daily.
-Include polyphenols in the diet.
-Drink plenty of water. - ANSWER: Take vitamins daily.
Include polyphenols in the diet.
Drink plenty of water.
Which are functions of nutrients? Select all that apply.
-Support the growth of tissue
-Serve as a source of heat
-Help prevent diabetes
-Provide control of disease
-Aid in the loss of weight - ANSWER: -Support the growth of tissue
-Serve as a source of heat
A nurse received report from the Gl department and is waiting to admit a client diagnosed with
lactose intolerance. The nurse suspects that the client may be from which of the following cultures?
Select all that apply.
, -Asian
-African
-Irish
-Italian
-Native American - ANSWER: Asian
African
Native American
Page 6
Based on the 2015-2020 DHHS Dietary Guidelines for Americans, which recommendations would a
nurse manager follow to help reduce the risk for major chronic diseases in the health clinic? Select all
that apply.
-Dietary practices should accommodate sample menus.
-Dietary practices should accommodate economic resources.
-Dietary practices should accommodate food preferences.
-Dietary practices should accommodate healthy eating patterns.
-Dietary practices should accommodate cultural traditions. - ANSWER: -Dietary practices should
accommodate economic resources.
-Dietary practices should accommodate food preferences.
-Dietary practices should accommodate cultural traditions.
A nurse is discharging a client to go home and is discussing food insecurity. What component of food
insecurity has important implications for health and nutrition? Select all that apply
-Rural living
-Poverty
-health
-wealth
-disease - ANSWER: Rural living
Poverty
Which steps to determine a client's dietary status are similar to that of the nursing process?
Select all that apply.
-Dietitian referral
-Using dietary journals
-Prioritizing problems
-Nutritional screening
-Physical examination - ANSWER: -Prioritizing problems
-Nutritional screening
-Physical examination
Page 12
A nurse is reviewing dietary intake with a 45-year-old client with new-onset diabetes. Which
components does the nurse expect to discuss? Select all that apply.
-Adequate Intakes (Als)
-Estimated Average Requirements (EARs)
-Acceptable Macronutrient -Distribution Range (AMDR)
-Recommended Dietary Allowances (RDAs)
-Body Mass Index (BMI) - ANSWER: -Adequate Intakes (Als)
-Estimated Average Requirements (EARs)
-Acceptable Macronutrient -Distribution Range (AMDR)
-Recommended Dietary Allowances (RDAs)
Page 16
Which effects can acculturation have on clients from another culture?
-A decrease in consumption of fruits and vegetables
-An increase in knowledge of proper food preparation
-A decrease in risk for disease