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ns A Nursing Approach 8th Edition by Michele Grodner, Sy
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lvia Escott-Stump, Suzanne Dorner Chapter 1-20
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Chapter 01: Wellness Nutrition
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Grodner et al.: Nutritional Foundations and Clinical Applications: A Nursing Approach, 8
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th Edition
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MULTIPLElCHOICE
1. Examplesloflinformalleducationlinclude
a. attendinglalworkshoplonlcoronarylarteryldiseaselsponsoredlbylthelAmericanlHeartlAss
ociation.
b. watchinglaltelevisionlshowlaboutldiabetes.
c. learninglaboutlfoodlsafetyltechniqueslinlalhighlschoolleconomicslcourse.
d. joininglalsupportlgroupltolhelplovercomelanleatingldisorder.
ANS:l B
Watchinglaltelevisionlshowlaboutldiabeteslislanlexampleloflinformalleducationlbecauselitlislanlexp
eriencelthatloccurslthroughlaldailylactivity.lAttendinglalworkshoplorljoininglalsupportlgrouplwoul
dlbelconsideredlnonformalleducation;lalhighlschoollcourselwouldlbelconsideredlformalleducation
.
DIF:CognitivelLevel:lApplying
TOP:NursinglProcess:lImplementationl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
2. Alcollegelstudentlexerciseslregularlylandlgenerallyleatslalhealthylvarietyloflfoods,lisltakinglalcour
selinlgenerallnutrition,lbuysllocallylproducedlfoodlwheneverlpossible,lislanlactivelmemberloflanlo
n-campuslfaith-
basedlorganization,landlkeepslaljournalltolhelplprocesslherlemotions.lWhatlelselcouldlbelimporta
ntlforlherltolincludelinlherllifelinlorderltoldeveloplherloveralllwellness?
a. Growinglsomeloflherlownlfood
b. Keepinglalfoodlrecordltolhelplevaluatelwhatlsheleats
c. Eatinglmealslwithlfriendslthroughoutlthelweek
d. Meetinglwithlalregisteredldietitianltolreviewlherlfoodlchoices
ANS:l C
Wellnesslenhanceslalperson’sllevelloflhealthlthroughldevelopmentlofleachloflthelsixldimensionslo
flhealth:lphysicallhealth,lintellectuallhealth,lemotionallhealth,lsociallhealth,lspirituallhealth,landle
nvironmentallhealth.lExerciselandleatinglalhealthylvarietyloflfoodslhelpldeveloplphysicallhealth;lt
akinglalcourselinlgenerallnutritionlhelpsldeveloplintellectuallhealth;lbuyingllocallylproducedlfoodl
helpsldeveloplenvironmentallhealth;lbeinglpartloflalfaith-
basedlorganizationlhelpsldeveloplspirituallhealth;landlkeepinglaljournallhelpsldeveloplemotionall
health.lThelmissingldimensionlinlthislexamplelisldevelopmentloflsociallhealth;leatinglmealslwithlf
riendslthroughoutlthelweeklwouldladdlthisldimension.lGrowinglherlownlfoodlwouldlbelanotherlex
ampleloflenvironmentallhealth;lkeepinglalfoodlrecordlwouldlbelanotherlcontributorltolphysicallhea
lth;landlmeetinglwithlalregisteredldietitianlmaylcontributeltolphysical,lintellectual,landlemotionall
health.
DIF:CognitivelLevel:lAnalyzing
TOP:NursinglProcess:lAssessmentl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
3. Forlalclientlwholislmissinglmealslbecauseloflpoorlplanninglorlisltoolbusyltoleat,lemotionallhealt
hlcanlbelaffectedlbyl ,lwhichlcanlcauselconfusionlorlanxiety.
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a. lowlbloodlsugarllevels
b. highlbloodlsugarllevels
c. highlbloodlpressure
d. extremelyllowlbloodlpressure
ANS:l A
Poorleatinglhabitslaffectlemotionallhealth.lMissinglmealslmaylcauselbloodlsugarllevelsltoldecreas
e,lwhichlcanlcauselanxietylorlconfusionlorlmakeldifficultltolcontrollemotions.lLatelnightlbingeslon
lsnacklfoodlarellikelyltolresultlinlexcessivelenergylintakelbutlwouldlhavelallessldirectleffectlonlem
otionallhealth.lEatinglsmalllmealslthroughoutltheldaylisllikelyltolmaintainlmorelconstantlbloodlsu
garllevels,lwhichlwouldlactuallylhavelalpositiveleffectlonlemotionallhealth.lExcessivelcaffeinelco
nsumptionlmaylcontributeltolanxiety,lbutl2lcupsloflcaffeinatedlcoffeelislnotlconsideredlexcessive.
DIF:CognitivelLevel:lAnalyzing
TOP:NursinglProcess:lAssessmentl
MSC:ClientlNeeds:lPsychosociallIntegrity
4. ThelbestlexamplelofltheltypeloflconcernlthatlisllikelyltolbeladdressedlbylthelU.S.lDepartmentloflHe
althlandlHumanlServiceslwhenltargetlgoalslforlHealthylPeoplel2030larelupdatedlis
a. preferencelforlvegetarianleatinglpatternslamonglwhitelwomen.
b. lowlintakeloflfruitslandlvegetableslbylAfricanlAmericanlchildren.
c. widespreadluseloflbottledlwaterlinlhigherlsocioeconomiclgroups.
d. commonluseloflproteinlandlvitaminlsupplementslinlathletes.
ANS:l B
HealthylPeoplelislusedltolsetltargetslforlhealthlpromotionltolimprovelthelhealthloflalllindividuals.lI
tladdresseslenvironmentallandlsociallissueslthatlaffectlhealthloutcomes.lLowlintakeloflfruitslandlv
egetableslbylAfricanlAmericanlchildrenlisllikelyltolhavelanladverseleffectlonltheirlhealthlandlsolm
aylbeladdressedlwhenltargetlgoalslarelset.lVegetarianleatinglpatterns,luseloflbottledlwater,landlusel
oflproteinlandlvitaminlsupplementsldolnotlnecessarilylhavelanladverseleffectlonlnutritionallhealthl
andlsolarellessllikelyltolbeladdressed.
DIF:CognitivelLevel:lApplying
TOP:NursinglProcess:lPlanningl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
5. Anlexampleloflcommunitylsupportlforlhealthlpromotionlis
a. teachinglalyounglmotherlskillslinlsafelfoodlpreparation.
b. watchinglaltelevisionldocumentarylaboutlindustrylerrorslinlfoodlprocessing.
c. labelinglfreshlpoultrylpackageslwithlinformationlaboutlproperlfoodlstorage.
d. beinglawarelthatlSalmonellalcanlbeltransmittedlbecauseloflinadequatelfoodlpre
paration.
ANS:l C
Foodllabelinglinformationlislanlexampleloflcommunitylsupportlbecauselitlislalregulatorylmeasureltha
tlsupportslnewlhealth-
promotinglbehaviorslwithinlalsociallcontext.lTeaching,lwatchingltelevision,landlawarenesslmaylincr
easelknowledge,lbutltheyldolnotlalterlthelsociallcontextlbylregulationlorlenvironmentallchange.
DIF:CognitivelLevel:lApplying
TOP:NursinglProcess:lImplementationl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
6. Anlexampleloflaltechniquelforlhealthlpromotionlis
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a. exercisinglfiveltimeslalweek.
b. locallsupermarkets’lexpandinglthelavailabilityloflfreshlfruitslandlvegetables.
c. teachinglalteenagerlhowltolchooselhealthierlfoodslatlfast-foodlrestaurants.
d. informationlaboutlthelrelationshiplofldietarylintakelandldiet-relatedldisorders.
ANS:l C
Healthlpromotionlconsistsloflstrategieslthatlareldesignedltolimprovelthelhealthloflindividuals,lfam
ilies,lgroups,landlcommunities,lsuchlaslteachinglalteenagerlhowltolchooselhealthierlfastlfoods.lExe
rcisinglregularlylcontributesltolwellness,lbutlitlislnotlbringinglaboutlalchangelinlhealthlunlesslthisli
slalchangelinlbehavior.lStockinglalwiderlavailabilityloflfreshlproduceldoeslnotlpromotelhealth,lunl
esslthelsupermarketluseslspecificlstrategiesltolencouragelconsumption.lInformationlaboutlthelrelat
ionshiplbetweenlnutrientslandldiseaselislsimplylinformationlunlesslitlislusedltolpromotelbehaviorlc
hange.
DIF:CognitivelLevel:lApplying
TOP:NursinglProcess:lImplementationl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
7. Forlthelefficientlfunctioninglandlmaintenanceloflthelbody,lalpersonlneedsltolconsumelsuffi
cientlamountslof
a. fiber.
b. nutrients.
c. minerals.
d. supplements.
ANS:l B
Thelbodylneedslsufficientlamountsloflalllnutrientslforlefficientlfunctioninglandlmaintenance.lBothlfib
erlandlmineralslarelneeded,lbutleachlrepresentslonlyloneltypeloflnutrient.
Supplementslarelnotlalwayslnecessarylbecauselsufficientlnutrientslcanloftenlbelobtainedlfromlfood.
DIF:CognitivelLevel:lUnderstanding
TOP:NursinglProcess:lAssessmentl
MSC:ClientlNeeds:lPhysiologicallIntegrity
8. Alnurselhasljustlbeenlassignedltolalcommunitylhealthlprogramlforlolderladults.lShelshouldlchec
kltheldocumentlHealthylPeoplel2020ltolbecomelfamiliarlwith
a. nutritionlprioritieslandlgoalslforlolderlAmericanladults.
b. dietarylstandardslforlAmericanslolderlthanl50l years.
c. dietarylguidelineslrecommendedlforlolderladults.
d. MyPlatelrecommendationslforlolderladults.
ANS:l A
HealthylPeoplel2020lfocuseslonltargetslandlgoalslforlimprovinglthelhealthloflthelnation.lThelnurselw
ouldlchecklthelDietarylReferencelIntakeslforlinformationlaboutldietarylstandards.lThelDietarylGuide
lineslforlAmericanslandlMyPlatelarelseparateldocumentslfromlHealthylPeoplel2020landlfocuslonlspe
cificladvicelandlguidelineslforlhealthyleating.
DIF:CognitivelLevel:lApplying
TOP:NursinglProcess:lPlanningl
MSC:ClientlNeeds:lHealthlPromotionlandlMaintenance
9. Alhealthylfemalelmiddle-
agedlclientlaskslwhatlshelcanldoltolpreventltheldevelopmentlofltypel2ldiabetes.lWeightlcontrollandl
nutritionlstrategiesldiscussedlarelconsidered
a. primaryltreatment.
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