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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, groups, and communities, such as teaching a teenager how to choose healthier fast
foods. Exercising regularly contributes to wellness, but it is not bringing about a change in
health unless this is a change in behavior. Stocking a wider availability of fresh produce does
not promote health, unless the supermarket uses specific strategies to encourage consumption.
Information about the relationship between nutrients and disease is simply information unless
it is used to promote behavior change.
DIF:Cognitive Level: Applying 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 amounts of
a. fiber.
b. nutrients.
c. minerals.
d. supplements.
ANS: B
The body needs sufficient amounts of all nutrients for efficient functioning and maintenance.
Both fiber and minerals are needed, but each represents only one type of nutrient.
Supplements are not always necessary because sufficient nutrients can often be obtained from
food.
DIF:Cognitive Level: Understanding 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 document Healthy People 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 would check the Dietary Reference Intakes for information about dietary standards. The
Dietary Guidelines for Americans and MyPlate are separate documents from Healthy People
2020 and focus on specific advice and guidelines for healthy eating.
DIF:Cognitive Level: Applying 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 diabetes. Weight control and nutrition strategies discussed are considered
a. primary treatment.
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b. primary prevention.
c. secondary prevention.
d. tertiary prevention.
ANS: B
Action to prevent the development of type 2 diabetes is considered primary prevention.
Secondary prevention involves early detection to halt and minimize the effects of the disease,
and tertiary prevention minimizes complications and helps restore health after the disorder has
developed. ―Primary treatment‖ is not a recognized term.
DIF:Cognitive Level: Applying TOP:Nursing Process: Planning
MSC:Client Needs: Health Promotion and Maintenance
10. As a home health care nurse, you are visiting a 70-year-old client who has just returned home
from the hospital after being treated for coronary artery disease. The medical nutrition therapy
developed for him by the hospital dietitian is considered
a. palliative care.
b. primary prevention.
c. secondary prevention.
d. tertiary prevention.
ANS: D
This is an example of tertiary prevention, which entails minimizing complications and helping
restore health after heart disease has developed. Primary prevention would occur before the
disease developed, and secondary prevention would involve early detection to minimize the
effects of the disease. Palliative care is intended only to minimize symptoms.
DIF:Cognitive Level: Applying TOP:Nursing Process: Planning
MSC:Client Needs: Health Promotion and Maintenance
11. A nutrient that can be made by the body is called
a. essential.
b. complete.
c. incomplete.
d. nonessential.
ANS: D
Nonessential nutrients can be made by the body. Essential nutrients cannot be made by the
body and must be consumed. The terms complete and incomplete refer to proteins. Complete
proteins contain all the essential amino acids; incomplete proteins are lacking one or more
essential amino acids.
DIF:Cognitive Level: Remembering TOP:Nursing Process: Assessment
MSC:Client Needs: Physiological Integrity
12. A client exercises regularly and wants to make sure that he has sufficient energy for his
workouts. The type of nutrient that will be most helpful in providing the energy he needs is
a. carbohydrates.
b. water.
c. minerals.
d. protein.
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