Nutritional Foundations and Clinical Applications: A Nursing Approach
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7th Edition
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Author: Michele Grodner, Sylvia Escott-Stump, Suzanne Dorner
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Table of Content ix ix
Chapter 01: Wellness Nutrition
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Chapter 02: Personal and Community Nutrition
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Chapter 03: Digestion, Absorption, and Metabolism
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Chapter 04: Carbohydrates
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Chapter 05: Fats ix ix
Chapter 06: Protein ix ix
Chapter 07: Vitaminsix ix
Chapter 08: Water and Minerals
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i Chapter 09: Energy, Weight, and
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Fitness
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Chapter 10: Nutrition Across the Life Span
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Chapter 11: Nutrition Assessment and Patient Care
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Chapter 12: Food-Related Issues
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Chapter 13: Nutrition for Disorders of the Gastrointestinal Tract
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Chapter 14: Nutrition for Disorders of the Liver, Gallbladder, and Pancreas
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Chapter 15: Nutrition for Diabetes Mellitus
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Chapter 16: Nutrition in Metabolic Stress: Burns, Trauma, and Surgery
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Chapter 17: Nutrition for Cardiopulmonary Diseases
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Chapter 18: Nutrition for Diseases of the Kidneys
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Chapter 19: Nutrition for Neuro-Psychiatric Disorders
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Chapter 20: Nutrition in Cancer and HIV/AIDS
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Chapter 01: Wellness Nutritionix ix ix
Grodner et al.: Nutritional Foundations and Clinical Applications: A Nursing Approach,
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7th Edition
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MULTIPLE CHOICE ix
1. Examples of informal education include ix ix ix ix
a. attending a workshop on coronary artery disease sponsored by the American Heart
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Association.
b. watching a television show about diabetes. ix ix ix ix ix
c. learning about food safety techniques in a high school economics course.
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d. joining a support group to help overcome an eating disorder.
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ANS: B ix
, Watching a television show about diabetes is an example of informal education because it is an
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ix experience that occurs through a daily activity. Attending a workshop or joining a support group
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ix would be considered nonformal education; a high school course would be considered formal
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ix education.
DIF: i x i x Cognitive Level: Applying ix ix REF: i x Page 13 ix
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
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2. A college student exercises regularly and generally eats a healthy variety of foods, is taking a
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ix course in general nutrition, buys locally produced food whenever possible, is an active member
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ix of an on-campus faith-based organization, and keeps a journal to help process her emotions.
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ix What else could be important for her to include in her life in order to develop her overall
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ix wellness?
a. Growing some of her own food ix ix ix ix ix
b. Keeping a food record to help evaluate what she eats ix ix ix ix ix ix ix ix ix
c. Eating meals with friends throughout the week ix ix ix ix ix ix
d. Meeting with a registered dietitian to review her food choices ix ix ix ix ix ix ix ix ix
ANS: C ix
Wellness enhances a person’s level of health through development of each of the six dimensions
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ix of health: physical health, intellectual health, emotional health, social health, spiritual health, and
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ix environmental health. Exercise and eating a healthy variety of foods help develop physical
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ix health; taking a course in general nutrition helps develop intellectual health; buying locally
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ix produced food helps develop environmental health; being part of a faith-based organization helps
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ix develop spiritual health; and keeping a journal helps develop emotional health. The missing
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ix dimension in this example is development of social health; eating meals with friends throughout
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ix the week would add this dimension. Growing her own food would be another example of
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ix environmental health; keeping a food record would be another contributor to physical health; and
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ix meeting with a registered dietitian may contribute to physical, intellectual, and emotional health.
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ix DIF: i x Cognitive Level: Analyzing ix ix REF: Page 7 | Page 8 i x ix ix ix ix
TOP: Nursing Process: Assessment
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, 3. For a client who is missing meals because of poor planning or is too busy to eat, emotional
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ix health can be affected byix ix ix ix ix , which can cause confusion or anxiety.
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a. low blood sugar levels ix ix ix
b. high blood sugar levels ix ix ix
c. high blood pressure ix ix
d. extremely low blood pressure ix ix ix
ANS: A ix
Poor eating habits affect emotional health. Missing meals may cause blood sugar levels to
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ix decrease, which can cause anxiety or confusion or make difficult to control emotions. Late night
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ix binges on snack food are likely to result in excessive energy intake but would have a less direct
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ix effect on emotional health. Eating small meals throughout the day is likely to maintain more
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ix constant blood sugar levels, which would actually have a positive effect on emotional health.
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Excessive caffeine consumption may contribute to anxiety, but 2 cups of caffeinated coffee is not
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ix considered excessive. ix
DIF: i x i x Cognitive Level: Analyzing ix ix REF: i x Page 6 ix
TOP: Nursing Process: Assessment
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4. The best example of the type of concern that is likely to be addressed by the U.S. Department of
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ix Health and Human Services when target goals for Healthy People 2030 are updated is
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a. preference for vegetarian eating patterns among white women. ix ix ix ix ix ix ix
b. low intake of fruits and vegetables by African American children.
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c. widespread use of bottled water in higher socioeconomic groups. ix ix ix ix ix ix ix ix
d. common use of protein and vitamin supplements in athletes. ix ix ix ix ix ix ix ix
ANS: B ix
Healthy People is used to set targets for health promotion to improve the health of all
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ix individuals. It addresses environmental and social issues that affect health outcomes. Low intake
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ix of fruits and vegetables by African American children is likely to have an adverse effect on their
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ix health and so may be addressed when target goals are set. Vegetarian eating patterns, use of
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ix bottled water, and use of protein and vitamin supplements do not necessarily have an adverse
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ix effect on nutritional health and so are less likely to be addressed.
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