C HAPTER 26: C ONCEPTS OF B ASIC N UTRITION
AND C ULTURAL C ONSIDERATIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The mother of a 4 -month old infant asks what t ype of cereal is most
appropriate to feed the infant as a first solid food. The best response from
the nurse is to suggest
a. wheat.
b. barley.
c. corn.
d. rice.
ANS: D
A cereal such as rice is the best initial choice, because it is easil y
tolerated, provides additional calories and iro n, and is least likel y to be
allergenic.
DIF: Cognitive Level: Comprehension REF: p. 474
OBJ: Theory #8 TOP: Nutritional Needs Across the Life
Span KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Growth an d
Development
,2. A mother is concerned that her toddler is not eating enough at mealtimes.
The most informative suggestion by the nurse would be to:
a. provide large portions to stimulate appetite.
b. provide single item foods or finger foods that do not touch eac h
other on the plate.
c. increase the amount of milk at each meal.
d. use plain white dishes to keep attention focused on food.
ANS: B
Toddlers prefer single item foods in small quantities that do not touch
each other on a colorful plate. Milk intake should de crease during the
toddler years as solid food takes the place of milk.
DIF: Cognitive Level: Application REF: p. 475 OBJ:
Theory #8 TOP: Nutritional Needs Across the Life Span
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotio n and Maintenance: Growth and
Development
3. On assessment, the nurse finds that the female patient has a BMI of 26, a
waist of 37 inches, pale conjunctiva, and a large muscle mass. The
indicator of this patient being overweight is:
a. BMI level.
b. waist measurement.
c. conjunctiva.
d. large muscle mass.
ANS: B
, A waist measurement in women of over 35 is an indicator of greater
risk for overweight and disease.
DIF: Cognitive Level: Anal ysis REF: p. 472 OBJ:
Clinical Practice #2 TOP: Physical Signs of Obesit y
KEY: Nursing Process Step: Assessment MSC: NCLEX:
Health Promotion and Maintenance: Prevention and Earl y
Detection of Disease
4. The nursing action that is most beneficial toward creating an atmosphere
conducive to eating for a hospitalized patient immobili zed in bed is:
a. lower the head of bed as tolerated.
b. remove the urinal from the over the bed table.
c. invite the patient to wash hands and face before eating.
d. use a deodorizer to remove any unpleasant odor in the room.
ANS: B
Remove distracting articles such as the urinal and emesis basin.
DIF: Cognitive Level: Application REF: p. 479 OBJ:
Theory #6 TOP: Promoting Appetite KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Basic Care and Comfort
5. The nurse is delivering a meal tray to a patient in a skilled nursing facilit y
who is a Muslim. The nurse should confirm the meal is free of:
a. raw fruits.
b. eggplant.
AND C ULTURAL C ONSIDERATIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The mother of a 4 -month old infant asks what t ype of cereal is most
appropriate to feed the infant as a first solid food. The best response from
the nurse is to suggest
a. wheat.
b. barley.
c. corn.
d. rice.
ANS: D
A cereal such as rice is the best initial choice, because it is easil y
tolerated, provides additional calories and iro n, and is least likel y to be
allergenic.
DIF: Cognitive Level: Comprehension REF: p. 474
OBJ: Theory #8 TOP: Nutritional Needs Across the Life
Span KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Growth an d
Development
,2. A mother is concerned that her toddler is not eating enough at mealtimes.
The most informative suggestion by the nurse would be to:
a. provide large portions to stimulate appetite.
b. provide single item foods or finger foods that do not touch eac h
other on the plate.
c. increase the amount of milk at each meal.
d. use plain white dishes to keep attention focused on food.
ANS: B
Toddlers prefer single item foods in small quantities that do not touch
each other on a colorful plate. Milk intake should de crease during the
toddler years as solid food takes the place of milk.
DIF: Cognitive Level: Application REF: p. 475 OBJ:
Theory #8 TOP: Nutritional Needs Across the Life Span
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotio n and Maintenance: Growth and
Development
3. On assessment, the nurse finds that the female patient has a BMI of 26, a
waist of 37 inches, pale conjunctiva, and a large muscle mass. The
indicator of this patient being overweight is:
a. BMI level.
b. waist measurement.
c. conjunctiva.
d. large muscle mass.
ANS: B
, A waist measurement in women of over 35 is an indicator of greater
risk for overweight and disease.
DIF: Cognitive Level: Anal ysis REF: p. 472 OBJ:
Clinical Practice #2 TOP: Physical Signs of Obesit y
KEY: Nursing Process Step: Assessment MSC: NCLEX:
Health Promotion and Maintenance: Prevention and Earl y
Detection of Disease
4. The nursing action that is most beneficial toward creating an atmosphere
conducive to eating for a hospitalized patient immobili zed in bed is:
a. lower the head of bed as tolerated.
b. remove the urinal from the over the bed table.
c. invite the patient to wash hands and face before eating.
d. use a deodorizer to remove any unpleasant odor in the room.
ANS: B
Remove distracting articles such as the urinal and emesis basin.
DIF: Cognitive Level: Application REF: p. 479 OBJ:
Theory #6 TOP: Promoting Appetite KEY: Nursing
Process Step: Implementation MSC: NCLEX:
Physiological Integrity: Basic Care and Comfort
5. The nurse is delivering a meal tray to a patient in a skilled nursing facilit y
who is a Muslim. The nurse should confirm the meal is free of:
a. raw fruits.
b. eggplant.
