Chapter 12: Nutrition Assessment
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
MULTIPLE CHOICE
1. The nurse recognizes which of these persons is at greatest risk for undernutrition?
a. 5-month-old infant
b. 50-year-old woman
c. 20-year-old college student
d. 30-year-oldhospitaladministrator
ANS: A
Vulnerable groups for undernutrition are infants, children, pregnant women,
recent immigrants, persons with low incomes, hospitalized people, and aging
adults.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Health Promotion and Maintenance
2. When assessing a patients nutritional status, the nurse recalls that the best definition of
optimal nutritional status is sufficient nutrients that:
a. Are in excess of daily body requirements.
b. Provide for the minimum body needs.
c. Provide for daily body requirements but do not support increased metabolic
demands.
d. Provide for daily body requirements and support increased metabolic demands.
ANS: D
Optimal nutritional status is achieved when sufficient nutrients are consumed to
support day-to-day body needs and any increased metabolic demands resulting
from growth, pregnancy, or illness.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse is providing nutrition information to the mother of a 1-year-old child. Which
of these statements represents accurate information for this age group?
a. Maintaining adequate fat and caloric intake is important for a child in this age
group.
b. The recommended dietary allowances for an infant are the same as for an
adolescent.
, c. The babys growth is minimal at this age; therefore, caloric requirements are
decreased.
d. The baby should be placed on skim milk to decrease the risk of coronary artery
disease when he or she grows older.
ANS: A
Because of rapid growth, especially of the brain, both infants and children
younger than 2 years of age should not drink skim or low-fat milk or be placed on
low-fat diets. Fats (calories and essential fatty acids) are required for proper
growth and central nervous system development.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
4. A pregnant woman is interested in breastfeeding her baby and asks several questions
about the topic. Which information is appropriate for the nurse to share with her?
a. Breastfeeding is best when also supplemented with bottle feedings.
b. Babies who are breastfed often require supplemental vitamins.
c. Breastfeeding is recommended for infants for the first 2 years of life.
d. Breast milk provides the nutrients necessary for growth, as well as natural
immunity.
ANS: D
Breastfeeding is recommended for full-term infants for the first year of life
because breast milk is ideally formulated to promote normal infant growth and
development, as well as natural immunity. The other statements are not correct.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
5. A mother and her 13-year-old daughter express their concern related to the daughters
recent weight gain and her increase in appetite. Which of these statements represents
information the nurse should discuss with them?
a. Dieting and exercising are necessary at this age.
b. Snacks should be high in protein, iron, and calcium.
c. Teenagers who have a weight problem should not be allowed to snack.
d. A low-calorie diet is important to prevent the accumulation of fat.
ANS: B
After a period of slow growth in late childhood, adolescence is characterized by
rapid physical growth and endocrine and hormonal changes. Caloric and protein
requirements increase to meet this demand. Because of bone growth and
increasing muscle mass (and, in girls, the onset of menarche), calcium and iron
requirements also increase.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
Physical Examination and Health Assessment, 8th Edition by
Carolyn Jarvis
MULTIPLE CHOICE
1. The nurse recognizes which of these persons is at greatest risk for undernutrition?
a. 5-month-old infant
b. 50-year-old woman
c. 20-year-old college student
d. 30-year-oldhospitaladministrator
ANS: A
Vulnerable groups for undernutrition are infants, children, pregnant women,
recent immigrants, persons with low incomes, hospitalized people, and aging
adults.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Health Promotion and Maintenance
2. When assessing a patients nutritional status, the nurse recalls that the best definition of
optimal nutritional status is sufficient nutrients that:
a. Are in excess of daily body requirements.
b. Provide for the minimum body needs.
c. Provide for daily body requirements but do not support increased metabolic
demands.
d. Provide for daily body requirements and support increased metabolic demands.
ANS: D
Optimal nutritional status is achieved when sufficient nutrients are consumed to
support day-to-day body needs and any increased metabolic demands resulting
from growth, pregnancy, or illness.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse is providing nutrition information to the mother of a 1-year-old child. Which
of these statements represents accurate information for this age group?
a. Maintaining adequate fat and caloric intake is important for a child in this age
group.
b. The recommended dietary allowances for an infant are the same as for an
adolescent.
, c. The babys growth is minimal at this age; therefore, caloric requirements are
decreased.
d. The baby should be placed on skim milk to decrease the risk of coronary artery
disease when he or she grows older.
ANS: A
Because of rapid growth, especially of the brain, both infants and children
younger than 2 years of age should not drink skim or low-fat milk or be placed on
low-fat diets. Fats (calories and essential fatty acids) are required for proper
growth and central nervous system development.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
4. A pregnant woman is interested in breastfeeding her baby and asks several questions
about the topic. Which information is appropriate for the nurse to share with her?
a. Breastfeeding is best when also supplemented with bottle feedings.
b. Babies who are breastfed often require supplemental vitamins.
c. Breastfeeding is recommended for infants for the first 2 years of life.
d. Breast milk provides the nutrients necessary for growth, as well as natural
immunity.
ANS: D
Breastfeeding is recommended for full-term infants for the first year of life
because breast milk is ideally formulated to promote normal infant growth and
development, as well as natural immunity. The other statements are not correct.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
5. A mother and her 13-year-old daughter express their concern related to the daughters
recent weight gain and her increase in appetite. Which of these statements represents
information the nurse should discuss with them?
a. Dieting and exercising are necessary at this age.
b. Snacks should be high in protein, iron, and calcium.
c. Teenagers who have a weight problem should not be allowed to snack.
d. A low-calorie diet is important to prevent the accumulation of fat.
ANS: B
After a period of slow growth in late childhood, adolescence is characterized by
rapid physical growth and endocrine and hormonal changes. Caloric and protein
requirements increase to meet this demand. Because of bone growth and
increasing muscle mass (and, in girls, the onset of menarche), calcium and iron
requirements also increase.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Health Promotion and Maintenance
