Exam (elaborations)
Chapter 30 Nutrition
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 30 Nutrition
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DAWITChapter 30: Nutrition
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nurse is providing education to a patient about the difference between simple and
complex carbohydrates. Which statement by the patient indicates a need for further education?
a. ―Simple carbohydrates give me quick energy.‖
b. ―Complex carbohydrates come from fruit.‖
c. ―Complex carbohydrates take longer to break down.‖
d. ―Simple carbohydrates come from milk products.‖
ANS: B
Simple carbohydrates are broken down and absorbed quickly, providing a quick source of
energy. Examples are sugars such as those derived from fruit (fructose), table sugar (sucrose),
milk products (lactose), and blood sugar (glucose). Complex carbohydrates are composed of
starches, glycogen, and fiber. They take longer to break down prior to absorption and
utilization by the body‘s cells.
DIF: Evaluating OBJ: 30.1 TOP: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
NOT: Concepts: Nutrition
2. The nurse teaches the family member to provide the patient with how much dietary fiber per
day?
a. 25 to 35 g NURSINGTB.COM
b. 20 to 35 g
c. 25 to 40 g
d. 20 to 40 g
ANS: B
Older children, adolescents, and adults should consume 20 to 35 g of fiber a day. Food
sources include whole grains, wheat bran, cereals, fresh fruits, vegetables, and legumes.
DIF: Understanding OBJ: 30.1 TOP: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
NOT: Concepts: Nutrition
3. The nurse is providing education to an older adult around a healthy diet to support the
challenges related to aging. Which statement indicates a need for further education?
a. ―I should choose foods that are nutrient dense.‖
b. ―High-fiber foods minimize the risk of constipation.‖
c. ―I should eat more calories to avoid malnutrition.‖
d. ―I can add spices to enhance the taste of food.‖
ANS: C
, DAWIT
Calorie needs change with aging because of more body fat and less lean muscle. Less activity
further decreases calorie requirements. Eating whole-grain foods and a variety of fruits and
vegetables and drinking water may minimize the risk of constipation. The challenge for older
adults is to choose foods that are nutrient dense; these foods are high in nutrients in relation to
their calories. Older adults may experience a decreased sense of smell or taste, so the addition
of spices and herbs may enhance the taste of foods.
DIF: Applying OBJ: 30.1 TOP: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Nutrition
4. When caring for an adolescent patient with anorexia nervosa, the nurse knows what would be
the best treatment option for this patient?
a. Hospitalization with skill nursing care
b. Compulsory tube feedings
c. Individually determined by a collaborative team
d. Outpatient treatment
ANS: C
Ultimately, the decision on how best to ethically treat an adolescent suffering from an eating
disorder needs to be one of collaboration among the child‘s physician, nurse, counselor,
spiritual adviser, parents, and other concerned adults. Highly skilled nursing care with
hospitalization is preferred prior to a drop in BMI levels below 13 kg/m2. Compulsory tube
feedings are not always the best option. Although most adolescents with eating disorders can
be treated on an outpatient basis, those who exhibit severe depression, extreme physical
complications resulting from electrolyte imbalances, or suicidal tendencies may require
extensive inpatient treatmentN. R I G B.C M
U S N T O
DIF: Applying OBJ: 30.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
NOT: Concepts: Nutrition
5. A new UAP is measuring a patient‘s height. Which step of the procedure indicates a need for
the registered nurse to provide further education on this skill?
a. The UAP instructs the patient to remove shoes.
b. The UAP measures from the top of the patient‘s head to the bottom of the patient‘s
foot arch.
c. The UAP positions the head against the headboard or measuring device.
d. The UAP makes sure the patient is standing erect.
ANS: B
Height is measured from the top of the head to the bottom of the heel. The patient is instructed
to remove shoes, stand erect, and position the top of the patient‘s head against the headboard
or measuring device for accuracy.
DIF: Applying OBJ: 30.3 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation
NOT: Concepts: Nutrition
6. The nurse is performing an oral examination on a patient and notices a beefy-red tongue. The
nurse identifies this as a characteristic finding for what condition?
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