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Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank by Laurie Kennedy-Malone, Lori Martin-Plank, Evelyn Duffy$17.99
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Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank
Bonus Chapter Nutritional Support in the Older Adult
Multiple Choice
1. The nurse practitioner provides a program on nutrition for older
adults to a group at a community church. Which of the following is a
reason to educate this group about nutrition?
1. The risks of developing nutritional difficulties are multifactorial.
2. Only internal conditions affect nutritional status.
3. Only external conditions affect nutritional status.
4. Older adults have a decreased risk of developing nutritional
deficiencies.
2. The nurse practitioner explains to older adults that physiological changes can affect nutritional
status, changes such as:
1. An increased sense of smell.
2. An increased sense of taste.
3. An increased production of saliva.
4. Dental issues.
3. An 80-year-old woman comes to see the nurse practitioner and complains that she does not seem to
be able to tolerate some foods as she once did. The nurse practitioner knows that aging can contribute
to which of the following?
1. Bone loss in the mouth, causing teeth to be loose.
2. Oral mucosa thickening and inhibiting saliva production.
3. An increase in secretion of hydrochloric acid in the stomach.
4. A decline in liver function.
4. While conducting a health assessment, the nurse practitioner asks about the three pillars of food
security. This includes which of the following?
1. Food allocation.
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,Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank
2. Food availability.
3. Food that is inexpensive.
4. Food freshness.
5.The nurse practitioner discusses vitamin and mineral supplementation with Ed, who is 75 years old.
Ed wants to know why he should take calcium because he understands that calcium is for women. The
nurse practitioner responds:
1. As one gets older, albumin can decrease, and calcium is bound to albumin.
2. Dietary patterns may result in low nutrient intake.
3. An increase in lactose intolerance that comes with aging decreases the amount of calcium absorbed
by the body.
4. Aging aids the absorption of nutrients from the intestine.
6. Mrs. Marlin is 78 years old, is 5 feet tall, and weighs 140 pounds. The nurse practitioner tells her
that her body mass index (BMI) is between 25 and 29.9, and that this BMI is considered overweight.
The nurse practitioner recommends that Mrs. Marlin assess her diet and activity level. If she is
sedentary, the recommended daily kcal intake is which of the following?
1. 1,600
2. 2,000
3. 2,500
4. 3,000
7. Mr. Watson, a 77-year-old man, is being seen for his annual physical examination. His serum level
of vitamin D is 40 nmol/L. The nurse practitioner explains that this may due to which of the following
physiological changes in aging?
1. His dislike of milk.
2. Tastes buds on the tongue not sensing taste as well.
3. His gastrointestinal (GI) tract not absorbing dairy as it did when he was younger.
4. The decline in the skin’s ability to metabolize vitamin D.
Multiple Response
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,Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank
8. Mrs. Howe is 69 years old and has symptoms of anemia. The nurse practitioner assesses for which
of the following? Select all that apply.
1. Diabetic on Metformin.
2. Taking a proton pump inhibitor.
3. Food consumption.
4. Consuming too much folate.
5. History of alcoholism.
9. Mr. Adams is 76 years old and is experiencing constipation. The nurse practitioner advises him to
increase his dietary intake of fiber. What is true of fiber? Select all that apply.
1. Increases stool bulk.
2. Decreases glycemic control.
3. Decreases transit time of stool through intestines.
4. Foods high in fiber often have lower nutrient composition.
5. Fiber in the diet leads to weight loss.
10. Janice is 80 years old and is admitted to the hospital for weakness and syncope. She lives alone,
but her daughter checks in on her every other day. The nurse practitioner notes that Janice has lost
some weight, though she says she is eating normally. The laboratory blood work indicates that she may
be dehydrated. The nurse practitioner explains which of the following to Janice’s daughter as possible
reason(s) for this? Select all that apply.
1. Loss of thirst sensation.
2. Fear of incontinence.
3. Decreased concentration of urine in the kidneys.
4. Side effects of some medications include diuresis.
5. Loss in the sense of taste.
11. Mr. Abernathy is irritated with his daughter for insisting that he eat more food. He says that he is
not hungry and wants to be left alone. The nurse practitioner recommends which of the following?
Select all that apply.
1. An appetite suppressant.
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, Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank
2. A multidisciplinary team evaluation.
3. Providing appropriate food that he prefers.
4. Placing a percutaneous endoscopic gastrostomy (PEG) tube until he eats orally.
5. Providing nutritional supplements until he begins to eat again.
12. Betty is 72 years old and has a wound on her right leg from a fall; the wound is infected. Betty tells
the nurse practitioner that she has been changing the dressings regularly and limiting her activity. She
has come in to see if anything else should be done to aid healing. Which of the following are the nurse
practitioner’s best response(s)? Select all that apply.
1. Assess for adequate nutrition intake.
2. Tell her to consider taking oral nutritional supplements.
3. Tell her not to consider the use of whey protein supplements.
4. Give her specific guidelines to follow regarding diet and healing.
5. Tell her that nutritional supplements are more effective taken enterally than orally.
13. Bob is 90 years old and is unable to eat orally. He experienced a stroke and dysphagia. The nurse
practitioner informs Bob and his family that he is qualified to try enteral feedings. His criteria include
which of the following? Select all that apply.
1. Bob has a history of irritable bowel disease.
2. He only requires a gastrostomy tube for 2 weeks.
3. He has had no surgical procedure done.
4. He requires a gastrostomy tube for a minimum of 6 weeks.
5. His GI tract is capable of absorbing nutritional benefit.
14. Mrs. Odom is 70 years old and has experienced a major stroke. She has been cared for at home and
her family reports that she is declining. She is cognitive but is weakening, and has lost much weight.
The nurse practitioner suspects a nutritional disorder-refeeding syndrome. The nurse practitioner
assesses for which of the following? Select all that apply.
1. BMI of 17.
2. Unintentional weight loss within the last 3 months.
3. No nutritional intake in the last 5 days.
4. Blood values for vitamins A, D, E, and K.
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