Chapter 4: Adult Health And Physical, Nutritional,
Chapter 4: Adult Health and Physical, Nutritional,
Exam (elaborations)
Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment exam 2024/2025 with 100% correct answers
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Course
Chapter 4: Adult Health and Physical, Nutritional,
Institution
Chapter 4: Adult Health And Physical, Nutritional,
1. A school nurse is teaching a 14-year-old girl of normal weight some of the key factors
necessary to maintain good nutrition in this stage of growth and development. What
interventions should the nurse prioritize to the client?
A. Decreasing her calorie intake and encouraging her to mainta...
Chapter 4: Adult Health and Physical,
Nutritional, and Cultural Assessment
1. A school nurse is teaching a 14-year-old girl of normal weight some of the key factors
necessary to maintain good nutrition in this stage of growth and development. What
interventions should the nurse prioritize to the client?
A. Decreasing her calorie intake and encouraging her to maintain her weight to
avoid obesity
B. Increasing her BMI, taking a multivitamin, and discussing body image
C. Increasing calcium intake, eating a balanced diet, and discussing eating
disorders
D. Obtaining a food diary along with providing close monitoring for anorexia correct answersANS: C
Rationale: Adolescent girls are considered to be at high risk for nutritional disorders.
Increasing calcium intake and promoting a balanced diet will provide the necessary
vitamins and minerals. If adolescents are diagnosed with eating disorders early, they
have a better chance of recovery. The question presents no information that indicates a
need for decreasing the client's calories. There is no apparent need for an increase in
BMI. A food diary is used for assessing eating habits, but the question asks for teaching
factors related to good nutrition.
PTS: 1 REF: p. 86 NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
NOT: Multiple Choice
2. The nurse is performing an admission assessment of a client with minimal
understanding of the dominant language. An interpreter who speaks the client's language
,is unavailable and no members of the care team speak the language. How will the nurse
best perform data collection?
A. Have a family member provide the data.
B. Obtain the data from the old chart and health care provider's assessment.
C. Obtain the data only from the client.
D. Collect all possible data from the client and wait for a health facility interpreter. correct answersANS:
D
Rationale: The nurse should collect as much data as possible from the client and then
complete the data collection once the interpreter arrives. Having family provide any
missing details may violate privacy. The old chart may not contain information needed for
the current admission and may not be a complete record of the client's health history and
medications. The health care provider's assessment may not provide information needed
to provide nursing care, such as religious or cultural considerations. The nurse should
always obtain as much information as possible directly from the client; however, in this
case, it is not possible to get all the information needed only from the client.
PTS: 1 REF: p. 81
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Apply
NOT: Multiple Choice
3. The nurse is assessing a 28-year-old client who has presented to the emergency
department with vague reports of malaise. The nurse observes bruising to the client's
upper arm that corresponds to the outline of fingers as well as yellow bruising around the
left eye. The client makes minimal eye contact during the assessment. How should the
nurse best inquire about the bruising?
, A. "Is anyone physically hurting you?"
B. "Tell me about your relationships."
C. "Do you want to see a social worker?"
D. "Is there something you want to tell me?" correct answersANS: A
Rationale: Few clients will discuss the topic of violence unless they are directly asked.
Therefore, it is important to ask direct questions, such as, "Is anyone physically hurting
you?" The other options are incorrect because they are not the best way to elicit
information about possible violence in a direct and appropriate manner.
PTS: 1 REF: p. 82 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
Apply
NOT: Multiple Choice
4. The nurse is taking a health history on an adult client who is new to the clinic. The
client states that the client's mother has type 1 diabetes. What is the primary significance
of this information to the health history?
A. The client may be at risk for developing diabetes.
B. The client may need teaching on the effects of diabetes.
C. The client may need to attend a support group for individuals with diabetes.
D. The client may benefit from a dietary regimen that tracks glucose intake. correct answersANS: A
Rationale: Nurses incorporate a genetic focus into the health assessments of family
history to assess for genetics-related risk factors. The information aids the nurse in
determining whether the client may be predisposed to diseases that are genetic in origin.
The results of diabetes testing would determine whether dietary changes, support groups
or health education would be needed.
PTS: 1 REF: p. 75 NAT: Client Needs: Health Promotion and Maintenance
TOP: Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment
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