Chapter 05: Adult Health and Nutritional Assessment

Chapter 05: Adult Health and Nutritional Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

 

 

 

 

1. A school nurse is teaching an adolescent girl of normal weight some of the key factors necessary to maintain good nutrition in her teen years. What would the nurse be correct to focus on?
2. A) Decreasing her calories and encouraging her to maintain her weight to avoid obesity
3. B) Increasing BMI to at least 35, taking a multivitamin, and discussing body image
4. C) Increasing milk intake, eating a balanced diet, and discussing eating disorders
5. D) Obtaining a food diary along with providing close monitoring for anorexia

 

Ans:  C

Chapter:  5

Client Needs:  A-2

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  9

Page and Header:  68, Nutritional Assessment

 

Feedback:  Adolescent girls are considered to be at high risk for nutritional disorders. Increasing milk intake provides increased calcium and a balanced diet will provide the necessary vitamins and minerals. If adolescents are diagnosed with eating disorders early, the recovery chances are increased. Option A is incorrect; the question presents no information that indicates a need for decreasing her calories. Option B is incorrect; a person with a BMI of 35 would be obese. Option D is incorrect; a food diary is used for assessing eating habits, but the question asks for teaching factors related to good nutrition.

 

 

 

 

2. During a health assessment the patient asks the nurse, “Why do you need all this health information and who is going to see it?” What is the nurse’s best response?
3. A) Please do not worry. It is safe and will be used only to help us with your care. It allows access to a wide variety of people who need to know your health information.
4. B) It is good you asked and you have a right to know; your information helps us to provide you with the best possible care, and your records are in a secure place.
5. C) Your health information is placed on Web sites to provide easy access to anyone wishing to see your medical records, which is a great way to offer other people your information.
6. D) Health information becomes the property of the hospital and we will make sure that no one sees it. Then, in 2 years, we destroy all records and the process starts over.

 

Ans:  B

Chapter:  5

Client Needs:  A-2

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Teaching/Learning

Objective:  1

Page and Header:  56, Considerations for Conducting a Health History and Physical Assessment

 

Feedback:  Whenever information is elicited from a person through a health history or physical examination, the person has the right to know why the information is sought and how it will be used. For this reason, it is important to explain what the history and physical examination are, how the information will be obtained, and how it will be used. Medical records allow access to health care providers who need the information to provide patients with the best possible care, and the records are always held in a secure environment. Option A is incorrect because telling the patient “not to worry” minimizes the patient’s concern regarding the safety of his health information and “a wide variety of people” should not have access to patients’ health information. Option C is incorrect; health information should not be placed on Web sites. Option D is incorrect; health records are not destroyed every 2 years.

 

 

 

 

3. The nurse is performing an admission assessment on a 72-year-old female patient who speaks Spanish and broken English. How might the nurse best collect the data?
4. A) Have a family member provide the data
5. B) Obtain the data from the old chart and physician’s assessment
6. C) Obtain the data only from the patient
7. D) Collect the data from the patient and have the family provide any missing details

 

Ans:  D

Chapter:  5

Client Needs:  A-1

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  3

Page and Header:  57, Health History

 

Feedback:  The informant, or the person providing the information, may not always be the patient. The nurse can gain information from the patient and have the family provide any missing details. Options A and B are incorrect because you always obtain as much information as possible directly from the patient; option C is incorrect because you may not be able to get all the information you need only from the patient.

 

 

 

 

4. You are the nurse assessing an 18-year-old woman. You note bruising to the patient’s upper arm that appears as fingerprints as well as yellow bruising to the lower eye. The patient makes minimal eye contact during the assessment. How might you best inquire about the bruising?
5. A) “Is anyone physically hurting you?”
6. B) “Tell me about your relationships.”
7. C) “Do you want to see a social worker?”
8. D) “Is there something you want to tell me?”

 

Ans:  A

Chapter:  5

Client Needs:  C

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Communication and Documentation

Objective:  5

Page and Header:  64, Health History

 

Feedback:  Few patients will discuss the topic of abuse 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 illicit information about possible abuse.

 

 

 

 

5. You are the nurse taking a detailed assessment of a middle-aged male patient. The man states, “The doctor has already asked me all these questions. Why are you repeating them?” What is your best response?
6. A) “Taking this history allows us to determine what your needs may be for nursing care.”
7. B) “You are right; this may seem redundant.”
8. C) “I want to make sure your doctor has covered everything.”
9. D) “I am a member of your health care team.”

 

Ans:  A

Chapter:  5

Client Needs:  D-1

Cognitive Level:  Application

Difficulty:  Difficult

Integrated Process:  Communication and Documentation

Objective:  2

Page and Header:  57, Health History

 

Feedback:  Regardless of the assessment format used, the focus of nurses during data collection is different from that of physicians and other health team members. Explaining to the patient the purpose of the nursing assessment creates a better understanding of what the nurse does. It also gives the patient an opportunity to add his or her own input into the patient’s care plan. Option B and D do not address the patient’s question. Option C casts doubt on the thoroughness of the physician.