Nutritional Foundations And Clinical Applications- A Nursing Approach- 6th Edition Michele Grodner
Nutritional Foundations And Clinical Applications- A Nursing Approach- 6th Edition Michele Grodner
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Chapter 07: Vitamins
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | The patient has very limited funds and has been eating mainly rice and beans. |
| b. | The patient admits that he struggles with alcoholism. |
| c. | The patient is recovering from a minor stroke. |
| d. | The patient has a family history of Alzheimer’s disease. |
ANS: B
Alcoholism may be associated with a secondary thiamin deficiency because the liver needs increased amounts of thiamin to detoxify alcohol. Limited food intake may cause primary deficiency (although legumes are a good source of thiamin, and so primary deficiency is unlikely). Strokes and Alzheimer’s disease may cause confusion, memory loss, and ataxia, but not in relation to a secondary vitamin deficiency.
DIF: Cognitive Level: Analyzing REF: Page 107 | Pages 111-112 | Page 119
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological integrity
| a. | 45-year-old half marathon runner. |
| b. | 85-year-old man living independently. |
| c. | college-age woman living with roommates. |
| d. | breastfed newborn. |
ANS: B
Subgroups of the population at risk for vitamin deficiencies include older adults because of decreased vitamin absorption and limited physical and economic resources to purchase and prepare food. Active middle-aged adults and college students usually consume enough food to ensure adequate vitamin intake. Vitamin deficiencies are rare among breastfed newborns.
DIF: Cognitive Level: Applying REF: Page 106 | Page 124
TOP: Nursing Process: Assessment MSC: Client Needs: Health promotion and maintenance
| a. | A. |
| b. | C. |
| c. | D. |
| d. | E. |
ANS: B
Vitamin C is water soluble; vitamins A, D, and E are fat soluble. Deficiencies of water-soluble vitamins develop more rapidly because they are not stored in the body.
DIF: Cognitive Level: Applying REF: Pages 108-109
TOP: Nursing Process: Assessment MSC: Client Needs: Health promotion and maintenance
| a. | take a daily multivitamin supplement that includes phytochemicals. |
| b. | increase intake of soy-based foods, such as soy milk, tofu, and soy flour. |
| c. | choose whole grains and include at least five servings of fruits and vegetables daily. |
| d. | include at least three servings of dairy products daily and use a variety of herbs and spices. |
ANS: C
The best way to ensure intake of a variety of phytochemicals is to eat a variety of plant-based foods, including whole grains, fruits, and vegetables. Multivitamin supplements do not necessarily contain phytochemicals. Soy-based foods contain only a limited selection of phytochemicals. Dairy products do not contain phytochemicals; herbs and spices may provide some but are used in small quantities and so would not provide significant amounts.
DIF: Cognitive Level: Applying REF: Page 109 | Page 111
TOP: Nursing Process: Planning MSC: Client Needs: Health promotion and maintenance
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