Gerontologic Nursing 5th Edition by Sue E. Meiner
Gerontologic Nursing 5th Edition by Sue E. Meiner
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Chapter 10: Nutrition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “As your metabolism slows, you will need to increase your intake of fat.” |
| b. | “If you are having difficulty sleeping, a mild sedative will help you sleep.” |
| c. | “Regular exercise will help you preserve function and reduce your risk for disease.” |
| d. | “Minimize stress by being willing to ask your family for help when you need it.” |
ANS: C
For the healthy aging person, research is showing that exercise (along with the resulting maintenance of muscle mass) is one of the greatest determinants of maintaining vitality and health.
DIF: Understanding (Comprehension) REF: Page 184 OBJ: 10-2
TOP: Teaching-Learning MSC: Health Promotion
| a. | identifying the patient’s oral fluid preferences and offering them regularly. |
| b. | carefully monitoring the effects of daily diuretics via blood sodium levels. |
| c. | minimizing the patient’s reliance on laxatives by increasing dietary fiber intake. |
| d. | carefully monitoring of the rate of infusion of all intravenous fluids prescribed. |
ANS: A
Physiologically, the decreased intake can be related to altered thirst; older adults may not feel thirsty even when hypovolemic. The other actions may be appropriate for selected patients.
DIF: Applying (Application) REF: N/A OBJ: 10-1
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
| a. | Help identify possible barriers to their mother achieving good nutritional health. |
| b. | Ensure that the patient has an adequate supply of healthy, easily prepared foods available. |
| c. | Contact a food delivery service to provide one nutritiously sound meal a day. |
| d. | Arrange a schedule that allows someone to have dinner with her each evening. |
ANS: D
The lack of companionship during mealtime that can lead to depression or social isolation often causes the patient to eat poorly and thus develop a nutritional deficiency. The patient who is newly widowed may not have adjusted to this change in status. The other actions are also helpful, but they are not as important for this patient.
DIF: Applying (Application) REF: N/A OBJ: 10-1
TOP: Communication and Documentation MSC: Psychosocial Integrity
| a. | a history of Crohn disease. |
| b. | developed mild confusion. |
| c. | an allergy to latex. |
| d. | severe postoperative nausea and vomiting. |
ANS: A
Malnourished hospitalized patients such as those with chronic digestive disorders like Crohn disease have a greater risk of developing infections and other complications after surgery, which can significantly increase the length and costs of hospitalization and care.
DIF: Remembering (Knowledge) REF: Page 188 OBJ: 10-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
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