Chapter 11: Nutritional Assessment

Chapter 11: Nutritional Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse recognizes which of these persons is at greatest risk for undernutrition?

a.	5-month-old infant
b.	50-year-old woman
c.	20-year-old college student
d.	30-year-old hospital administrator

 

 

ANS:  A

Vulnerable groups for undernutrition are infants, children, pregnant women, recent immigrants, persons with low incomes, hospitalized people, and aging adults.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 181

MSC:  Client Needs: Health Promotion and Maintenance

 

2. When assessing a patient’s nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that:

a.	Are in excess of daily body requirements.
b.	Provide for the minimum body needs.
c.	Provide for daily body requirements but do not support increased metabolic demands.
d.	Provide for daily body requirements and support increased metabolic demands.

 

 

ANS:  D

Optimal nutritional status is achieved when sufficient nutrients are consumed to support day-to-day body needs and any increased metabolic demands resulting from growth, pregnancy, or illness.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 181

MSC:  Client Needs: Health Promotion and Maintenance

 

3. The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements represents accurate information for this age group?

a.	Maintaining adequate fat and caloric intake is important for a child in this age group.
b.	The recommended dietary allowances for an infant are the same as for an adolescent.
c.	The baby’s growth is minimal at this age; therefore, caloric requirements are decreased.
d.	The baby should be placed on skim milk to decrease the risk of coronary artery disease when he or she grows older.

 

 

ANS:  A

Because of rapid growth, especially of the brain, both infants and children younger than 2 years of age should not drink skim or low-fat milk or be placed on low-fat diets. Fats (calories and essential fatty acids) are required for proper growth and central nervous system development.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   pp. 181-182

MSC:  Client Needs: Health Promotion and Maintenance

 

4. A pregnant woman is interested in breastfeeding her baby and asks several questions about the topic. Which information is appropriate for the nurse to share with her?

a.	Breastfeeding is best when also supplemented with bottle feedings.
b.	Babies who are breastfed often require supplemental vitamins.
c.	Breastfeeding is recommended for infants for the first 2 years of life.
d.	Breast milk provides the nutrients necessary for growth, as well as natural immunity.

 

 

ANS:  D

Breastfeeding is recommended for full-term infants for the first year of life because breast milk is ideally formulated to promote normal infant growth and development, as well as natural immunity. The other statements are not correct.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 181

MSC:  Client Needs: Health Promotion and Maintenance

 

5. A mother and her 13-year-old daughter express their concern related to the daughter’s recent weight gain and her increase in appetite. Which of these statements represents information the nurse should discuss with them?

a.	Dieting and exercising are necessary at this age.
b.	Snacks should be high in protein, iron, and calcium.
c.	Teenagers who have a weight problem should not be allowed to snack.
d.	A low-calorie diet is important to prevent the accumulation of fat.

 

 

ANS:  B

After a period of slow growth in late childhood, adolescence is characterized by rapid physical growth and endocrine and hormonal changes. Caloric and protein requirements increase to meet this demand. Because of bone growth and increasing muscle mass (and, in girls, the onset of menarche), calcium and iron requirements also increase.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 182

MSC:  Client Needs: Health Promotion and Maintenance