Chapter 12: Food-Related Issues

Chapter 12: Food-Related Issues

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A clear liquid diet would be most appropriate for

a.	someone who has had several teeth removed and is unable to chew.
b.	a pregnant woman with persistent nausea.
c.	someone who has had a stroke and has difficulty swallowing.
d.	a patient who has had major surgery within the past 18 hours.

 

 

ANS:  D

Clear liquid diets are appropriate for patients who have just undergone surgery. Patients who are unable to chew can be given mechanically altered diets but can still eat foods that do not need to be chewed. Clear liquid diets do not necessarily help with nausea and would not provide the nutrients needed to support a healthy pregnancy. Patients who have difficulty swallowing often have the most trouble swallowing liquids, and so a clear liquid diet could be unsafe.

 

DIF:    Cognitive Level: Applying               REF:   Page 266        TOP:   Nursing Process: Planning

MSC:  Client Needs: Physiological integrity

 

2. One advantage of a full liquid diet is that it

a.	has low levels of saturated fat and high levels of fiber.
b.	is suitable for patients with lactose intolerance.
c.	is likely to be tolerated by patients with dysphagia.
d.	can provide an adequate diet if very carefully planned.

 

 

ANS:  D

With careful planning, a full liquid diet can provide adequate nutrition. However, full liquid diets tend to have high levels of saturated fat (from dairy products) and low levels of fiber (because whole foods are not eaten). It is not suitable for patients with lactose intolerance unless it is highly modified because it includes considerable amounts of dairy products. It is not well tolerated by patients with dysphagia, who often have difficulty swallowing liquids.

 

DIF:    Cognitive Level: Understanding       REF:   Page 266

TOP:   Nursing Process: Implementation     MSC:  Client Needs: Physiological integrity

 

3. If a patient is receiving radiation to the mouth and neck area and has a sore mouth, the most appropriate type of diet while he or she is in hospital would be a _____ diet.

a.	regular
b.	mechanical soft
c.	full liquid
d.	clear liquid

 

 

ANS:  B

For someone with a sore mouth, a mechanical soft diet would be easier to eat without pain than would a regular diet. The patient can probably tolerate soft foods; a full or clear liquid diet would be overly restrictive and more likely to result in inadequate nutrient intake.

 

DIF:    Cognitive Level: Applying               REF:   Pages 266-267

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Physiological integrity

 

4. If a patient drools, takes a long time to eat, and often gags during meals, he or she may have

a.	dementia.
b.	esophageal cancer.
c.	regurgitation.
d.	dysphagia.

 

 

ANS:  D

Drooling, taking a long time to eat, and frequent gagging are signs of dysphagia, or difficulty swallowing. Esophageal cancer may or may not cause dysphagia. Dementia and regurgitation are not necessarily associated with these symptoms.

 

DIF:    Cognitive Level: Applying               REF:   Pages 266-267

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Physiological integrity