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Chapter 12: Life Cycle Nutrition: The Mature Adult

Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur

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Chapter 12: Life Cycle Nutrition: The Mature Adult

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

  1. When teaching an older adult about how many kilocalories the client should consume, the nurse understands that for each decade past 40 years, a decrease in what percentage of kilocalories is needed?
  2. 2
  3. 3
  4. 4
  5. 5

 

Ans: 4

  Feedback
1. Older adults need about 5% fewer calories per decade after age 40 years.
2. Older adults need about 5% fewer calories per decade after age 40 years.
3. Older adults need about 5% fewer calories per decade after age 40 years.
4. Older adults need about 5% fewer calories per decade after age 40 years.

KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

 

 

 

  1. The major cause of tooth loss in the elderly population is:
  2. Dental caries
  3. Periodontal disease
  4. Scurvy
  5. Vitamin A deficiency

 

Ans: 2

  Feedback
1. The major cause of tooth loss in the elderly population is periodontal disease, not dental caries.
2. The major cause of tooth loss in the elderly population is periodontal disease.
3. The major cause of tooth loss in the elderly population is periodontal disease, not scurvy.
4. The major cause of tooth loss in the elderly population is periodontal disease, not vitamin A deficiency.

KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge

 

 

 

  1. The sense of taste diminishes with age and is often the result of the loss of:
  2. Teeth
  3. Hearing
  4. Smell
  5. Vision

 

Ans: 3

  Feedback
1. For the sense of taste to function well, the sense of smell must be intact. After age 65, many people begin to lose some sense of smell. Loss of teeth may affect the older adult’s ability to consume adequate nutrients.
2. For the sense of taste to function well, the sense of smell must be intact. After age 65, many people begin to lose some sense of smell. Hearing is unrelated to the sense of taste.
3. For the sense of taste to function well, the sense of smell must be intact. After age 65, many people begin to lose some sense of smell.
4. Vision aids in stimulating appetite. However, for the sense of taste to function well, the sense of smell must be intact. Vision is unrelated to the sense of taste.

KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge

 

 

 

  1. Which of the following changes contributes to the danger of dehydration in the elderly client?
  2. Constipation and atherosclerosis of the brain
  3. Decreased basal metabolic rate and decreased skeletal muscle mass
  4. Diminished gastrointestinal mucus and slowed peristalsis
  5. Less-active thirst mechanism and atrophied kidneys

 

Ans: 4

  Feedback
1. Although blood flow to the brain decreases because of narrowing of the arteries and constipation can occur in the elderly, it is the less-active thirst mechanism that increases the risk for dehydration in this age group.
2. Although skeletal muscle mass metabolic rate decline in the elderly, it is the less active thirst mechanism that increases the risk for dehydration in this age group.
3. Although gastrointestinal function slows with aging, it is the less active thirst mechanism that increases the risk for dehydration in this age group.
4. Thirst sensation becomes less operative, increasing the risk for uncompensated dehydration.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application

 

 

 

  1. Which of the following interventions is appropriate for an elderly client who complains that he cannot taste his food?
  2. Providing oral hygiene before meals
  3. Increasing fluid intake
  4. Giving him a salt shaker of his own
  5. Converting food service to buffet style

 

Ans: A

  Feedback
1. Providing oral hygiene, including brushing the tongue before meals is helpful in refreshing and moistening the mouth. A dry mouth leads to indistinct taste sensations.
2. Although increasing fluid intake may help moisten the mouth, increasing fluid intake ad lib could lead to fluid overload.
3. Allowing an older adult to have a salt shaker of his own could lead to the overuse of salt, which can affect the older adults’ fluid balance status.
4. Converting food service to buffet style would have little effect on taste.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

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