Chapter 22: Assessing Nutrition

Chapter 22: Assessing Nutrition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which is a characteristic of malnutrition?

1)	Nutrient deficit
2)	Nutrient excess
3)	Low protein intake
4)	All of the above

 

 

____     2.   Which patient would benefit the most from a nutritional assessment?

1)	Weight less than 85% of ideal body weight
2)	Intentional weight loss greater than 10 pounds
3)	Weight more than 120% of the ideal body weight
4)	Serum albumin concentration greater than 3.5 g/dL

 

 

____     3.   The nurse is reviewing the medical record for a patient who will be seen for a health maintenance assessment later in the day. Which data would necessitate a nutritional assessment?

1)	History of intentional weight loss
2)	Blood glucose of 90 mg/dL
3)	Total lymphocyte count less than 1500 cells/mm3
4)	History of osteoarthritis

 

 

____     4.   The nurse is assessing a patient who is on a low-carbohydrate diet. Which question would be most appropriate during the health history assessment?

1)	“Have you noticed any changes to the texture of your skin?”
2)	“Do you bruise easily?”
3)	“When your skin is injured does it take a long time for it to heal?”
4)	“Do you feel you have adequate energy?’

 

 

____     5.   The nurse is teaching a patient ways to increase the amount of dietary carbohydrates to increase current level of energy. Which meal, highest in carbohydrates, indicates the patient understands the information presented?

1)	Turkey sandwich, chips, side salad, and fruit cup
2)	Steak, baked potato, and cheesecake
3)	Baked chicken breast, green beans, and ice cream sundae
4)	Filet of sole with tartar sauce

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  4

Chapter number and title: 22, Assessing Nutrition

Chapter learning objective: N/A

Chapter page reference: 562

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Knowledge [Remembering]

Concept: Nutrition

Difficulty: Easy

	Feedback
1	A nutrient deficit is a characteristic of malnutrition.
2	A nutrient excess is a characteristic of malnutrition.
3	Low protein intake is a characteristic of malnutrition.
4	Malnutrition is defined as any situation that contributes to an imbalance in nutrient intake relative to actual needs.

 

 

PTS:   1                    CON:  Nutrition

 

2. ANS:  3

Chapter number and title: 22, Assessing Nutrition

Chapter learning objective: N/A

Chapter page reference: 562

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Comprehension [Understanding]

Concept: Nutrition, Assessment

Difficulty: Easy

	Feedback
1	A patient with weight that is less than 80%, not 85%, of the ideal body weight would benefit from a nutritional assessment.
2	A patient with unintentional, not intentional, weight loss of more than 10 pounds would benefit from a nutritional assessment.
3	A patient who weighs more than 120% of his or her ideal body weight would benefit from a nutritional assessment.
4	A patient with a serum albumin level less than, not greater than, 3.5 g/dL would benefit from a nutritional assessment.

 

 

PTS:   1                    CON:  Nutrition | Assessment

 

3. ANS:  3

Chapter number and title: 22, Assessing Nutrition

Chapter learning objective: N/A

Chapter page reference: 562

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Comprehension [Understanding]

Concept: Nutrition, Assessment

Difficulty: Easy

	Feedback
1	A history of intentional weight loss is not necessarily a reason for a nutritional assessment.
2	This is a normal blood glucose level and does not necessitate a nutritional assessment.
3	This finding indicates the need for a nutritional assessment.
4	A history of osteoarthritis does not necessitate a nutritional assessment.

 

 

PTS:   1                    CON:  Nutrition | Assessment

 

4. ANS:  4

Chapter number and title: 22, Assessing Nutrition

Chapter learning objective: N/A

Chapter page reference: 563

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Application [Applying]

Concept: Nutrition, Assessment

Difficulty: Moderate

	Feedback
1	A low-protein diet, not a low carbohydrate diet, can cause issues with the integumentary system, such as changes in skin texture.
2	A low-protein diet, not a low carbohydrate diet, can cause issues with the integumentary system, such as bruising.
3	A low-protein diet, not a low carbohydrate diet, can cause issues with the integumentary system, such as poor wound healing.
4	Carbohydrates supply the body with energy. A low-carbohydrate diet would necessitate the nurse to assess the patient’s current level of energy.

 

 

PTS:   1                    CON:  Nutrition | Assessment

 

5. ANS:  1

Chapter number and title: 22, Assessing Nutrition

Chapter learning objective: N/A

Chapter page reference: 563

Heading: Assessment – Health History

Integrated Processes: Nursing Process: Evaluation

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Evaluation [Evaluating]

Concept: Nutrition

Difficulty: Difficult

	Feedback
1	Foods that contain the most carbohydrates are grains, legumes, potatoes, corn, fruits, and vegetables.
2	This meal is not appropriate for a patient who requires a diet high in carbohydrates.
3	This meal is not appropriate for a patient who requires a diet high in carbohydrates.
4	This meal is not appropriate for a patient who requires a diet high in carbohydrates.

 

 

PTS:     1          CON:   Nutrition