Chapter 30: Nutrition

Fundamentals Nursing Active Learning 1st Edition Yoost Crawford

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Chapter 30: Nutrition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is providing education to patient about the difference between simple and complex carbohydrates. Which statement by the patient indicates a need for further education?
a. “Simple carbohydrates give me quick energy.”
b. “Complex carbohydrates come from fruit.”
c. “Complex carbohydrates take longer to break down.”
d. “Simple carbohydrates come from milk products.”

 

 

ANS:  B

Simple carbohydrates are broken down and absorbed quickly, providing a quick source of energy. Examples are sugars such as those derived from fruit (fructose), table sugar (sucrose), milk products (lactose), and blood sugar (glucose). Complex carbohydrates are composed of starches, glycogen, and fiber. They take longer to break down prior to absorption and utilization by the body’s cells.

 

DIF:    Applying        REF:   p. 669            OBJ:   30.1               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Nutrition

 

  1. The nurse knows that patients should consume the following amounts of fiber every day:
a. 25-35 g
b. 20-35 g
c. 25-40 g
d. 20-40 g

 

 

ANS:  B

Older children, adolescents, and adults should consume 20 to 35 g of fiber a day. Food sources include whole grains, wheat bran, cereals, fresh fruits, vegetables, and legumes.

 

DIF:    Understanding                                 REF:   pp. 669-670    OBJ:   30.1

TOP:   Planning         MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  Concepts: Nutrition

 

  1. The nurse is providing education to an older adult around diet to support the challenges related to aging. Which statement indicates a need for further education?
a. “I should choose foods that are nutrient dense.”
b. “High-fiber foods minimize the risk of constipation.”
c. “I should eat more calories to avoid malnutrition.”
d. “I can add spices to enhance the taste of food.”

 

 

ANS:  C

Calorie needs change because of more body fat and less lean muscle. Less activity further decreases calorie requirements. Eating whole-grain foods and a variety of fruits and vegetables and drinking water may minimize the risk of constipation. The challenge for older adults is to choose foods that are nutrient dense; these foods are high in nutrients in relation to their calories. Older adults may experience a decreased sense of smell or taste, so the addition of spices and herbs may enhance the taste of foods.

 

DIF:    Applying        REF:   p. 676            OBJ:   30.1               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Nutrition

 

  1. The nurse is caring for an adolescent patient with anorexia nervosa. She knows the best treatment option is:
a. hospitalization with skill nursing care.
b. compulsory tube feedings.
c. individually determined by a collaborative team.
d. outpatient treatment.

 

 

ANS:  C

Ultimately, the decision on how best to ethically treat an adolescent suffering from an eating disorder needs to be one of collaboration among the child’s physician, nurse, counselor, spiritual adviser, parents, and other concerned adults. Highly skilled nursing care with hospitalization is preferred prior to a drop in BMI levels below 13 kg/m2. Compulsory tube feedings are not always the best option. Although most adolescents with eating disorders can be treated on an outpatient basis, those who exhibit severe depression, extreme physical complications resulting from electrolyte imbalances, or suicidal tendencies may require extensive inpatient treatment.

 

DIF:    Applying        REF:   p. 680 | p. 681 | p. 683                     OBJ:   30.2

TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Nutrition

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