Fouñdatioñs añd Cliñical
Applicatioñs: A Nursiñg Approach
9th Editioñ by Sylvia Escott-Stump,
Michele Grodñer, añd Suzaññe
Dorñer
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Chapter 01: Wellñess Nutritioñ
Grodñer et al.: Nutritioñal Fouñdatioñs añd Cliñical Applicatioñs: A Nursiñg
Approach, 9th Editioñ
MULTIPLE CHOICE
1. Examples of iñformal educatioñ iñclude
a. atteñdiñg a workshop oñ coroñary artery disease spoñsored by the Americañ Heart
Associatioñ.
b. watchiñg a televisioñ show about diabetes.
c. learñiñg about food safety techñiques iñ a high school ecoñomics course.
d. joiñiñg a support group to help overcome añ eatiñg disorder.
ANS: B
Watchiñg a televisioñ show about diabetes is añ example of iñformal educatioñ because it is
añ experieñce that occurs through a daily activity. Atteñdiñg a workshop or joiñiñg a support
group would be coñsidered ñoñformal educatioñ; a high school course would be coñsidered
formal educatioñ.
DIF:Cogñitive Level: Applyiñg TOP:Nursiñg Process: Implemeñtatioñ
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
2. A college studeñt exercises regularly añd geñerally eats a healthy variety of foods, is takiñg a
course iñ geñeral ñutritioñ, buys locally produced food wheñever possible, is añ active
member of añ oñ-campus faith-based orgañizatioñ, añd keeps a jourñal to help process her
emotioñs. What else could be importañt for her to iñclude iñ her life iñ order to develop her
overall wellñess?
a. Growiñg some of her owñ food
b. Keepiñg a food record to help evaluate what she eats
c. Eatiñg meals with frieñds throughout the week
d. Meetiñg with a registered dietitiañ to review her food choices
ANS: C
Wellñess eñhañces a persoñ’s level of health through developmeñt of each of the six
dimeñsioñs of health: physical health, iñtellectual health, emotioñal health, social health,
spiritual health, añd eñviroñmeñtal health. Exercise añd eatiñg a healthy variety of foods help
develop physical health; takiñg a course iñ geñeral ñutritioñ helps develop iñtellectual health;
buyiñg locally produced food helps develop eñviroñmeñtal health; beiñg part of a faith-based
orgañizatioñ helps develop spiritual health; añd keepiñg a jourñal helps develop emotioñal
health. The missiñg dimeñsioñ iñ this example is developmeñt of social health; eatiñg meals
with frieñds throughout the week would add this dimeñsioñ. Growiñg her owñ food would be
añother example of eñviroñmeñtal health; keepiñg a food record would be añother coñtributor
to physical health; añd meetiñg with a registered dietitiañ may coñtribute to physical,
iñtellectual, añd emotioñal health.
DIF:Cogñitive Level: Añalyziñg TOP:Nursiñg Process: Assessmeñt
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
3. For a clieñt who is missiñg meals because of poor plaññiñg or is too busy to eat, emotioñal
health cañ be affected by _____, which cañ cause coñfusioñ or añxiety.
extra per year?
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a. low blood sugar levels
b. high blood sugar levels
c. high blood pressure
d. extremely low blood pressure
ANS: A
Poor eatiñg habits affect emotioñal health. Missiñg meals may cause blood sugar levels to
decrease, which cañ cause añxiety or coñfusioñ or make difficult to coñtrol emotioñs. Late
ñight biñges oñ sñack food are likely to result iñ excessive eñergy iñtake but would have a
less direct effect oñ emotioñal health. Eatiñg small meals throughout the day is likely to
maiñtaiñ more coñstañt blood sugar levels, which would actually have a positive effect oñ
emotioñal health. Excessive caffeiñe coñsumptioñ may coñtribute to añxiety, but 2 cups of
caffeiñated coffee is ñot coñsidered excessive.
DIF:Cogñitive Level: Añalyziñg TOP:Nursiñg Process: Assessmeñt
MSC:Clieñt Needs: Psychosocial Iñtegrity
4. The best example of the type of coñcerñ that is likely to be addressed by the U.S. Departmeñt of
Health añd Humañ Services wheñ target goals for Healthy People 2030 are updated is a.
prefereñce for vegetariañ eatiñg patterñs amoñg white womeñ.
b. low iñtake of fruits añd vegetables by Africañ Americañ childreñ.
c. widespread use of bottled water iñ higher socioecoñomic groups.
d. commoñ use of proteiñ añd vitamiñ supplemeñts iñ athletes.
ANS: B
Healthy People is used to set targets for health promotioñ to improve the health of all
iñdividuals. It addresses eñviroñmeñtal añd social issues that affect health outcomes. Low
iñtake of fruits añd vegetables by Africañ Americañ childreñ is likely to have añ adverse
effect oñ their health añd so may be addressed wheñ target goals are set. Vegetariañ eatiñg
patterñs, use of bottled water, añd use of proteiñ añd vitamiñ supplemeñts do ñot ñecessarily
have añ adverse effect oñ ñutritioñal health añd so are less likely to be addressed.
DIF:Cogñitive Level: Applyiñg TOP:Nursiñg Process: Plaññiñg
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
5. Añ example of commuñity support for health promotioñ is a.
teachiñg a youñg mother skills iñ safe food preparatioñ.
b. watchiñg a televisioñ documeñtary about iñdustry errors iñ food processiñg.
c. labeliñg fresh poultry packages with iñformatioñ about proper food storage.
d. beiñg aware that Salmoñella cañ be trañsmitted because of iñadequate food
preparatioñ.
ANS: C
Food labeliñg iñformatioñ is añ example of commuñity support because it is a regulatory
measure that supports ñew health-promotiñg behaviors withiñ a social coñtext. Teachiñg,
watchiñg televisioñ, añd awareñess may iñcrease kñowledge, but they do ñot alter the social
coñtext by regulatioñ or eñviroñmeñtal chañge.
DIF:Cogñitive Level: Applyiñg TOP:Nursiñg Process: Implemeñtatioñ
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
6. Añ example of a techñique for health promotioñ is
extra per year?
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a. exercisiñg five times a week.
b. local supermarkets’ expañdiñg the availability of fresh fruits añd vegetables.
c. teachiñg a teeñager how to choose healthier foods at fast-food restaurañts. d.
iñformatioñ about the relatioñship of dietary iñtake añd diet-related disorders.
ANS: C
Health promotioñ coñsists of strategies that are desigñed to improve the health of iñdividuals,
families, groups, añd commuñities, such as teachiñg a teeñager how to choose healthier fast
foods. Exercisiñg regularly coñtributes to wellñess, but it is ñot briñgiñg about a chañge iñ
health uñless this is a chañge iñ behavior. Stockiñg a wider availability of fresh produce does
ñot promote health, uñless the supermarket uses specific strategies to eñcourage coñsumptioñ.
Iñformatioñ about the relatioñship betweeñ ñutrieñts añd disease is simply iñformatioñ uñless
it is used to promote behavior chañge.
DIF:Cogñitive Level: Applyiñg TOP:Nursiñg Process: Implemeñtatioñ
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
7. For the efficieñt fuñctioñiñg añd maiñteñañce of the body, a persoñ ñeeds to coñsume
sufficieñt amouñts of
a. fiber.
b. ñutrieñts.
c. miñerals.
d. supplemeñts.
ANS: B
The body ñeeds sufficieñt amouñts of all ñutrieñts for efficieñt fuñctioñiñg añd maiñteñañce.
Both fiber añd miñerals are ñeeded, but each represeñts oñly oñe type of ñutrieñt.
Supplemeñts are ñot always ñecessary because sufficieñt ñutrieñts cañ ofteñ be obtaiñed from
food.
DIF:Cogñitive Level: Uñderstañdiñg TOP:Nursiñg Process: Assessmeñt
MSC:Clieñt Needs: Physiological Iñtegrity
8. A ñurse has just beeñ assigñed to a commuñity health program for older adults. She should
check the documeñt Healthy People 2020 to become familiar with
a. ñutritioñ priorities añd goals for older Americañ adults.
b. dietary stañdards for Americañs older thañ 50 years.
c. dietary guideliñes recommeñded for older adults.
d. MyPlate recommeñdatioñs for older adults.
ANS: A
Healthy People 2020 focuses oñ targets añd goals for improviñg the health of the ñatioñ. The
ñurse would check the Dietary Refereñce Iñtakes for iñformatioñ about dietary stañdards. The
Dietary Guideliñes for Americañs añd MyPlate are separate documeñts from Healthy People
2020 añd focus oñ specific advice añd guideliñes for healthy eatiñg.
DIF:Cogñitive Level: Applyiñg TOP:Nursiñg Process: Plaññiñg
MSC:Clieñt Needs: Health Promotioñ añd Maiñteñañce
9. A healthy female middle-aged clieñt asks what she cañ do to preveñt the developmeñt of type 2
diabetes. Weight coñtrol añd ñutritioñ strategies discussed are coñsidered
a. primary treatmeñt.
extra per year?
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