NMNC 1135- Exam 4 Terminology
Questions and All Correct Answers.
The nurse has completed discharge teaching for a client recently diagnosed with anorexia. What
statement by the client indicates additional teaching is needed?
a. The nurse has completed discharge teaching for a client recently diagnosed with anorexia.
What statement by the client indicates additional teaching is needed?
b. " I will eat three meals a day even if they are small.
c. "The prom is coming up and I don't want to be fat again."
d. "If I gain 5 pounds this month my clothes might still fit." - Answer c. "The prom is coming
up and I don't want to be fat again."
Rationale:
The client's perceived body image is a concern that the nurse needs to help the client deal with
to recover from any eating disorder.
Critical thinking: Recognition of statements that will derail treatment plans is important
NCLEX: Psychosocial Integrity
QSEN: Patient-Centered Care
A nurse caring for an obese client is preparing to teach the client about a new weight loss
program. What would be the most appropriate preface to the teaching plan?
a. "Even a loss of 3-5% of your current weight would reduce medical complications.
b. "You need to loose at least 30 pounds over the next 6 months or you might die from a heat
attack or a stroke.
c. "We can not continue your blood glucose treatment if you do not lose weight."
d. " You need to adhere to a very detailed diet over the next year" - Answer a. "Even a loss of
3-5% of your current weight would reduce medical complications.
Rationale:
Modest weight loss of even 3-5% from their starting weight can improve blood pressure, blood
glucose, joint pain. Larger weight loss can have greater benefits.
Critical thinking: ADPIE/Nursing Process: Determining short-term achievable goals that best
support a successful plan for care.
NCLEX: Reduction of Risk Potential
QSEN: Evidence-based Practice .
, A nurse is planning a health fair teaching session on the benefits of including omega-3 fatty
acids in the diet. Which recommended food choice by the nurse best provides omega-3 fatty
acids?
a. Leafy green vegetables daily
b. Cholesterol-free margarine once daily
c. Fish at least twice a week
d. Low-fat mozzarella cheese weekly - Answer c. Fish at least twice a week
A 6-year old child is being seen at the clinic for chronic constipation. The nurse recommends a
high-fiber diet with increased fluid intake. Which food choices provide the highest amount of
fiber per serving should the nurse recommend?
a. Fresh, frozen or dried fruits
b. Whole wheat or rye bread
c. Legumes such as baked beans, navy beans, or black-eyed peas
d. Raw or cooked vegetables - Answer c. Legumes such as baked beans, navy beans, or black-
eyed peas
A nurse is developing a plan of care for an older adult who is experiencing unintentional weight
loss. What nursing action is a priority?
a. Instruct the client to avoid being out doors during the heat of the day.
b. Instruct the client to consume energy-dense protein foods
c. Refer the client to a dietitian for food ideas
d. Complete a Mini Nutritional Assessment - Answer d. Complete a Mini Nutritional
Assessment
Rationale:
It is important for the nurse to assess the client's intake in order to develop a patient centered
plan of care.
Critical Thinking: Nursing Process Assessment before intervention.
NCLEX: Basic Comfort and Care
QSEN: Patient Centered Care
Enteral Nutrition - Answer Nutrition given through a tube, catheter or stoma.
Malabsorption Syndrome - Answer Defective absorption of food from the GI tract
Nutrition - Answer The action of the body taking in and using nutrients
Questions and All Correct Answers.
The nurse has completed discharge teaching for a client recently diagnosed with anorexia. What
statement by the client indicates additional teaching is needed?
a. The nurse has completed discharge teaching for a client recently diagnosed with anorexia.
What statement by the client indicates additional teaching is needed?
b. " I will eat three meals a day even if they are small.
c. "The prom is coming up and I don't want to be fat again."
d. "If I gain 5 pounds this month my clothes might still fit." - Answer c. "The prom is coming
up and I don't want to be fat again."
Rationale:
The client's perceived body image is a concern that the nurse needs to help the client deal with
to recover from any eating disorder.
Critical thinking: Recognition of statements that will derail treatment plans is important
NCLEX: Psychosocial Integrity
QSEN: Patient-Centered Care
A nurse caring for an obese client is preparing to teach the client about a new weight loss
program. What would be the most appropriate preface to the teaching plan?
a. "Even a loss of 3-5% of your current weight would reduce medical complications.
b. "You need to loose at least 30 pounds over the next 6 months or you might die from a heat
attack or a stroke.
c. "We can not continue your blood glucose treatment if you do not lose weight."
d. " You need to adhere to a very detailed diet over the next year" - Answer a. "Even a loss of
3-5% of your current weight would reduce medical complications.
Rationale:
Modest weight loss of even 3-5% from their starting weight can improve blood pressure, blood
glucose, joint pain. Larger weight loss can have greater benefits.
Critical thinking: ADPIE/Nursing Process: Determining short-term achievable goals that best
support a successful plan for care.
NCLEX: Reduction of Risk Potential
QSEN: Evidence-based Practice .
, A nurse is planning a health fair teaching session on the benefits of including omega-3 fatty
acids in the diet. Which recommended food choice by the nurse best provides omega-3 fatty
acids?
a. Leafy green vegetables daily
b. Cholesterol-free margarine once daily
c. Fish at least twice a week
d. Low-fat mozzarella cheese weekly - Answer c. Fish at least twice a week
A 6-year old child is being seen at the clinic for chronic constipation. The nurse recommends a
high-fiber diet with increased fluid intake. Which food choices provide the highest amount of
fiber per serving should the nurse recommend?
a. Fresh, frozen or dried fruits
b. Whole wheat or rye bread
c. Legumes such as baked beans, navy beans, or black-eyed peas
d. Raw or cooked vegetables - Answer c. Legumes such as baked beans, navy beans, or black-
eyed peas
A nurse is developing a plan of care for an older adult who is experiencing unintentional weight
loss. What nursing action is a priority?
a. Instruct the client to avoid being out doors during the heat of the day.
b. Instruct the client to consume energy-dense protein foods
c. Refer the client to a dietitian for food ideas
d. Complete a Mini Nutritional Assessment - Answer d. Complete a Mini Nutritional
Assessment
Rationale:
It is important for the nurse to assess the client's intake in order to develop a patient centered
plan of care.
Critical Thinking: Nursing Process Assessment before intervention.
NCLEX: Basic Comfort and Care
QSEN: Patient Centered Care
Enteral Nutrition - Answer Nutrition given through a tube, catheter or stoma.
Malabsorption Syndrome - Answer Defective absorption of food from the GI tract
Nutrition - Answer The action of the body taking in and using nutrients
