Nutritional Foundations and Clinical
Applications: A Nursing Approach,
8th Edition | Test Bank Chapters 1–20
| Complete Questions and Answers
with Rationales | 2026/2027 Update
Keywords: wellness nutrition, primary prevention, secondary prevention, tertiary
prevention, macronutrients, micronutrients, DRIs, nutrition assessment, medical nutrition
therapy, diabetes, renal nutrition, enteral nutrition, parenteral nutrition.
Description: This comprehensive revision set covers all 20 chapters of the 8th edition
textbook, focusing on the nurse's role in nutritional assessment, health promotion, and
clinical applications. Each question includes the correct answer marked with ✅ and a
brief rationale.
PART I: WELLNESS, NUTRITION, AND THE NURSING ROLE
Chapter 1: Wellness Nutrition
Q1. A client watches a television documentary about diabetes and decides to improve
their diet. This is an example of which type of education?
A. Formal education
B. Informal education ✅
,C. Nonformal education
D. Continuing education
Rationale: Informal education occurs through daily activities like media. Workshops are
nonformal; high school courses are formal .
Q2. Which action best demonstrates improvement in social health?
A. Keeping a journal to process emotions
B. Joining a community walking group ✅
C. Attending a seminar on heart-healthy cooking
D. Practicing meditation daily
Rationale: Social health involves interacting with others. Journaling is emotional;
seminars are intellectual .
Q3. A nurse teaches a client about the six dimensions of wellness. Which dimension is
developed by buying locally produced food?
A. Physical health
B. Intellectual health
C. Environmental health ✅
D. Spiritual health
Rationale: Buying local food supports environmental health through sustainability and
community agriculture .
Q4. Which of the following is an example of primary prevention?
A. Administering insulin to a client with diabetes
B. Providing a flu shot to healthy older adults ✅
C. Screening for high blood pressure
D. Physical therapy after a stroke
Rationale: Primary prevention prevents disease before it occurs. Screening is secondary;
treatment is tertiary .
Q5. A nurse screens a client for high blood pressure at a health fair. This is an example
of:
, A. Primary prevention
B. Secondary prevention ✅
C. Tertiary prevention
D. Health promotion
Rationale: Secondary prevention involves early detection of disease in its early stages .
Q6. Which finding indicates a non-modifiable nutritional risk factor?
A. Eating fast food once per week
B. Drinking 8 cups of water daily
C. Having a family history of heart disease ✅
D. Consuming 5 servings of vegetables daily
Rationale: Genetics and family history cannot be changed, unlike dietary habits .
Q7. What is the best description of the difference between health and wellness?
A. They mean the same thing.
B. Health is absence of disease; wellness is thriving and optimal well-being. ✅
C. Wellness is physical only; health includes mental aspects.
D. Health requires medical intervention; wellness requires none.
Rationale: Health is often defined as absence of disease, while wellness is an active
process of achieving one's full potential .
Q8. A college student exercises, eats well, takes a nutrition course, and is active in a faith
organization. Which dimension of wellness is missing?
A. Physical
B. Intellectual
C. Social ✅
D. Spiritual
Rationale: The scenario lacks social connection. Eating with friends would address this
dimension .
Q9. Missing meals due to a busy schedule can negatively affect emotional health
primarily through:
Applications: A Nursing Approach,
8th Edition | Test Bank Chapters 1–20
| Complete Questions and Answers
with Rationales | 2026/2027 Update
Keywords: wellness nutrition, primary prevention, secondary prevention, tertiary
prevention, macronutrients, micronutrients, DRIs, nutrition assessment, medical nutrition
therapy, diabetes, renal nutrition, enteral nutrition, parenteral nutrition.
Description: This comprehensive revision set covers all 20 chapters of the 8th edition
textbook, focusing on the nurse's role in nutritional assessment, health promotion, and
clinical applications. Each question includes the correct answer marked with ✅ and a
brief rationale.
PART I: WELLNESS, NUTRITION, AND THE NURSING ROLE
Chapter 1: Wellness Nutrition
Q1. A client watches a television documentary about diabetes and decides to improve
their diet. This is an example of which type of education?
A. Formal education
B. Informal education ✅
,C. Nonformal education
D. Continuing education
Rationale: Informal education occurs through daily activities like media. Workshops are
nonformal; high school courses are formal .
Q2. Which action best demonstrates improvement in social health?
A. Keeping a journal to process emotions
B. Joining a community walking group ✅
C. Attending a seminar on heart-healthy cooking
D. Practicing meditation daily
Rationale: Social health involves interacting with others. Journaling is emotional;
seminars are intellectual .
Q3. A nurse teaches a client about the six dimensions of wellness. Which dimension is
developed by buying locally produced food?
A. Physical health
B. Intellectual health
C. Environmental health ✅
D. Spiritual health
Rationale: Buying local food supports environmental health through sustainability and
community agriculture .
Q4. Which of the following is an example of primary prevention?
A. Administering insulin to a client with diabetes
B. Providing a flu shot to healthy older adults ✅
C. Screening for high blood pressure
D. Physical therapy after a stroke
Rationale: Primary prevention prevents disease before it occurs. Screening is secondary;
treatment is tertiary .
Q5. A nurse screens a client for high blood pressure at a health fair. This is an example
of:
, A. Primary prevention
B. Secondary prevention ✅
C. Tertiary prevention
D. Health promotion
Rationale: Secondary prevention involves early detection of disease in its early stages .
Q6. Which finding indicates a non-modifiable nutritional risk factor?
A. Eating fast food once per week
B. Drinking 8 cups of water daily
C. Having a family history of heart disease ✅
D. Consuming 5 servings of vegetables daily
Rationale: Genetics and family history cannot be changed, unlike dietary habits .
Q7. What is the best description of the difference between health and wellness?
A. They mean the same thing.
B. Health is absence of disease; wellness is thriving and optimal well-being. ✅
C. Wellness is physical only; health includes mental aspects.
D. Health requires medical intervention; wellness requires none.
Rationale: Health is often defined as absence of disease, while wellness is an active
process of achieving one's full potential .
Q8. A college student exercises, eats well, takes a nutrition course, and is active in a faith
organization. Which dimension of wellness is missing?
A. Physical
B. Intellectual
C. Social ✅
D. Spiritual
Rationale: The scenario lacks social connection. Eating with friends would address this
dimension .
Q9. Missing meals due to a busy schedule can negatively affect emotional health
primarily through:
