Nutritional Foundations and Clinical Applications 7TH Edition Grodner TEST BANK Chapter (1-20)

Examples of informal education include ding a workshop on coronary artery disease sponsored by the American Heart Association. ing a television show about diabetes. ing about food safety techniques in a high school economics course. ng a support group to help overcome an eating disorder. ANS: B Watching a television show about diabetes is an example of informal education because it is an experience that occurs through a daily activity. Attending a workshop or joining a support group would be considered nonformal education; a high school course would be considered formal education. DIF:Cognitive Level: ApplyingREFage 6 TOP: Nursing Process: Implementation MSC: Client Needs: Health promotion and maintenance A college student exercises regularly and generally eats a healthy variety of foods, is taking a course in general nutrition, buys locally produced food whenever possible, is an active member of an on-campus faith-based organization, and keeps a journal to help process her emotions. What else could be important for her to include in her life in order to develop her overall wellness? a.Growing some of her own food b.Keeping a food record to help evaluate what she eats c.Eating meals with friends throughout the week d.Meeting with a registered dietitian to review her food choices ANS: C The protein found in muscles whose function is similar to that of hemoglobin in blood is gen. obin. obin. n. ANS: C Hemoglobin carries oxygen in blood; the protein that carries oxygen in muscles is myoglobin. Myosin is a contractile protein found in muscles, and collagen is a structural protein found in ligaments and tendons. Oxyglobin does not exist. DIF:Cognitive Level: RememberingREFages 95-96 TOP: Nursing Process: Assessment MSC: Client Needs: Physiological integrity For clients with phenylketonuria the most important part of treatment is to eat any foods that contain phenylalanine. their phenylalanine intake to the amount their bodies need. enzyme supplements to help digest phenylalanine. penicillin to prevent complications. ANS: B People with phenylketonuria do need some phenylalanine to make essential proteins, but they should not take in more than they need because they will be unable to break down the excess. Phenylalanine is an amino acid, the smallest product of protein digestion, and so it is not digested by enzymes. Penicillin is used to prevent secondary infections in people with sickle cell anemia but is not used to treat phenylketonuria. DIF:Cognitive Level: UnderstandingREFage 96 TOP: Nursing Process: Assessment MSC: Client Needs: Physiological integrityA good meal for a patient with ascites would be d minestrone soup with saltine crackers. chicken with a roll and steamed green beans. , sausage, eggs, and toast. lla chips with nacho cheese and salsa. ANS: B Patients with ascites should restrict their intake of sodium to limit fluid retention. Baked chicken, a roll, and steamed vegetables have low levels of sodium. Canned soups, cured meats, processed cheese, and chips have high levels of sodium. DIF:Cognitive Level: ApplyingREFages 313-314 TOP:Nursing Process: Planning| Nursing Process: Implementation MSC:Client Needs: Physiological integrity 11. If a patient with cirrhosis of the liver becomes confused and apathetic, he or she may be developing liver disease. itis D. dary depression. ic encephalopathy. ANS: D If a patient with cirrhosis of the liver becomes confused and apathetic, he or she may be developing hepatic encephalopathy because the brain is influenced by compounds that have been absorbed from the intestine and have not been metabolized by the liver. Fatty liver disease develops first, before progression to cirrhosis. Any form of hepatitis can lead to cirrhosis, but cirrhosis does not cause hepatitis. Depression may cause apathy, but it does not usually cause confusion.If a patient is going to have surgery to remove cancer of the esophagus, it is important to nt poor food intake as a result of depression by warning the patient that the surgery may be disfiguring. size complete abstinence from cigarette smoking and use of alcoholic beverages. de nutrition support to reverse malnutrition caused by difficulty eating during the disease progression. rage the patient to enjoy favorite foods to maximize intake. ANS: C Many patients with head and neck cancer enter surgery with protein-energy malnutrition because the disease may have prevented adequate intake; nutrition support to reverse malnutrition can greatly improve outcomes. Warning a patient about being disfigured may not prevent depression. Abstinence from cigarette smoking and alcoholic beverages is wise, but is not necessarily the first priority. Enjoying favorite foods may be helpful to attain adequate intakes of energy, but good sources of protein and micronutrients should also be emphasized. DIF:Cognitive Level: AnalyzingREFages 416-417 TOP: Nursing Process: Planning MSC: Client Needs: Physiological integrity