Test Bank Lutz’s Nutrition and Diet Therapy 7th Edition Mazur Litch

Test Bank Lutz’s Nutrition and Diet Therapy 7th Edition Mazur LitchChapter 1. Nutrition in Human Health Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A nurse is leading a seminar with middle school students on healthy food choices at the community health center every Tuesday. The nurse knows that the seminar is a form of: 1. Secondary prevention 2. Primary prevention 3. Tertiary prevention 4. Complication prevention 1 | P a g e2. A nurse knows that energy nutrients are measured in which of the following ways? 1. Kilocalories 2. Proteins 3. Heat (thermal) 4. Electric signals 3. A nurse is caring for a client with Crohn disease. The nurse notes that the health-care provider has ordered the addition of omega-3 fatty acids to the diet and omega-3 fatty acid supplement to the medication regimen. The nurse suspects the health-care provider is applying which process to help this client minimize chronic inflammation from the disease? 1. Nutrigenetics 2. Epigenetics 3. Nutrigenomics 2 | P a g e4. Epigenomics 4. Which is the main focus of the 2015–2020 Dietary Guidelines? 1. Overall eating patterns should be based on personal and cultural choice. 2. Provide simple instructions that promote healthy eating patterns. 3. Monitor dietary intake through a telephone survey. 4. Increase the number of schools providing fruits and vegetables. 5. Which statement made to a nurse about food insecurity is concerning? 1. “My mom cooks once a week and we go out to eat the other days.” 2. “We often eat at the local shelter when we can.” 3 | P a g e3. “I often feel like I don’t want to eat; I’m getting so fat!” 4. “I love to cook. I often cook for my friends and family.” 6. In order to make suitable recommendations about nutritional status, which criteria must the nurse gather during assessment from a client diagnosed with diabetes? 1. Reported dietary intake and physical examination 2. Anthropomorphic measurements and physical examination 3. Food diary and interview 4. Dietary recalls and self-report 7. A nurse is caring for a client diagnosed with diverticulitis. Which question asked during nutritional assessment is most appropriate for the nurse to ask? 1. “Do you consume meat at most of your meals?” 4 | P a g e2. “Doesn’t everyone like grilled chicken?” 3. “What comfort foods do you enjoy?” 4. “What types of food do you do you consume regularly?” 8. A nurse is caring for a client admitted to the emergency department (ED). When the nurse learns that the client is an Alaskan native, which diagnosis of acculturation does the nurse suspect? 1. COPD 2. Diabetes 3. Crohn disease 4. Gastrointestinal bleeding 9. When taking care of a client with irritable bowel syndrome (IBS), the nurse talks about new genetic knowledge that could personalize nutrition prescriptions. The nurse does this to: 1. Cure the disease 5 | P a g e2. Research proper use of prescriptions 3. Utilize nutrients properly 4. Help address nutritional needs Multiple Response Identify one or more choices that best complete the statement or answer the question. 10. A nurse is caring for a client diagnosed with bulimia. In addition to the nurse, which other members of the health-care team are involved in the comprehensive nutritional assessment? Select all that apply. 1. Social worker 2. Laboratory staff 3. Dietitian 4. Physician 6 | P a g e5. Physical therapist 11. When discharging a client who had gastric-bypass surgery, the nurse makes sure to include which information in the client’s discharge planning? Select all that apply. 1. Take vitamins daily. 2. Drink plenty of water. 3. Include polyphenols in the diet. 4. Limit carbohydrates and fats. 5. Eat plenty of protein shakes. 12. Which are functions of nutrients? Select all that apply. 1. Serve as a source of heat 2. Support the growth of tissue 7 | P a g e3. Aid in the loss of weight 4. Help prevent diabetes 5. Provide control of disease 13. A nurse received report from the GI department and is waiting to admit a client diagnosed with lactose intolerance. The nurse suspects that the client may be from which of the following cultures? Select all that apply. 1. Native American 2. Italian 3. Asian 4. Irish 5. African 8 | P a g e14. Based on the 2015–2020 DHHS Dietary Guidelines for Americans, which recommendations would a nurse manager follow to help reduce the risk for major chronic diseases in the health clinic? Select all that apply. 1. Dietary practices should accommodate food preferences. 2. Dietary practices should accommodate cultural traditions. 3. Dietary practices should accommodate healthy eating patterns. 4. Dietary practices should accommodate economic resources. 5. Dietary practices should accommodate sample menus. 15. A nurse is discharging a client to home and discussing food insecurity. Which component of food insecurity has important implications for health and nutrition? Select all that apply. 1. Poverty 9 | P a g e2. Rural living 3. Health 4. Wealth 5. Disease 16. Which steps to determine a client’s dietary status are similar to that of the nursing process? Select all that apply. 1. Nutritional screening 2. Physical examination 3. Prioritizing problems 4. Dietitian referral 5. Using dietary journals 10 | P a g e17. A nurse is reviewing dietary intake with a 45-year-old client with new-onset diabetes. Which components does the nurse expect to discuss? Select all that apply. 1. Estimated Average Requirements (EARs) 2. Body Mass Index (BMI) 3. Recommended Dietary Allowances (RDAs) 4. Adequate Intakes (AIs) 5. Acceptable Macronutrient Distribution Range (AMDR) 18. Which effects can acculturation have on clients from another culture? 1. A decrease in risk for disease 11 | P a g e2. An increase in knowledge of healthy foods 3. A decrease in consumption of fruits and vegetables 4. An increase in knowledge of proper food preparation 5. An increase in awareness of healthy food choices 19. A nurse is taking care of a client diagnosed with anorexia. What are the components of nutritional care? 1. Analysis and implementation 2. Assessment and planning 3. Evaluation and implementation 4. Subjective and objective data 5. Nutritional assessment and objective data 12 | P a g eChapter 1. Nutrition in Human Health Answer Section MULTIPLE CHOICE 1. ANS: 2 Chapter: Chapter 1, Nutrition in Human Health Objective: A. Describe the relationship between nutrition and health. Page: 3 Heading: The Language of Nutrition: Disease Prevention 13 | P a g eIntegrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application Concept: Nutrition Difficulty: Moderate Feedback 1 This is incorrect. Secondary prevention is the establishment of monitoring techniques to discover diseases early enough to provide the opportunity to control their effects. 2 This is correct. The information the nurse presents to the class is considered a primary prevention level of disease prevention. The nurse is teaching about nutritional changes that can prevent diseases caused by overeating. 3 This is incorrect. Tertiary prevention is the use of treatment techniques after disease has occurred to prevent further complication. 4 This is incorrect. The class is about the different categories of disease prevention. Actions meant to prevent complications or to promote 14 | P a g emaximum adaptation would be considered tertiary prevention. PTS: 1 CON: Nutrition 2. ANS: 1 Chapter: Chapter 1, Nutrition in Human Health Objective: B. Identify the six classes of nutrients, their functions, and their essentiality. Page: 4 Heading: The Language of Nutrition: Disease Prevention Integrated Processes: Teaching and Learning 15 | P a g eClient Need: Health Promotion and Maintenance Cognitive Level: Application Concept: Nutrition Difficulty: Moderate Feedback 1 This is correct. The energy both in foods and in the body is measured in kilocalories, abbreviated kcal. 2 This is incorrect. Carbohydrates, fats, and proteins, the nutrients that supply energy, are referred to as the energy nutrients. 3 This is incorrect. Energy exists in a variety of forms: electric, thermal (heat), chemical, mechanical, and nuclear. 4 This is incorrect. Chemical energy is transformed into electric signals in nerves and into mechanical energy in muscles. 16 | P a g ePTS: 1 CON: Nutrition 3. ANS: 3 Chapter: Chapter 1, Nutrition in Human Health Objective: C. Recognize the possible relationship of genetics to the adequacy of nutrition Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application 17 | P a g eConcept: Evidence-Based Practice Difficulty: Moderate Feedback 1 This is incorrect. Nutrigenetics detects gene variants within an individual to identify nutritional factors that trigger dysfunction or disease. 2 This is incorrect. Epigenetics is the process that regulates how and when genes are turned on and off. 3 This is correct. Nutrigenomics is the study of the interaction between one’s diet and his or her genes. These interactions can markedly influence digestion, absorption, and elimination, as well as influence their sites of actions. 18 | P a g ePTS: 1 CON: Evidence-Based Practice 4. ANS: 1 Chapter: Chapter 1, Nutrition in Human Health Objective: D. Compare dietary intakes in the United States with the U.S. Department of Agriculture Dietary Guidelines. Page: 7 Heading: Dietary Guidelines Cognitive Level: Comprehension Concept: Health Promotion 19 | P a g eDifficulty: Moderate Feedback 1 This is correct. The Dietary Guidelines for Americans, focuses on overall eating patterns, which should be utilized as a flexible framework based upon an individual’s personal and cultural choice. 2 This is incorrect. MyPlate is a USDA program developed to provide simple- to- follow guidelines and graphics, which promote healthy eating patterns. 3 This is incorrect. The Centers for Disease Control (CDC) monitors dietary intake through a telephone survey. 4 This is incorrect. The Centers for Disease Control (CDC) recommends increasing the number of schools providing fruits and vegetables. PTS: 1 CON: Nutrition 20 | P a g e5. ANS: 2 Chapter: Chapter 1, Nutrition in Human Health Objective: E. Discuss issues related to food insecurity. Page: 9 Heading: Food Insecurity Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application Concept: Nutrition Difficulty: Moderate