FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Chapter 1 – Wellness Nutrition: Test Bank
( Foundations of wellness, prevention, and nutrition in health promotion).
Q1.
A 42-year-old patient comes for a routine wellness visit. The nurse explains that
preventive nutrition can help reduce the risk of chronic illness. Which example
best illustrates primary prevention?
A. Teaching the patient to follow a balanced diet to prevent obesity
B. Prescribing a statin for elevated cholesterol
C. Screening for colon cancer with fecal occult blood tests
D. Referring the patient to cardiac rehabilitation after a myocardial infarction
✅ Correct Answer: A. Teaching the patient to follow a balanced diet to
prevent obesity
Rationale:
Primary prevention aims to prevent disease before it occurs by promoting healthy
behaviors, such as balanced eating. Prescribing medication (B) is treatment, not
prevention. Screening (C) is secondary prevention because it detects disease
early. Cardiac rehab (D) is tertiary prevention focused on reducing
complications.
Keywords: Primary prevention, balanced diet, health promotion, obesity
prevention
Q2.
A nurse working in a community clinic emphasizes nutrition to reduce risks of type
2 diabetes in at-risk populations. Which concept best explains why nutrition is
integral to wellness?
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
A. It eliminates genetic risk factors for chronic disease
B. It restores full function once disease has developed
C. It supports optimal body function and prevents illness progression
D. It guarantees immunity against infectious disease
✅ Correct Answer: C. It supports optimal body function and prevents illness
progression
Rationale:
Nutrition provides the body with essential nutrients that sustain health and prevent
disease progression. It cannot eliminate genetics (A), nor can it fully reverse
established disease (B). While nutrition strengthens immunity, it does not
guarantee protection (D).
Keywords: Nutrition, health promotion, prevention, chronic disease
Q3.
During a health promotion class, a nursing student asks how secondary
prevention differs from primary prevention. Which response by the nurse is most
accurate?
A. "Secondary prevention identifies risk factors before illness occurs."
B. "Secondary prevention focuses on early detection and intervention to prevent
complications."
C. "Secondary prevention provides rehabilitation to restore function."
D. "Secondary prevention guarantees prevention of all chronic illness."
✅ Correct Answer: B. "Secondary prevention focuses on early detection and
intervention to prevent complications."
Rationale:
Secondary prevention identifies early disease through screenings and interventions
to stop progression. Primary prevention (A) prevents onset. Tertiary (C) aims at
restoring function. No prevention strategy is 100% effective (D).
Keywords: Secondary prevention, screening, early detection, nursing role
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Q4.
A nurse is counseling a 65-year-old patient recovering from a stroke. Which
nursing action reflects tertiary prevention through nutrition?
A. Providing education on a DASH diet to reduce stroke risk
B. Encouraging routine lipid screening
C. Developing a low-sodium meal plan to prevent further complications
D. Promoting exercise and balanced meals for wellness
✅ Correct Answer: C. Developing a low-sodium meal plan to prevent further
complications
Rationale:
Tertiary prevention reduces disability and prevents further complications in
patients with established disease. A DASH diet for prevention (A) and lipid
screening (B) are primary and secondary prevention, respectively. Exercise
promotion (D) is wellness-oriented, not tertiary.
Keywords: Tertiary prevention, stroke, low-sodium diet, complication
management
Q5.
A college student reports frequent fatigue, skipping meals, and relying on energy
drinks. The nurse explains that wellness nutrition could improve the student’s
health. Which teaching point is most appropriate?
A. Replace energy drinks with high-protein supplements only
B. Eat balanced meals with complex carbohydrates, lean protein, and hydration
C. Focus only on increasing caffeine for alertness
D. Skip meals but increase vitamin intake with supplements
✅ Correct Answer: B. Eat balanced meals with complex carbohydrates, lean
protein, and hydration
Rationale:
Balanced meals support energy levels, hydration, and cognitive function. A
(protein only) and D (supplements without food) are incomplete strategies.
Caffeine (C) is not a substitute for balanced nutrition.
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Keywords: Wellness nutrition, fatigue, hydration, balanced diet
Q6.
A 58-year-old patient with hypertension is motivated to prevent further health
decline. Which action best demonstrates nutrition as health promotion?
A. Reducing sodium intake and increasing fruits/vegetables
B. Waiting for symptoms before modifying diet
C. Using nutrition only after medications fail
D. Relying solely on herbal remedies for blood pressure control
✅ Correct Answer: A. Reducing sodium intake and increasing
fruits/vegetables
Rationale:
Lowering sodium and increasing produce intake promotes cardiovascular health
and reduces hypertension complications. Options B and C reflect delayed or
reactive care. D is risky as it ignores evidence-based approaches.
Keywords: Hypertension, sodium reduction, fruits/vegetables, DASH diet
Q7.
A community nurse designs a wellness program addressing modifiable risk
factors for chronic disease. Which focus is most appropriate?
A. Family history of heart disease
B. Genetic predisposition to diabetes
C. Sedentary lifestyle and poor dietary habits
D. Age-related bone density decline
✅ Correct Answer: C. Sedentary lifestyle and poor dietary habits
Rationale:
Modifiable risks can be changed with interventions. Genetics (A, B) and aging (D)
are non-modifiable. Nutrition and exercise changes can lower risk significantly.
Keywords: Modifiable risk factors, chronic disease, prevention, lifestyle
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Q8.
A nurse is planning education for a group of adolescents. Which approach best
supports primary prevention of obesity?
A. Teaching healthy meal planning and the importance of physical activity
B. Monitoring BMI annually for changes
C. Referring overweight teens to weight management programs
D. Providing rehabilitation for teens with obesity-related complications
✅ Correct Answer: A. Teaching healthy meal planning and the importance of
physical activity
Rationale:
Primary prevention emphasizes proactive strategies before disease develops.
Annual BMI checks (B) = secondary prevention. Referrals (C) and rehab (D) occur
after disease has developed.
Keywords: Adolescents, obesity prevention, primary prevention, health education
Q9.
A pregnant woman asks how nutrition contributes to her baby’s wellness. Which
nurse response is best?
A. "Good nutrition supports optimal fetal growth and reduces risk of
complications."
B. "Nutrition prevents all genetic disorders in the baby."
C. "Nutrition guarantees that your child will never be ill."
D. "Nutrition is less important than stress management during pregnancy."
✅ Correct Answer: A. "Good nutrition supports optimal fetal growth and
reduces risk of complications."
Rationale:
Maternal nutrition directly affects fetal growth, birth outcomes, and maternal
health. Nutrition cannot prevent genetic disorders (B) nor guarantee lifelong
immunity (C). Stress management is important, but nutrition remains essential (D).
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Chapter 1 – Wellness Nutrition: Test Bank
( Foundations of wellness, prevention, and nutrition in health promotion).
Q1.
A 42-year-old patient comes for a routine wellness visit. The nurse explains that
preventive nutrition can help reduce the risk of chronic illness. Which example
best illustrates primary prevention?
A. Teaching the patient to follow a balanced diet to prevent obesity
B. Prescribing a statin for elevated cholesterol
C. Screening for colon cancer with fecal occult blood tests
D. Referring the patient to cardiac rehabilitation after a myocardial infarction
✅ Correct Answer: A. Teaching the patient to follow a balanced diet to
prevent obesity
Rationale:
Primary prevention aims to prevent disease before it occurs by promoting healthy
behaviors, such as balanced eating. Prescribing medication (B) is treatment, not
prevention. Screening (C) is secondary prevention because it detects disease
early. Cardiac rehab (D) is tertiary prevention focused on reducing
complications.
Keywords: Primary prevention, balanced diet, health promotion, obesity
prevention
Q2.
A nurse working in a community clinic emphasizes nutrition to reduce risks of type
2 diabetes in at-risk populations. Which concept best explains why nutrition is
integral to wellness?
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
A. It eliminates genetic risk factors for chronic disease
B. It restores full function once disease has developed
C. It supports optimal body function and prevents illness progression
D. It guarantees immunity against infectious disease
✅ Correct Answer: C. It supports optimal body function and prevents illness
progression
Rationale:
Nutrition provides the body with essential nutrients that sustain health and prevent
disease progression. It cannot eliminate genetics (A), nor can it fully reverse
established disease (B). While nutrition strengthens immunity, it does not
guarantee protection (D).
Keywords: Nutrition, health promotion, prevention, chronic disease
Q3.
During a health promotion class, a nursing student asks how secondary
prevention differs from primary prevention. Which response by the nurse is most
accurate?
A. "Secondary prevention identifies risk factors before illness occurs."
B. "Secondary prevention focuses on early detection and intervention to prevent
complications."
C. "Secondary prevention provides rehabilitation to restore function."
D. "Secondary prevention guarantees prevention of all chronic illness."
✅ Correct Answer: B. "Secondary prevention focuses on early detection and
intervention to prevent complications."
Rationale:
Secondary prevention identifies early disease through screenings and interventions
to stop progression. Primary prevention (A) prevents onset. Tertiary (C) aims at
restoring function. No prevention strategy is 100% effective (D).
Keywords: Secondary prevention, screening, early detection, nursing role
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Q4.
A nurse is counseling a 65-year-old patient recovering from a stroke. Which
nursing action reflects tertiary prevention through nutrition?
A. Providing education on a DASH diet to reduce stroke risk
B. Encouraging routine lipid screening
C. Developing a low-sodium meal plan to prevent further complications
D. Promoting exercise and balanced meals for wellness
✅ Correct Answer: C. Developing a low-sodium meal plan to prevent further
complications
Rationale:
Tertiary prevention reduces disability and prevents further complications in
patients with established disease. A DASH diet for prevention (A) and lipid
screening (B) are primary and secondary prevention, respectively. Exercise
promotion (D) is wellness-oriented, not tertiary.
Keywords: Tertiary prevention, stroke, low-sodium diet, complication
management
Q5.
A college student reports frequent fatigue, skipping meals, and relying on energy
drinks. The nurse explains that wellness nutrition could improve the student’s
health. Which teaching point is most appropriate?
A. Replace energy drinks with high-protein supplements only
B. Eat balanced meals with complex carbohydrates, lean protein, and hydration
C. Focus only on increasing caffeine for alertness
D. Skip meals but increase vitamin intake with supplements
✅ Correct Answer: B. Eat balanced meals with complex carbohydrates, lean
protein, and hydration
Rationale:
Balanced meals support energy levels, hydration, and cognitive function. A
(protein only) and D (supplements without food) are incomplete strategies.
Caffeine (C) is not a substitute for balanced nutrition.
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Keywords: Wellness nutrition, fatigue, hydration, balanced diet
Q6.
A 58-year-old patient with hypertension is motivated to prevent further health
decline. Which action best demonstrates nutrition as health promotion?
A. Reducing sodium intake and increasing fruits/vegetables
B. Waiting for symptoms before modifying diet
C. Using nutrition only after medications fail
D. Relying solely on herbal remedies for blood pressure control
✅ Correct Answer: A. Reducing sodium intake and increasing
fruits/vegetables
Rationale:
Lowering sodium and increasing produce intake promotes cardiovascular health
and reduces hypertension complications. Options B and C reflect delayed or
reactive care. D is risky as it ignores evidence-based approaches.
Keywords: Hypertension, sodium reduction, fruits/vegetables, DASH diet
Q7.
A community nurse designs a wellness program addressing modifiable risk
factors for chronic disease. Which focus is most appropriate?
A. Family history of heart disease
B. Genetic predisposition to diabetes
C. Sedentary lifestyle and poor dietary habits
D. Age-related bone density decline
✅ Correct Answer: C. Sedentary lifestyle and poor dietary habits
Rationale:
Modifiable risks can be changed with interventions. Genetics (A, B) and aging (D)
are non-modifiable. Nutrition and exercise changes can lower risk significantly.
Keywords: Modifiable risk factors, chronic disease, prevention, lifestyle
, FULL Test Bank for
Nutritional Foundations and Clinical Applications: A Nursing Approach 8th Edition By Grodner
Q8.
A nurse is planning education for a group of adolescents. Which approach best
supports primary prevention of obesity?
A. Teaching healthy meal planning and the importance of physical activity
B. Monitoring BMI annually for changes
C. Referring overweight teens to weight management programs
D. Providing rehabilitation for teens with obesity-related complications
✅ Correct Answer: A. Teaching healthy meal planning and the importance of
physical activity
Rationale:
Primary prevention emphasizes proactive strategies before disease develops.
Annual BMI checks (B) = secondary prevention. Referrals (C) and rehab (D) occur
after disease has developed.
Keywords: Adolescents, obesity prevention, primary prevention, health education
Q9.
A pregnant woman asks how nutrition contributes to her baby’s wellness. Which
nurse response is best?
A. "Good nutrition supports optimal fetal growth and reduces risk of
complications."
B. "Nutrition prevents all genetic disorders in the baby."
C. "Nutrition guarantees that your child will never be ill."
D. "Nutrition is less important than stress management during pregnancy."
✅ Correct Answer: A. "Good nutrition supports optimal fetal growth and
reduces risk of complications."
Rationale:
Maternal nutrition directly affects fetal growth, birth outcomes, and maternal
health. Nutrition cannot prevent genetic disorders (B) nor guarantee lifelong
immunity (C). Stress management is important, but nutrition remains essential (D).
