NUR 3065 EXAM 3 QUESTIONS &
ACTUAL CORRECT ANSWERS
LATEST VERSION
Determine a client's ideal body weight, and determine parameters for overweight and
obesity related to the BMI - CORRECT ANSWER o For adults...
•Overweight = BMI of 25 or greater
* Obesity = BMI of 30
o For children...
* Overweight = BMI equal to or greater than 95th percentile based on age and gender-
specific BMI charts
* Being overweight during childhood leads to increased risk for becoming overweight
during adulthood
o Statistics...
* Estimated 17% of children and adolescents, ages 2 to 19
* 66% of adults in US are either overweight or obese
Under-nutrition - CORRECT ANSWER reserves are depleted, and or nutrient intake is
inadequate for needs
Over-nutrition - CORRECT ANSWER o consumption in excess of needs
• Caused by consumption of nutrients, especially calories, sodium, and fat, in excess of
body needs
• Major nutritional problem today
• Can lead to obesity and risk factor for... heart disease, HTN, type II diabetes, stroke,
gallbladder disease, sleep apnea, osteoarthritis
Identify at-risk populations for under-nutrition and over-nutrition - CORRECT ANSWER
o Vulnerable groups = infants, children, pregnant women, recent immigrants, persons
with low incomes, hospitalized people, and aging adults are at risk for:
• Impaired growth and development
• Lowered resistance to infection and disease
• Delayed wound healing
,• Longer hospital stays
• Higher health care costs
Discuss health related risks related to obesity
Risk factors for obesity: - CORRECT ANSWER • hypertension
• Obesity
• Atherosclerosis
• Cancer
• Osteoporosis
• Diabetes mellitus
• **also risk factors for HTN, atherosclerosis, cancer, osteoporosis, diabetes mellitus**
o Major risk factors for malnutrition in older adults include: - CORRECT ANSWER •
Poor physical or mental health
• Social isolation
• Alcoholism
• Limited functional ability
• Poverty
• Polypharmacy
• Decline of extended families and increased mobility of families reduce available
support systems
Identify possible promotion interventions for malnutrition - CORRECT ANSWER •
Facilities for meal preparation - preparing and delivering balanced meals
• Transportation to grocery stores
• Welfare programs to help offset the cost of groceries
Normal physiologic changes in aging adults: - CORRECT ANSWER • Poor detention
• Decreased visual acuity
• Decreased saliva production
• Decreased gastric acid secretion
• Slowed GI motility
• Decreased GI absorption
• Diminished olfactory and taste sensitivity
• Decrease in energy requirements due to loss of lean body mass and increase in fat
mass
Interventions for elderly clients include: - CORRECT ANSWER • Encourage calcium
and vitamin D (osteoporosis prevention)
• May need to increase protein
• May not need to increase calories with decreased metabolism
• Assess dentition, swallowing, etc.
Cachectic appearance - CORRECT ANSWER physical wasting with loss of weight and
muscle mass due to disease
, Sarcopenia - CORRECT ANSWER o age related loss of muscle mass
♣ Watch out for the elderly!!!
marasmus - CORRECT ANSWER o protein and calorie malnutrition
♣ Causes include anorexia, bowel obstruction, CA, chronic illness
♣ Starved appearance
kwashiorkor - CORRECT ANSWER o protein malnutrition (diet high in calories but low
protein)
marasmus-kwashiorkor mix - CORRECT ANSWER o both protein and calorie
inadequacies
♣ Wasting, emaciated appearance
♣ Causes include major surgery, trauma, burns, prolonged starvation, AIDS wasting
♣ Adults vulnerable!
Methods for collecting current dietary intake... - CORRECT ANSWER ♣ 24 hour recall
♣ Food frequency questionnaire
♣ Food diary
♣ During hospitalization, documentation of nutritional intake can best be achieved
through calorie counts of nutrients consumed or infused
observation of general appearance - CORRECT ANSWER ♣ Skin, hair, mouth, lips,
eyes
♣ Obese
♣ Cachectic
♣ Edematous
screening and objective measurement techniques to assess nutritional status -
CORRECT ANSWER ♣ Height and weight, BMI
♣ Triceps skinfold thickness
♣ Elbow breadth
♣ Arm and head circumferences
o Labs:
♣ Hemoglobin
♣ Hematocrit
♣ Cholesterol
♣ Triglycerides
♣ Total lymphocyte count
♣ Serum albumin
Metabolic syndrome: - CORRECT ANSWER increased risk for CAD, CM, mortality
o Diagnosed with 3 of the 5 biomarkers
♣ Hypertension
ACTUAL CORRECT ANSWERS
LATEST VERSION
Determine a client's ideal body weight, and determine parameters for overweight and
obesity related to the BMI - CORRECT ANSWER o For adults...
•Overweight = BMI of 25 or greater
* Obesity = BMI of 30
o For children...
* Overweight = BMI equal to or greater than 95th percentile based on age and gender-
specific BMI charts
* Being overweight during childhood leads to increased risk for becoming overweight
during adulthood
o Statistics...
* Estimated 17% of children and adolescents, ages 2 to 19
* 66% of adults in US are either overweight or obese
Under-nutrition - CORRECT ANSWER reserves are depleted, and or nutrient intake is
inadequate for needs
Over-nutrition - CORRECT ANSWER o consumption in excess of needs
• Caused by consumption of nutrients, especially calories, sodium, and fat, in excess of
body needs
• Major nutritional problem today
• Can lead to obesity and risk factor for... heart disease, HTN, type II diabetes, stroke,
gallbladder disease, sleep apnea, osteoarthritis
Identify at-risk populations for under-nutrition and over-nutrition - CORRECT ANSWER
o Vulnerable groups = infants, children, pregnant women, recent immigrants, persons
with low incomes, hospitalized people, and aging adults are at risk for:
• Impaired growth and development
• Lowered resistance to infection and disease
• Delayed wound healing
,• Longer hospital stays
• Higher health care costs
Discuss health related risks related to obesity
Risk factors for obesity: - CORRECT ANSWER • hypertension
• Obesity
• Atherosclerosis
• Cancer
• Osteoporosis
• Diabetes mellitus
• **also risk factors for HTN, atherosclerosis, cancer, osteoporosis, diabetes mellitus**
o Major risk factors for malnutrition in older adults include: - CORRECT ANSWER •
Poor physical or mental health
• Social isolation
• Alcoholism
• Limited functional ability
• Poverty
• Polypharmacy
• Decline of extended families and increased mobility of families reduce available
support systems
Identify possible promotion interventions for malnutrition - CORRECT ANSWER •
Facilities for meal preparation - preparing and delivering balanced meals
• Transportation to grocery stores
• Welfare programs to help offset the cost of groceries
Normal physiologic changes in aging adults: - CORRECT ANSWER • Poor detention
• Decreased visual acuity
• Decreased saliva production
• Decreased gastric acid secretion
• Slowed GI motility
• Decreased GI absorption
• Diminished olfactory and taste sensitivity
• Decrease in energy requirements due to loss of lean body mass and increase in fat
mass
Interventions for elderly clients include: - CORRECT ANSWER • Encourage calcium
and vitamin D (osteoporosis prevention)
• May need to increase protein
• May not need to increase calories with decreased metabolism
• Assess dentition, swallowing, etc.
Cachectic appearance - CORRECT ANSWER physical wasting with loss of weight and
muscle mass due to disease
, Sarcopenia - CORRECT ANSWER o age related loss of muscle mass
♣ Watch out for the elderly!!!
marasmus - CORRECT ANSWER o protein and calorie malnutrition
♣ Causes include anorexia, bowel obstruction, CA, chronic illness
♣ Starved appearance
kwashiorkor - CORRECT ANSWER o protein malnutrition (diet high in calories but low
protein)
marasmus-kwashiorkor mix - CORRECT ANSWER o both protein and calorie
inadequacies
♣ Wasting, emaciated appearance
♣ Causes include major surgery, trauma, burns, prolonged starvation, AIDS wasting
♣ Adults vulnerable!
Methods for collecting current dietary intake... - CORRECT ANSWER ♣ 24 hour recall
♣ Food frequency questionnaire
♣ Food diary
♣ During hospitalization, documentation of nutritional intake can best be achieved
through calorie counts of nutrients consumed or infused
observation of general appearance - CORRECT ANSWER ♣ Skin, hair, mouth, lips,
eyes
♣ Obese
♣ Cachectic
♣ Edematous
screening and objective measurement techniques to assess nutritional status -
CORRECT ANSWER ♣ Height and weight, BMI
♣ Triceps skinfold thickness
♣ Elbow breadth
♣ Arm and head circumferences
o Labs:
♣ Hemoglobin
♣ Hematocrit
♣ Cholesterol
♣ Triglycerides
♣ Total lymphocyte count
♣ Serum albumin
Metabolic syndrome: - CORRECT ANSWER increased risk for CAD, CM, mortality
o Diagnosed with 3 of the 5 biomarkers
♣ Hypertension
