TEST BANK
NUTRITION AND DIET THERAPY FOR NURSES
2ND EDITION
CHAPTER NO. 01: NURSING AND NUTRITION CARE
1.1 To understand nutrition as an aspect of total health care.
1) The nurse instructs an adult client about nutritional needs. Which client statement
indicates that teaching has been effective?
1. "A good diet is hard work."
2. "The nutrients I need come from foods."
3. "There are some insignificant nutrients that I don't really need."
4. "If I don't take a multi-vitamin supplement, I will be unable to meet all nutrition
needs."
Answer: 2
Explanation: The nurse needs to understand the role of macro- and micronutrients in
maintaining health and preventing disease. A client who understands that nutrients
come from foods has beginning knowledge of nutrition. There are no insignificant
nutrients, nor is a vitamin supplement required for good health. A good diet should not
be hard work; it can be implemented with careful planning.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
2) A client believes that a good diet is the key to a long life. Which response should the
nurse make to this client?
1. "It is one aspect of healthy living."
2. "You are well on your way to a long life."
,3. "A good diet is most important early in life."
4. "Good genes are a better predictor of long life."
Answer: 1
Explanation: Good nutrition promotes health and may prevent the onset of conditions
like cardiovascular disease, some forms of diabetes mellitus, and cancer. Other aspects
may include safety, interpersonal relations, coping mechanisms, etc. Good genes may
play a role; however, a client cannot ignore the role of nutrition in promoting a healthy
life. A good diet is important throughout the lifespan, and it is never too late to make
changes. The nurse ignores teaching opportunities when dismissing a client by
suggesting that a long life is likely because of eating a good diet.
Nursing Process: Implementation
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
3) A client who is obese tells the nurse that malnutrition is not a problem. What should
the nurse include when responding to this client?
1. This is correct information.
2. Nutrient deficiency is the best indicator of malnutrition.
3. A lot of research about malnutrition is being conducted.
4. Malnutrition can be an excess or deficiency of nutrients.
Answer: 4
Explanation: Malnutrition includes excess, deficient, or an imbalance of nutrients that
lead to disease states. The obese client may be malnourished. The client holds an
incorrect assumption about malnutrition. Research is being conducted about all
nutrients, but that response is not addressing the client's lack of knowledge.
Nursing Process: Implementation
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
,4) The nurse prepares nutritional information for a community fair. What should the
nurse use as a guide for the recommended intake of nutrients?
1. MyPlate
2. Food labels
3. Healthy People 2020
4. Dietary reference intakes
Answer: 4
Explanation: Dietary reference intakes (DRIs) are the standards used in the United
States and Canada for the recommended nutrient intake of the population. MyPlate was
designed to help nutrition planning by following the 2015-2020 Dietary Guidelines for
Americans in providing a pictorial guide to the amounts and kinds of foods that
individuals should eat daily to maintain health and to reduce the risk of developing
nutrient-related conditions. A food label provides nutrient information about the item
within a particular package. Healthy People 2020 provides the national objectives
related to health and health promotion. A major subsection of Healthy People 2020 is
related to nutrition and weight status.
Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
1.2 To categorize appropriate tools to use as guidelines for nutrient intake and
nutritional standards.
1) The nurse reviews MyPlate with a client who has a BMI of 30. Which client statement
indicates that additional teaching is required?
1. "SuperTracker shows me the amount of foods that I can eat."
2. "The web site has other education resources that I can review."
3. "The serving size depends upon the size of my plates at home."
4. "The web site shows the correct serving size in household measures."
Answer: 3
, Explanation: Serving size is often misunderstood by the public and is commonly
described as "what I have on my plate," which many times is far larger than a
recommended serving size. SuperTracker is a feature that helps the user track the
amount of food that can be eaten according to weight and activity level. The web site
has multiple educational resources for the user. The web site provides serving sizes in
household measurements.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
2) The nurse prepares diet teaching on sodium content of foods for a mother with small
children. Which observation guided the nurse to make this teaching decision?
1. Mother drinking bottled water
2. 3-year-old child eating potato chips
3. 5-year-old child eating apple wedges
4. 2-year-old child eating whole wheat cereal
Answer: 2
Explanation: One Healthy People 2020 Nutrition and Weight Status objectives is to
reduce the consumption of sodium in the population aged 2 years and older. Since the
3-year-old child is eating potato chips, the children might all be eating foods high in
sodium. Bottled water, apple wedges, and whole wheat cereal do not contain high levels
of sodium.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
NUTRITION AND DIET THERAPY FOR NURSES
2ND EDITION
CHAPTER NO. 01: NURSING AND NUTRITION CARE
1.1 To understand nutrition as an aspect of total health care.
1) The nurse instructs an adult client about nutritional needs. Which client statement
indicates that teaching has been effective?
1. "A good diet is hard work."
2. "The nutrients I need come from foods."
3. "There are some insignificant nutrients that I don't really need."
4. "If I don't take a multi-vitamin supplement, I will be unable to meet all nutrition
needs."
Answer: 2
Explanation: The nurse needs to understand the role of macro- and micronutrients in
maintaining health and preventing disease. A client who understands that nutrients
come from foods has beginning knowledge of nutrition. There are no insignificant
nutrients, nor is a vitamin supplement required for good health. A good diet should not
be hard work; it can be implemented with careful planning.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
2) A client believes that a good diet is the key to a long life. Which response should the
nurse make to this client?
1. "It is one aspect of healthy living."
2. "You are well on your way to a long life."
,3. "A good diet is most important early in life."
4. "Good genes are a better predictor of long life."
Answer: 1
Explanation: Good nutrition promotes health and may prevent the onset of conditions
like cardiovascular disease, some forms of diabetes mellitus, and cancer. Other aspects
may include safety, interpersonal relations, coping mechanisms, etc. Good genes may
play a role; however, a client cannot ignore the role of nutrition in promoting a healthy
life. A good diet is important throughout the lifespan, and it is never too late to make
changes. The nurse ignores teaching opportunities when dismissing a client by
suggesting that a long life is likely because of eating a good diet.
Nursing Process: Implementation
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
3) A client who is obese tells the nurse that malnutrition is not a problem. What should
the nurse include when responding to this client?
1. This is correct information.
2. Nutrient deficiency is the best indicator of malnutrition.
3. A lot of research about malnutrition is being conducted.
4. Malnutrition can be an excess or deficiency of nutrients.
Answer: 4
Explanation: Malnutrition includes excess, deficient, or an imbalance of nutrients that
lead to disease states. The obese client may be malnourished. The client holds an
incorrect assumption about malnutrition. Research is being conducted about all
nutrients, but that response is not addressing the client's lack of knowledge.
Nursing Process: Implementation
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
,4) The nurse prepares nutritional information for a community fair. What should the
nurse use as a guide for the recommended intake of nutrients?
1. MyPlate
2. Food labels
3. Healthy People 2020
4. Dietary reference intakes
Answer: 4
Explanation: Dietary reference intakes (DRIs) are the standards used in the United
States and Canada for the recommended nutrient intake of the population. MyPlate was
designed to help nutrition planning by following the 2015-2020 Dietary Guidelines for
Americans in providing a pictorial guide to the amounts and kinds of foods that
individuals should eat daily to maintain health and to reduce the risk of developing
nutrient-related conditions. A food label provides nutrient information about the item
within a particular package. Healthy People 2020 provides the national objectives
related to health and health promotion. A major subsection of Healthy People 2020 is
related to nutrition and weight status.
Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive Level: Applying
1.2 To categorize appropriate tools to use as guidelines for nutrient intake and
nutritional standards.
1) The nurse reviews MyPlate with a client who has a BMI of 30. Which client statement
indicates that additional teaching is required?
1. "SuperTracker shows me the amount of foods that I can eat."
2. "The web site has other education resources that I can review."
3. "The serving size depends upon the size of my plates at home."
4. "The web site shows the correct serving size in household measures."
Answer: 3
, Explanation: Serving size is often misunderstood by the public and is commonly
described as "what I have on my plate," which many times is far larger than a
recommended serving size. SuperTracker is a feature that helps the user track the
amount of food that can be eaten according to weight and activity level. The web site
has multiple educational resources for the user. The web site provides serving sizes in
household measurements.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
2) The nurse prepares diet teaching on sodium content of foods for a mother with small
children. Which observation guided the nurse to make this teaching decision?
1. Mother drinking bottled water
2. 3-year-old child eating potato chips
3. 5-year-old child eating apple wedges
4. 2-year-old child eating whole wheat cereal
Answer: 2
Explanation: One Healthy People 2020 Nutrition and Weight Status objectives is to
reduce the consumption of sodium in the population aged 2 years and older. Since the
3-year-old child is eating potato chips, the children might all be eating foods high in
sodium. Bottled water, apple wedges, and whole wheat cereal do not contain high levels
of sodium.
Nursing Process: Evaluation
Client Need: Health Promotion and Maintenance
Cognitive Level: Analyzing
