Chapter 1. Wellness Nutritione e e
MULTIPLE CHOICE e
1. Examples of informal education include e e e e
a.attending a workshop on coronary artery disease sponsored by the American Heart
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Association.
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b.watching a television show about diabetes. e e e e e
c.learning about food safety techniques in a high school economics course. d.joining a
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support group to help overcome an eating disorder.
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ANS: B e
Watching a television show about diabetes is an example of informal education because it is an
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e experience that occurs through a daily activity. Attending a workshop or joining a support group would be
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e considered nonformal education; a high school course would be considered formal education.
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DIF:Cognitive Level: ApplyingREFage 6 e e e
TOP: Nursing Process: Implementation MSC: Client Needs: Health promotion and maintenance
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2. A college student exercises regularly and generally eats a healthyvariety of foods, is taking a
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e course in general nutrition, buys locally produced food whenever possible, is an active member of
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e an on-campus faith-based organization, and keeps a journal to help process her emotions. What else
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e could be important for her to include in her life in order to develop her overall wellness?
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a. Growing some of her own food e e e e e
b. Keeping a food record to help evaluate what she eats
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c. Eating meals with friends throughout the week
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d. Meeting with a registered dietitian to review her food choices
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,ANS: C e
Wellness enhances a persons level of health through development of each of the six dimensions of
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health: physical health, intellectual health, emotional health, social health, spiritual health, and
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e environmental health. Exercise and eating a health variety of foods help develop physical health;
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e taking a course in general nutrition helps develop intellectual health; buying locally produced food
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e helps develop environmental health; being part of a faith-based organization helps develop spiritual
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health; and keeping a journal helps develop emotional health. The missing dimension in this example
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e is development of social health; eating meals with friends throughout the week would add this
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e dimension. Growing her own food would be another example of environmental health; keeping a
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e food record would be another contributor to physical health; and meeting with a registered dietitian
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e may contribute to physical, intellectual, and emotional health.
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DIF:Cognitive Level: AnalyzingREFages 1-3 e e e
TOP: Nursing Process: Assessment MSC: Client Needs: Health promotion and maintenance
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3. For a client who is missing meals because of poor planning or is too busy to eat, emotional health
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e can be affected by
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a.low blood sugar levels e e e
b.high blood sugar levels
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c.high blood pressure
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d.extremelylowbloodpressure e e e
e ANS: D e
Poor eating habits affect emotional health. Missing meals may cause blood sugar levels to decrease,
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e which can cause anxiety or confusion or make it difficult to control emotions. Late night binges on
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snack food are likely to result in excessive energy intake but would have a less direct effect on
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e emotional health. Eating small meals throughout the day is likely to maintain more constant blood
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e sugar levels, which would actually have a positive effect on emotional health. Excessive caffeine
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e consumption may contribute to anxiety, but 2 cups of caffeinated coffee is not considered excessive.
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DIF:Cognitive Level: AnalyzingREFage 2 e e e
, TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial integrity
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4. The best example of the type of concern that is likely to be addressed by the U.S. Department of
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e Health and Human Services when target goals for Healthy People 2030 are updated is
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a.preference for vegetarian eating patterns among white women. b.low e e e e e e e e
intake of fruits and vegetables byAfrican American children.
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c.widespread use of bottled water in higher socioeconomic groups.
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d.common use of protein and vitamin supplements in athletes.
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ANS: B e
Healthy People is used to set targets for health promotion to improve the health of all individuals. It
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addresses environmental and social issues that affect health outcomes. Low intake of fruits and
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vegetables by African American children is likely to have an adverse effect on their health and so may
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e be addressed when target goals are set. Vegetarian eating patterns, use of bottled water, and use of
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e protein and vitamin supplements do not necessarily have an adverse effect on nutritional health and
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e so are less likely to be addressed.
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DIF: Cognitive Level: Applying REF: Pages 4-6 TOP: Nursing Process: Planning MSC:
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e Client Needs: Health promotion and maintenance
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5. An example of community support for health promotion is
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a.teaching a young mother skills in safe food preparation. e e e e e e e e
b.watching a television documentary about industry errors in food processing. c.labeling
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fresh poultry packages with information about proper food storage.
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d.being aware that Salmonella can be transmitted because of inadequate food preparation. ANS:
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e C
Food labeling information is an example of community support because it is a regulatory measure
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e that supports new health-promoting behaviors within a social context. Teaching, watching television
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and awareness may increase knowledge, but they do not alter the social context by regulation or
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e environmental change. e
DIF:Cognitive Level: ApplyingREFage 4 e e e