chapter 9 nursing 299
The client requests specific nutritional advice regarding lowering heart disease risk. In attempting to provide the client with advice of the highest level of scientific backing, which reccomendation does the nurse make?
"Eat plenty of foods with soluble fiber."
A client with a cancer history requests that the nurse identify a dietary practice that has the highest level of evidence for decreasing cancer risk. Which dietary advice will the nurse offer?
"Eating fiber-containing grain products is one way to lower cancer risk."
A client wants to lose weight and asks the nurse about herbal supplements for this purpose. Which information will the nurse share?
"The composition of ingredients cannot be ensured, so effectiveness may be altered."
The client asks the nurse "What does excellent source of folate mean on this box of cereal?" The nurse informs the client that for a product to be termed an "excellent source", the product must contain at least what percent daily value (%DV) of the nutrient in a serving? Record your answer as a whole number.
20 (The nurse informs the client that for a product to be termed an "excellent source", the product must contain at least 20% Daily Value (DV) of the nutrient in a single serving.)
The nurse knows that teaching has been effective when a client who has celiac disease is able to identify that for a product to be labeled gluten-free, it must have fewer than which number of parts per million (ppm)?
20 parts per million (ppm)
The nurse is teaching a unit on food labeling to a community nutrition class. The nurse informs the class that the labeling term "made with organic ingredients" means that which percentage of the product's ingredients are certified organic?
At least 70% (A product with 100% certified organic ingredients can bear the United States Department of Agriculture (USDA) organic seal and may make the claim "100% organic." If at least 95% of the ingredients are certified organic, the product can display the USDA organic seal and may make the "organic" claim. If a product contain less than 70% certified organic ingredients the organic ingredients can be indentfied on the ingeedient label, but the product cannot use the word "organic" on the display panel, nor may the USDA organic seal be displayed.)
In examining product packaging while shopping, which health claim does the nurse itentify as requiring the highest level of supportive evidence?
Calcium lowers risk of osteoporosis.
An eating behavior that is most likely to have a negative long-term effect on health is
Drinking one can of sugar-sweetened beverage every day
To provide adequate amounts of vitamins and minerals, the best course of action is to
Eat a variety of foods from each food group
The most helpful general recommendation for making healthy food choices and reducing risk for chronic disease would be to
Eat more food from plant sources and less food from animal sources
When teaching a community nutrition course, the nurse explains that the Fair Packaging and Labeling Act of 1967 included which purpose?
Enable value comparisons among products
The nurse is aware that the strongest evidence for using CBD is its effectiveness in treating which condition?
Epilepsy syndromes that have poor response to antiseizure medications
If a product's Nutrition Facts label lists 15% as the percent daily value (%DV) for calcium, which nutrient claim regarding calcium can be added to the package?
Good source (A product that is a good source of a nutrient will provide 10% to 19% of the Daily Value (DV) of the nutrient.The dietary term low means that there is a small enough amount of a nutrient that the product can be used frequently without concern about exceeding dietary recommendations. To be rich in, high in, or an excellent source, the product must have at least 20% of the DV of a nutrient. Less, or reduced, means that the product has at minimum a 25% reduction in a nutrient compared to the regular product.)
Which information regarding the ingredient list does the nurse provide to a community nutrition class.
Ingredients are listed in descending order by weight.
The nurse eats a prepackaged hot dog with 18 mg of cholesterol. Which nutrient claim term may legally be displayed on the hot dog packaging?
Low (The hot dog package may display the nutrient claim "low" as it contains less than 20 mg of cholesterol per serving. The nutrient claim term "very low" refers to sodium only. A product that is very low in sodium cannot have more than 35 mg sodium per serving. An item can use the term "free" only if the product contains virtually none of that nutrient. "Good source" references a beneficial nutrient. To use the term "good source" the product must provide 10% to 19% of the Daily Value (DV) for the beneficial nutrient.)
While teaching a class on nutrition, the nurse should encourage clients to try to consume more of which of the following nutrients listed on the nutrition facts label?
Potassium (Limit these nutrients: total fat, saturated fat, trans fat, cholesterol, and sodium. Get enough of these nutrients: potassium, dietary fiber, vitamin A, vitamin C, calcium, and iron.)
The nurse is discussing food allergies with a client. Which ingredient does the nurse identify?
The nurse identifies shellfish, wheat, eggs, along with peanuts, tree nuts, soybeans, milk, and fish, as being the allergens that must be declared on the food label
Which advice does the nurse question as being appropriate to assist a client who is making choices about supplement use?
The nurse questions the advice that an individual should take many different supplements to evaluate effectiveness. (Typical advice is to take only single supplement products to minimze risk of adverse side effects and supplement-drug interactions. The nurse recognizes the advice to discontinue supplements immediately if adverse side effects occur, be aware that natural does not necessarily mean safe, and discuss supplement use with the health care provider as appropriate counsel for a client who is considering using a supplement.)
The nurse's community nutrition class is eager to learn about CBD products. Which information will the nurse provide?
The nurse will inform the class that though CBD is generally consdered safe, it can produce nasuea, fatigue, and irritability. (Like other supplements, CBD dosages are not standardized. Regular CBD use is not appropriate for people under 21 years of age. CBD may interact with prescription medications.)
A client asks the nurse about definitions of terms used in nutrient claims. How much more of a beneficial nutrient does a product have to contain relative to a comperable product to use the term "more" on a package?
The product must contain at least 10% more of a desirable nutrient than does a comparable product to use the term "more" on the packaging. (A 5% difference in content does not indicate a change to the language that may be used in a nutrient claim. If the product has at least a 25% reduction in a nutrient compared to the regular product, the term "reduced" or "less" can be used. "Light" or "lite" can be used if the product has 50% of the fat found in a comparable product or the product meets specsific guidelines regarding reduced calories and percentage of calories from fat.)
A nurse is assisting a client in learning how to read food labels. Teaching has been effective when after reviewing an ingredients list including whole-wheat flour, sunflower oil, and salt, in that order the client tells the nurse which of the following?
There is more whole-wheat flour than salt. (Ingredients are listed in descending order by weight. This gives an idea of how much of each ingredient is in a product but does not give the proportion.)
The nurse is conducting a nutrition workshop as part of a community outreach program. Which information about herbs does the nurse provide to the participants?
They are supplements
Which herbal dietary supplement does the nurse identfy as being among the top three for sales in the United States?
Tumeric (The nurse identfies tumeric as being the second most popular herbal supplement by sales in the United States. Milk thistle, echinacea, and oregano are respectively the eighth, ninth, and tenth most popular herbal supplements in the United States.)
The nurse is discussing unqualified health claims with a client. Which client characterization of unqualified health claims indicates to the nurse that further teaching is required?
Unqualified health claims do not require a qualifying statement about the strength of evidence supporting the claim. (To make an unqualified health claim, the product cannot have more than a set level for sodium and certain lipids and must contain 10% DV or more for certain specified, beneficial nutrients before supplementation. Unqualified health claims are supported by significant scientific agreement.)
The client reads a package lists a product as low in saturated fat. The nurse correctly states that this is an example of which of the following?
a nutrient claim. (Terms such as "low," "free," and "high" describe the level of a nutrient or substance in a food. The terms are legally defined and therefore are reliable and valid.)
The client tells the nurse that he is eating a food for which the label claims that limiting saturated fat and cholesterol decreases coronary heart disease risk. The nurse correctly explains to the client that this is which of the following?
an unqualified health claim. (These claims are referred to as unqualified health claims because they do not require a qualifying statement about the strength of evidence supporting the claim.)
A class of nutrients that is important in body structure and influences the function of muscles and the central nervous system is
carbohydrates
A client exercises regularly and wants to make sure that he has sufficient energy for his workouts. The type of nutrient that will be most helpful in providing the energy he needs is
carbohydrates
What are the health claims that need FDA approval?
claims that a product lowers risk of hypertension, cancer, or cardiovascular disease can be either qualified or unqualified health claims, both of which do require FDA approval.
Lean refers to meat or poultry products with
less than 10 g fat, less than 4 g saturated fat, and less that 95 mg cholesterol per 100 g.
Extra lean Meat or poultry products with
less than 5 g fat, less than 2 g saturated fat, and less than 95 mg cholesterol per 100 g
Inclusion of information on which nutrient(s) does the nurse identifiy to a client as resulting from the 2016 rules update on the Nutrition Facts label?
potassium and vitamin D resulted from the 2016 rules update on the Nutrition Facts label as they were identified as nutrients of public health significance.
A client asks a nurse, "How do I know I that the vitamin supplement I buy at the supermarket is good enough for my family?" The nurse explains that supplement manufacturers must provide the FDA with what type of information before marketing a new dietary ingredient?
safety
