CNA Chapter 15
how much vigorous activity does the USDA recommend you get per day?
30 minutes
if a resident has had a loos of ______ ask about it
appetite
use ______ devices such as utensils with built up handle grips, plate guards, and drinking cups when necessary
assistive
offer many different kinds of foods and ______
beverages
dietary management of diabetes
calories and carbohydrates must be carefully regulated in this diet and the types of foods and the amounts are determined by the persons nutritional and energy requirements
good nutrition helps the body grow new ______ and have ______
cells energy
verbal cues must be short and ______ and prompt the resident to do something
clear
for visually impaired residents use the face of an imaginary ______ to explain the position of what is in front of them
clock
the hand over hand approach is an example of a physical ______ that can help promote independence
cue
most of your fruit choices should be
cut up or whole fruit
encourage the use of ______, glasses, and hearing aids
dentures
bodies need a balanced ______ with nutrients and plenty of ______
diet fluids
MyPyramid is made up of 6 colored bands which represent
different food groups
encourage residents to ______
eat
give the resident the proper ______ devices to use for eating if needed
eating
[T or F] a resident who must have thickened liquids may also drink water
false
[T or F] a speech language pathologist will evaluate the resident to determine the thickness that the resident requires
false
[T or F] all of the body's fluid output is in the form of urine
false
[T or F] beverages will always arrive pre thickened from the dietary department
false
[T or F] drinking 12 ounces of water per day is the recommended amount for most people
false
[T or F] force fluids means to restrict the amount of fluids consumed
false
[T or F] if a resident does not want to wear a clothing protector tell her that she needs to or else her clothes will be soiled and she will have to change
false
[T or F] if a resident has an order for NPO this means he can drink water but nothing else
false
[T or F] if a resident wants to eat his dessert first tell him no and explain that it is unhealthy and that you are only doing what is best for him
false
[T or F] if food is too hot blow on it for a few minutes until it is cool enough for the resident to eat
false
[T or F] it is a good idea for residents with swallowing problems to suck on ice chips
false
[T or F] liquids that are nectar thick must be consumed with a spoon
false
[T or F] most people need to consciously monitor their fluid balance
false
[T or F] remain silent while helping a resident eat
false
[T or F] straws are helpful for residents with swallowing problems
false
[T or F] thickened liquids are usually ordered for residents with urinary problems
false
[T or F] you should do as much possible for each resident so the meal can proceed quickly
false
[T or F] you should take your time serving residents their dinner so that they will not feel rushed
false
give more ______ when requested
food
high potassium diet
foods high in this mineral that may be increased in this diet include bananas, grapefruit, oranges, orange juice, prune juice, prunes, sweet potatoes, and winter squash
what types of food should form the base of a healthy diet?
foods that are nutrient dense and low in fat
wheat, rice, oats, cornmeal, and barley are examples of which food group?
grains
a good diet promotes ______ ______ ______ and helps the body cope with ______
healing of wounds stress
low protein diet
in addition to restricted intake of fluids and sodium people who have kidney disease may also be put on this diet
record meal/snack ______
intake
check the environment, the temperature should be comfortable and keep noise level ______
low
______ is how the body uses food to maintain health
nutrition
if the resident bites down on utensils ask him to ______ his mouth
open
provide ______ ______ before and after meals
oral care
low fat or low cholesterol diet
people at risk for heart attacks and heart disease may be placed on these including limiting fatty meats, egg yolks, and fried foods
for the ill or elderly a balanced diet can help prevent ______ ______
pressure sores
honor ______ likes and dislikes
residents
low sodium diet
salt is restricted in this diet and other high sodium foods such as ham, nuts, pickles, and canned soups will be limited
mealtime is not only the time for getting proper nourishment but it is also a time for ______ which has a positive effect on eating
socializing
for residents who have had a stroke place food in the unaffected or ______ side of the mouth
stronger
if the resident pockets food in his cheeks ask him to chew and ______ the food
swallow
pureed diet
the food used in this diet has been blended or ground into a thick paste of baby food consistency and is often used for people who have trouble chewing and swallowing more textured foods
bland diet
this diet avoids foods that produce or increase levels of acid in the stomach such as alcohol and beverages containing caffeine
liquid diet
this diet consists of foods that are in a liquid state at body temperature and are usually ordered as clear or full
soft diet and mechanical soft diet
this diet consists of soft or chopped foods that are easy to chew and swallow and is ordered for residents who have trouble chewing and swallowing due to dental problems or other medical conditions
low residue diet
this diet decreases the amount of fiber, whole grains, raw fruits and vegetables, and seeds consumed
high residue diet
this diet increases the intake of fiber and whole grains such as whole grain cereals, bread, and raw fruits and vegetables to help prevent problems like constipation
modified calorie diet
this diet is used for losing weight or preventing additional weight gain
allow enough ______ to finish eating
time
fluid restricted diet
to prevent further heart or kidney damage, physicians may restrict a residents fluid intake on this diet
residents with Parkinson's disease may need help if ______ or shaking make it difficult for them to eat
tremors
[T or F] a spoon should stand up straight in a glass of liquid that is pudding thick
true
[T or F] a symptom of dehydration is dark urine
true
[T or F] a symptom of fluid overload is edema of the extremities
true
[T or F] all residents sitting together at one table should be served at the same time so that they may eat together
true
[T or F] alternating cold and hot foods or bland foods and sweets can help increase appetite
true
[T or F] fluid balance is taking in and eliminating the same amounts of fluid
true
[T or F] fluid overload occurs when the body is unable to handle the amount of fluid consumed
true
[T or F] fluids come in the form of liquids you drink as well as semi liquid foods such as soup or gelatin
true
[T or F] if a resident needs his food cut it should be done before the food is brought to the table
true
[T or F] it is important to identify each resident before serving meal trays
true
[T or F] make sure that the water pitcher and cup are near enough and light enough for the resident to lift
true
[T or F] people can become dehydrated by vomiting too much
true
[T or F] residents should be sitting upright at a 90 degree angle for eating
true
[T or F] the fluid a person consumes is called intake or input
true
[T or F] the sense of thirst lessens as a person ages
true
[T or F] thickening improves the ability to control fluids in the mouth and throat
true
[T or F] you should open milk and juice cartons, straws, and condiment packets for residents
true
position residents sitting ______ for feeding
upright
proper position for eating is ______ which helps prevent swallowing problems
upright
notify the nurse if a resident has trouble using ______
utensils
help residents ______ hands before eating
wash
if a resident has poor sitting balance seat him or her in a regular dining room chair with armrests rather than a ______ and put the resident in the proper position in the chair which means hips at a ______ angle, knees flexed, and feet and arms fully supported
wheelchair 90
