chapter 10 nursing 299

The nurse is seeing a client who indicates a desire to incorporate a specific nutrient into their diet after watching a news brief on the benefits of the dietary supplement. The client reports not knowing how much of the supplement to take because this was not discussed on the news. Which response by the nurse is most approriate?

"How do you believe this supplement is going to change your health?"

A client asks a nurse about functional foods. Which response by the nurse is most appropriate?

"Natural functional foods are the foundation of a healthy diet."

The nurse is caring for a client who has minimal financial resources. The client states, "I cannot afford to eat fresh organic vegetables, so sometimes I get canned organic products, but more often I just skip vegetables altogther." Which response by the nurse is most appropriate to assist the client in making good nutritional choices?

"The benefits of eating fresh produce outweigh any potential risks of pesticide exposure."

Limited access to transportation to obtain food is a common psychosocial factor in many large urban areas. These areas are considered

"food deserts" because of their lack of grocery stores and/or resources for adequate food sources.

The nurse is counseling a client who has concerns about food irradiation. The client states, "There is no way that that radioactive food is good for you!" Which information will the nurse provide to allay client's concerns and promote healthy nutrition? Select all that apply.

-Except for a slight decrease in thiamine, the nutrient losses from irradiation are similar to losses caused by cooking and freezing -Irradiation is a safe and effective technology that can prevent many foodborne illnesses by reducing or eliminating pathogens, controlling insects, killing parasites, and delaying spoilage

The clean 15 (with 1 being the cleanest)

1. Avocadoes 2. sweet corn 3. Pineapples 4. Onions 5. Papayas 6. Sweet peas (frozen) 7. Eggplant 8. Asparagus 9. Cauliflower 10. Cantaloupe 11. Broccoli 12. Mushrooms 13. Cabbage 14. Honeydew melon 15. Kiwi

The Dirty Dozen (with 1 being the dirtiest)

1. Strawberries 2. Spinach 3. Kale 4. Nectarines 5. Apples 6. Grapes 7. Peaches 8. Cherries 9. Pears 10. Tomatoes 11. Celery 12. Potatoes

The nurse replies that for a food to be labled "very low" sodium it cannot have more than

35 mg of sodium, per serving.

The incubation period for Clostridium perfringens is

8 to 16 hours

The nurse works in a hospital that is located in a lower income part of the city that is classified as an urban food desert. The nurse is participating in a multidisciplinary task force within the hospital to address food insecurity in the surrounding community. Making a decision based on available research, which proposal to mitigate food insecurity in the community will the nurse support?

A weekly subsidized farmers' market providing free or low cost produce within the neighborhood

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

The nurse is preparing to teach a nutrition class. In order to explain the benefits of food irradiation, which of the following points should the nurse include?

Food irradiation reduces foodborne illness.

A client developed fever, nausea and vomiting after eating a salad. The nurse suspects which of the following ingredients most likely caused her illness?

Foods most often associated with foodborne illness include: raw or undercooked foods of animal origin, raw fruits and vegetables, raw sprouts, unpasteurized fruit juice, and any uncooked food that was handled by someone who is ill

While teaching a nutrition class for clients who want to prevent heart disease, the nurse discusses that on a Nutrition Facts label, which of the following listed nutrients should consumers try to limit?

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.

What are the potential health benefits of Anthocyanins (Berries: Strawberries, cranberries, blueberries, raspberries, and black berries)

May reduce the risk of Alzheimer's disease through anti-inflammatory and antioxidant properties.

The nurse is teaching a community nutrition class. Which fact about certified organic livestock will the nurse share with the participants?

Must be raised on 100% organic feed (To be cerified organic, livestock must be raised on 100% organic feed.)

What are the potential health benefits of citrus fruits?

Neutralize free radicals; promote cellular antioxidants defenses

The information provided on a label includes

Nutrition Facts and an ingredient list; nutrient claims, health claims, and structure/function claims may also be found.

The client expresses confusion about modied funtional foods. Which example of a modified functional food will the nurse provide?

Orange juice with calcium

This pathogen causes nontyphoidal causes 11% of foodborne illness, 35% of foodborne illness resulting in hospitalization, and 28% of foodborne illness resulting in death.

Salmonella , nontyphoidal

A client is taking a selective serotonin reuptake inhibitor for treatment of depression. The nurse should remind the client to avoid which of the following herbal supplements?

St. John's wort

The majority of deaths from foodborne illnesses are caused by:

bacteria

The statements that to make the "100% organic" claim:

chemicals that occur naturally in the environment can be used in the process of growing crops, and irradiation of food is not permitted, all animal milk contains growth hormone, Organic livestock must be allowed to graze for 4 or more months per year, and Antibiotics are not allowed to be administered to organic livestock.

The nurse is teaching a community nutrition class about the use of food biotechnology. The nurse identifies that over 90% of which crop in the United States is grown using biotechnology?

corn

These are known to neutralize free radicals, which may damage cells; may inhibit cancer growth; may improve immune response

dark green vegetables

When clients have a strong family history of both heart disease and cancer, the nurse should encourage them to reduce their intake of

dietary fiber

Which of the following is a food characteristic introduced with the use of food biotechnology?

disease resistance

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.

For most Americans, the most significant nutrition concerns are

excessive intake of saturated fats, cholesterol, sodium, and sugars.

Breaking news can include

incomplete coverage of preliminary results, the distinction between correlation and correlation may be blurred, inappropriate conclusions may be drawn from results, and a study may be generalized to a broader population than was studied, leading to overstating of the size of the effect.

Which of the following is a treatment that destroys bacteria and parasites that cause foodborne illnesses?

irradiation

The nurse is seeing a client who wants to take dietary supplements. The nurse explains which of the following information MUST be on the supplement label?

labels to list any potential allergens.

The only nutrient that was higher in organic produce than conventional produce was

phosphorus

The MOST influential factor that the nurse should consider when planning and teaching a client about nutritional changes is which of the following?

the client's food security

You find a 1975 research study on a university website that was conducted in the university's laboratories. It concludes that taking a common over-the-counter medication can reduce needed sleep by 10 minutes. As a tired student, you find this appealing. You should question the reliability of these results because:

the study is outdated.

For Salmonella, the incubation period can be

up to 3 days

The nurse identifies Listeria monocytogenes as having the longest potential incubation period at

up to 3 months

Escherichia coli has an incubation period of

up to 4 days