Nutrition Exam 2 (Chapters 6,8,9,11,12,13,14)

Which statement indicates that the client understands the instruction given about using a vitamin supplement? A. "USP on the label guarantees safety and effectiveness." B. "Natural vitamins are always better for you than synthetic vitamins." C. "Vitamins are best absorbed on an empty stomach." D. "Taking a multivitamin cannot fully make up for poor food choices."

D

A client with hyperlipidemia is prescribed niacin. The client asks if they can simply include more niacin rich foods in their diet in order to forgo niacin in pill form. What is the nurses best response? A. "The dose of niacin needed to treat hyperlipidemia is far more than can be consumed through eating a niacin rich diet" B. "You cant get the therapeutic form of niacin through food" C. "Niacin from food is not as well absorbed as niacin from pills" D. "If you are able to consistently choose niacin fortified foods in your diet, then your doctor may allow you to forgo the pills rely on dietary sources of niacin"

A

The client asks if taking supplements of beta carotene will help reduce risk of cancer. What is the nurses best response? A. "Supplements of beta carotene may help reduce the risk of heart disease but not of cancer" B. "Supplements of beta carotene have not been shown to lower the risk of cancer and may even promote cancer in certain people" C. "Although evidence is preliminary, taking beta carotene supplements is safe and may prove to be effective against cancer in the future" D. "Natural supplements of beta carotene are generally harmless:

B

When developing a teaching plan for a client who is on Warfarin(Coumadin), which of the following foods would the nurse suggest that the client consume consistently because of their vitamin K content? A. Vegetable oil, fruit, seafood B. Brussels sprouts, cauliflower, and spinach C. Fortified cereals, whole grains, and nuts D. Dried peas and beans, wheat germ, and seeds

B

A client asks if its better to consume folic acid from fortified foods or from a vitamin pill. What is the nurses best response? A. "It is better to consume folic acid from fortified foods because it will be better absorbed than through the pill form." B. "It is better to consume folic acid through vitamin pills because it will be better absorbed than through fortified foods." C. "Fortified foods and vitamin pills have the same form of folic acid, so it doesn't matter which source you use because they are both well absorbed" D. "It is best to consume naturally rich sources of folate because that form is better absorbed than the folic acid in either fortified foods or vitamin pills"

C

A client is diagnosed with pernicious anemia. What vitamin are they not absorbing? A. Folic Acid B. Vitamin B6 C. Vitamin B12 D. Niacin

C

Which population is at risk for combined deficiencies of thiamin, riboflavin, and niacin? A. Pregnant women B. Vegetarians C. Alcoholics D. Athletes

C

Which vitamin is given in large doses to facilitate would and bone healing? A. Vitamin A B. Vitamin D C. Vitamin C D. Niacin

C

2 A mother asks why toddlers shouldn't drink all the milk they want. Which of the following is the nurse's best response? a. "Consuming more than the recommended amount of milk can displace the intake of iron-rich foods from the diet and increase the toddler's risk of iron deficiency anemia." b. "Consuming more than the recommended amount of milk increases the risk of milk allergy." c. "Too much milk can lead to overhydration." d. "Consuming more than the recommended amount of milk will provide too much calcium."

a

2 A woman who was at her healthy weight when she got pregnant is distraught by her 4-pound weight gain between 20 and 24 weeks of gestation. Her weight gain up to 20 weeks was on target. What is the nurse's best response? a. "A 4-pound-per-month weight gain at this point in your pregnancy is normal." b. "Although it is considerably less than the recommended amount, it is not a cause for concern. Just be sure to follow your meal plan next month so you get enough calories and nutrients." c. "I recommend you write down everything you eat for a few days so we can identify where the problem lies." d. "A 4-pound weight gain in 1 month at this point in your pregnancy may be a sign that you are at risk of preeclampsia. You should cut back on the 'extras' in your eating pattern to limit your weight gain for next month."

a

3 A client complains that she is not eating any more than she did when she was 30 years old and yet she keeps gaining weight. Which of the following would be the nurse's best response? a. "As people ger older, they lose muscle mass, which lowers their calorie requirements, and physical activity often decreases too. You can increase the number of calories you burn by building muscle with resistance exercises and increasing your activity." B. "You may not think you are eating more calories but you probably are because the only way to gain weigh is to eat more calories than you burn. C. "Weight gain is an inevitable consequence of getting older that is related to changes in your body composition. Do not worry about it because older people are healthier when they are heavier. d. "Weight gain among older adults is inevitable and un-treatable. Concentrate on eating a healthy eating pattern and do not focus on weight."

a

6 What nutrient is not likelv to be consumed in adequate amounts during pregnancy so a supplement may be needed? a. Iron b. Vitamin A c. Vitamin B12 d. Vitamin C

a

7 A woman at 5 weeks of gestation is complaining of nausea throughout the day. What should the nurse recommend a. Small, frequent meals of easily digested carbohydrates b. Small, frequent meals that are high in protein c. A liquid diet until the nausea subsides d. Increasing fluids with all meals and snacks

a

7 Calorie requirements during adolescence a. are higher than during adulthood because of growth and developmental changes. b. peak early (e.g., ages 12 and 13) and then fall until adulthood is reached. c. are lower than during childhood. d. do not change from middle childhood.

a

7 What is a source of leucine that may help stimulate protein synthesis? a. milk b. nuts c. legumes d. grains

a

Which of the following situations results in a less caloric dense choice? A. Canadian bacon in place of bacon B. Refried beans instead of cooked or canned pinto beans C. Natural cheese instead of low fat cheese D. Baked potato with cheese sauce instead of baked potato with salsa

a

Muslims are prohibited from consuming a. Alcohol b. Eggs c. Beef d. Shellfish

a 09\ 444444444444444444

5 Which foods are youth ages 5 to 18 most likely to eat in inadequate amounts? Select all that apply. a. Whole grains b. Vegetables c. Fruits d. Meat

a b c

6 Why are older adults at increased risk of vitamin D deft-ciency? Select all that apply. a. inadequate intake b. impaired activation by the liver and kidneys c. decreased ability to synthesize vitamin D on the skin d. decreased GI absorption

a b c

What are the characteristics of a traditional Mexican diet? select all that apply A. low in fat B. high in fiber C. rich in complex carbohydrates D. rich in vegetable protein

a b c d

What are the nutritional characteristics of a traditional soul food diet? select all that apply A. high in fat B. high in sodium C. high in potassium D. high in cholesterol

a b d

4 At her first prenatal visit, an overweight woman asks how much weight she should gain during the course of her pregnancy. What is the nurse's best response? a. "You should not gain any weight during your pregnancy. You have adequate calorie reserves to meet all the energy demands of pregnancy without gaining additional weight." b. "You should try to gain less than 15 pounds." c. "Aim for a 15- to 25-pound weight gain." d. "The recommended weight gain for your weight is 25 to 35 pounds."

c

1 A woman trying to become pregnant was told by her physician to take a daily supplement containing 400 mg of folic acid. She asks why a supplement is better than eating natural sources of folate through food. Which statement is the nurse's best response? a. "There are few natural sources of folate in food." b. "Synthetic folic acid in supplements and fortified foods is better absorbed, more available, and a more reliable source than the folate found naturally in food." c. "Folate in food is equally as good as folic acid in supplements. It is just easier to take it in pill form and then you don't have to worry about how much you're getting in food." d. "If you are sure that you eat at least five servings of fruits and vegetables every day, you don't really need to take a supplement of folic acid "

b

3 The nurse knows her instructions about introducing solids into the infant's diet have been effective when the mother states, a. "Babies should be introduced to solid foods at I to 3 months of age." b. "New foods should be given for at least 3 days so that allergic responses can be easily identified." c. "Infants are more likely to accept infant cereal for the first time if it is mixed with breast milk or formula and given from a bottle. » d. "The appropriate initial serving size for solids is 1 to 2 tbsp."

b

4 Which mineral is likely to be consumed in inadequate amounts by older adults? a. iron b. calcium c. iodine d. sodium

b

4 Which of the following would be the best snack for a 2-year-old? a. Popcorn b. Banana slices c. Fresh cherries d. Raw celery

b

5 The MedDiet differs from other healthy eating plans in that it a. prohibits dairy intake. b. is higher in fat content, primarily from olive oil, nuts, and fatty fish. c. does not include fruit. d. does not limit sweets.

b

5 Which of the following statements indicates that the pregnant woman understands the recommendations about caffeine intake during pregnancy? a. "I have to give up drinking coffee and cola." b. "I will limit my intake of coffee to about 2-3 cups a day and avoid other sources of caffeine." c. "As long as I don't drink coffee, I can eat other sources of caffeine because they don't contain enough to cause any problems." d. "Caffeine is harmless during pregnancy, so I am allowed to consume as much as I want."

b

A BMI of 26 is classified as A. Normal B. Overweight C. Class 1 obesity D. Class 2 obesity

b

A nurse knows that their instructions about portion control have been effective when the client verbalizes that they will: A. Prepare a doggie bag after they feel they are not full enough while eating out B. Use a smaller dinner plate C. Be careful not to overfill their cereal bowls when they serve themselves from the large, family sized box D. Remind themselves not to overeat

b

How much weight will a person lose in a week if they eat 500 fewer cal/day than they need and increase their exercise expenditure by 500 cal/day? A. 1lb per week B. 2lb per week C. 3lb per week D. There isnt enough information provided to estimate weekly weight loss

b

The nurse knows that her instructions about nutrient claims on the label have been effective when the client says: A. "Excellent source' is not defined, so it cannot be trusted" B. "Excellent source' means a serving of food must provide at least 20% of the DV for that nutrient" C. "Excellent source' means a serving of the food must provide a days worth of that nutrient" D. "Excellent source' means a serving of the food provides 10% or more of a desirable nutrient than does a comparable product"

b

Waist circumference is an indicator of: A. Percentage of body fat B. Central obesity C. The ratio of body fat to muscle mass D. BMI

b

Which approach would be best when developing a teaching plan for an overweight woman from Mexico? A. Tell the client she will look better if she loses some of the extra weight she is carrying around B. Encourage more nutritious food choices C. Advise the client that healthy eating will help her shed inches D. Provide a low calorie diet and encourage her to eat low calorie American foods, such as artificially sweetened soda and low fat ice cream

b

Which of the following religions does not encourage a vegetarian diet? A. Buddhism B. Judaism C. Seventh-Day Adventist D. Hinduism

b

Which statement indicates that the client needs further instructions about reading nutritioThn labels? A. "The %DV is based on a 2000 calorie eating pattern" B. "The %DV represents the percentage of calories from carbohydrates, protein, and fat in that food"\ C. "The dual column labels show information per serving and per package" D. "The serving size listed on the label is based on how much people actually consume, not on what they should be eating"

b

What are the characteristics of a traditional Chinese diet? select all that apply A. rich in dairy products B. low in fats C. high in sodium D. vegetables used extensively

b c d

2 The nurse knows their instructions about vitamin B12 are effective when a 65-year-old client verbalizes they will a. consume more meat. b. consume more fruits and vegetables. c. eat vitamin B12-fortified cereal. d. drink more milk.

c

6 The client asks if her 10-year-old daughter needs a weight loss diet. Which of the following would be the nurse's best response? a. "Rather than a diet at this age, you should just forbid her to eat sweets and empty calories." b. "Because prevention of overweight is more effective than treatment, you should start to limit her calorie intake by only serving low-fat and artificially sweened c. "Ten-year-old girls are about to enter the growth spurt of puberty, and it is natural for her to gain weight before she grows taller. Diets are not recommended for children, although healthy eating and moderation are always appropriate. d. "She needs extra calories for the upcoming growth spurt, so you should be encouraging her to eat more than she normally does.

c

8 Which of the following statements is true? a. "Women who breastfeed almost always achieve their pre-pregnancy weight at 6 weeks postpartum." b. "Weight loss during lactation is not recommended because it lowers the quantity and quality of breast milk produced."' c. "Most breastfeeding women do not have to increase their intake by the full amount of calories it 'costs' to produce milk because they can mobilize fat stored during pregnancy for some of the extra energy required." d. "Women do not need to increase their calorie intake at all for the first 6 months of breastfeeding because they can use calories stored in fat to produce milk."

c

A client asks how they can speed up their metabolism. Which of the following is the best response? A. "You cant. Metabolic rate is genetically determined" B. "Ask your doctor to check your thyroid hormone levels" C. "Include strength training in your exercise program because adding muscle will increase metabolic rate" D. "Eat fewer calories because that will stimulate metabolic rate"

c

For most Americans, the largest percentage of their total calories expenses daily is from: A. Physical activity B. Thermal effect of food C. Basal energy expenditure D. Sitting

c

The client asks if tea that claims to improve memory really works. Which of the following would be the nurses best response? A. "If the tea claims to improve memory, then it has been tested and proven effective at improving memory" B. "The tea probably works but you need to try it to know" C. "Function claims like "improve memory" can be used on labels without supporting proof that they are accurate" D. "That type of claim is illegal and should not appear on any food label"

c

The nurse knows that her instructions about label reading have been effective when the client verbalizes that fat free on the label means: A. the product is free of any ingredients that contain any fat B. The product does not contain any fat or saturated fat C. There is <0.5 g of fat in a serving D. There is <1 g of fat in a serving

c

Using a simple formula based on calories per kilogram of body weight, how many calories per day would a healthy weight adult who weighs 70kg need? A. 2350 to 2800 calories B. 2100 to 2350 calories C. 1750 to 2100 calories D. 1400 to 1750 calories

c

What is a descriptive word that indicates a low-fat cooking technique? A. au gratin B. Breaded C. Roasted D. Battered

c

What is the component in allergens that is responsible for triggering allergic attack in susceptible people? A. Sugar B. Starch C. Protein D. Fat

c

Which statement about supplements is accurate? A. All supplements must be tested for safety and effectiveness before they can be marketed B. Supplement dosages are standardized C. Proper handling of supplement ingredients is required by law D. Warnings about potential side effects or interactions must be stated on the packaging

c

1 A 68-year-old man who has steadily gained excess weight over the years complains that it is too late for him to make any changes in diet or exercise regimen that would effective-iv improve his health, particularly the arthritis in his knees. Which of the following would be the nurse's best response? a. "Unfortunately, you're right. You cannot benefit from a change in diet and exercise now. b. "It is too hard for older people to change their habits. You should just continue what you've been doing and know that it's a quality of life issue to enjoy your food." c. "It may not help to change your intake and exercise, but it certainly wouldn't hurt. Why don't you give it a try and see what happens?" "It is not too late to make changes, and losing weight through diet and exercising are the best lifestyle interventions for osteoarthritis."

d

1 Which statement indicates the mother understands the nurse's instructions about breastfeeding? a. "Breastfeeding should only last 5 minutes on each breast." b. "Sometimes, babies cry just because they are thirsty, so a bottle of water should be offered before breastfeeding begins to see if the infant is just thirsty." c. "The longer the baby sucks, the less milk I will have for the next feeding." d. "The first breast offered should be alternated with each feeding.

d

3 The nurse knows her instructions on healthy eating during pregnancy have been effective when the woman verbalizes she should a. avoid seafood because of its mercury content. b. limit alcohol to 2 drinks/day. c. increase her intake of milk to 4 cups/day. d. eliminate hot dogs and deli meats unless heated to steaming hot immediately before eating.

d

8 The MIND diet differs from the MedDiet in that it a. prohibits the intake of alcohol. b. prohibits the intake of red meat. c. does not make a recommendation regarding fish intake. d. lists green leafy vegetables as a separate recommendation from other vegetables.

d

8 Which is a nutrient of concern particularly for adolescent girls? a. Vitamin A b. Protein c. Zine d. Folic acid

d

The nurse knows that her instructions about gluten free labeling are understood when the client verbalizes one of the following statements: A. "Only foods that have been specifically made gluten free, not foods that are naturally free, can be labeled as gluten free" B. "Gluten free means there are no detectible amounts of gluten in the product" C. "Products labeled gluten free are limited to foods that are naturally gluten free" D. "Gluten free products provide <20ppm of gluten per serving"

d

Which of the following foods is not pareve? A. fruit B. vegetables C. kosher eggs D. milk

d

Which of the following statements about CBD is accurate? A. The FDA defines CBD as a dietary supplement B. CBD is the most active ingredient in marijuana C. CBD may be addictive over time D. CBD is the active ingredient in a drug approved by the FDA

d