Nurs 210 - Exam 2 - Jarvis: Chapter 11: Nutritional Assessment

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 Nurs 210 - Exam 2 - Jarvis: Chapter 11: Nutritional Assessment
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  • 1. 
    Pasqual and Santos, Portugal immigrants, who work as fishermen with Peter Griffin. These men are new to the U.S., do not speak English, and due to their heavy occupational workload have depleted nutritional reserves. They are at most risk for:
    • A. 

      Obesity

    • B. 

      MAMA

    • C. 

      Overnutrition

    • D. 

      Undernutrition

    • E. 

      B and C


  • 2. 
    Which of the following is not true about overnutrition:
    • A. 

      Can lead to sleep apnea

    • B. 

      Being overweight during childhood and adolescence is associated with increased risk for becoming overweight during adulthood

    • C. 

      In adults, obesity is defined as a BMI of 25 or more

    • D. 

      Overnutrition can lead to certain cancers

    • E. 

      Overnutrition is caused by the consumption of nutrients in excess of body needs


  • 3. 

    Once upon a time, the Griffin family was faced with a dilemma. Chris Griffin, age 13, had become self-conscious about his weight and began a diet and exercise regime; however it fails to yield results. Meanwhile, Stewie Griffin, age 1, took advantage of Chris'hard time with his diet. He attempted to spite him via eating an overabundance of the fatty food Chris couldn 't eat anymore. He eventually took it too far and now he suffers from childhood obesity. Should Stewie Griffin be placed on a low-fat diet to cease his progressive weight gain?
    • A. 

      Yes

    • B. 

      No


  • 4. 

    Bonnie Swanson is pregnant (and has been for like 6 years). Prior to her pregnancy, she was of normal weight and body frame. According to the National Academy of Sciences (NAS), how much weight should she gain during pregnancy?
    • A. 

      15 - 25 lbs

    • B. 

      25 - 35 lbs

    • C. 

      28 - 40 lbs

    • D. 

      None of the above


  • 5. 

    On an average Friday night, Mayor Adam West is eating alone at a restaurant. He is under the delusion that he is French. While speaking in a French accent, he refuses to eat corn on the cob served to him at a restaurant. He claims that such food is for horses. According to his thought processes, he won' t eat the presented food,because:
    • A. 

      He is a new immigrant

    • B. 

      It interferes with his definition of the content for cermonial meals

    • C. 

      It intereferes with his typical food-buying habits

    • D. 

      It interferes with his cultural definition of food

    • E. 

      None of the above


  • 6. 
    Black women typically have lower _____ than white women.
    • A. 

      Weight

    • B. 

      Hematocrit levels

    • C. 

      Hemoglobin levels

    • D. 

      Creatinine levels

    • E. 

      All of the above


  • 7. 
    True or False:The 3-day food records is not affected by culture because food is a universal phenomenon and food iseaten byevery culture.
    • A. 

      True

    • B. 

      False


  • 8. 

    Based solely on their racial background, is Lois (left) or Loretta (right) more likely to have osteoporosis?
    • A. 

      Lois

    • B. 

      Loretta


  • 9. 

    Who is more likely to be lactose intolerant: Pocahontas, who is Native American, or Cinderella, who is of European discent.
    • A. 

      Cinderella

    • B. 

      Pocahontas


  • 10. 

    Kosher, which involves the prohibition of eating pig meats and crustaceans (eg lobster, crab, shrimp, oysters, etc) refers to:
    • A. 

      Islamic dietary laws

    • B. 

      Jewish dietary laws

    • C. 

      Mormon dietary laws

    • D. 

      Buddhist dietary laws

    • E. 

      None of the above


  • 11. 
    The purpose of a nutritional assessment does not include which of the following:
    • A. 

      Identify individuals who are malnourished

    • B. 

      Provide data for designing a nutition plan of care that will prevent or minimize the development of malnutrition

    • C. 

      Identifying those who are at risk for malnutrition

    • D. 

      Establish a baseline data for evaluating the efficacy of nutritional care

    • E. 

      None of the above


  • 12. 
    Which is not true regarding the comprehensive nutritional assessment?
    • A. 

      Is performed for all patients

    • B. 

      Includes dietary history and clinical information

    • C. 

      Includes physical examination

    • D. 

      Includes anthropometric measures

    • E. 

      Includes laboratory tests


  • 13. 
    Which of the following is the easiest and most popular method for obtaining information about dietary intake?
    • A. 

      Stalking your patient

    • B. 

      Food frequency questionnaire

    • C. 

      3-day food diary

    • D. 

      24-hour recall

    • E. 

      Direct observation


  • 14. 
    Which of the following is a common error that occurs with the 24-hour diet recall.
    • A. 

      Snack items and the use of gravies, sauces, and condiments may be underreported

    • B. 

      The individual or family member may not be able to recall the type or amount of food eaten

    • C. 

      The truth may be altered for various reasons

    • D. 

      The intake within the last 24 hours may be atypical of usual intake

    • E. 

      All of the above


  • 15. 
    Which of the following is a common draw back to the food frequency questionnaire?
    • A. 

      Noncompliance

    • B. 

      Atypical intake on the recording day

    • C. 

      Conscious alteration of diet during the recording period

    • D. 

      It does not quantify amount of intake

    • E. 

      None of the above


  • 16. 

    You are Princess Jasmine's nurse. You need to determine the adequacy or inadequacy of your patient's diet. Which of the following is not one of the three guides that is discussed in Jarvis?
    • A. 

      Food Guid Pyramid

    • B. 

      Subjective Global Assessment (SGA)

    • C. 

      Dietary Guidlines

    • D. 

      Daily Reference Intakes (DRIs)

    • E. 

      None of the above


  • 17. 

    Peter Griffin has come into your clinic with a predicament. Due to a... uhhh.. unfortunate incident, he now wants to lose weight. You decide make use of the DRI guide. Which of the following is not a service provided by the DRIs.
    • A. 

      Providing information about the recommended amounts of nutrients to prevent deficiencies

    • B. 

      Providing information about the recommended amounts of nutrients to reduce the risk of chronic diseases

    • C. 

      Provide information specifying the upper limits of nutrients to avoid toxicity

    • D. 

      All of the above

    • E. 

      None of the above


  • 18. 

    Brian told Quagmire that taking B vitamin supplements would improve his sex drive. Hoping to get laid that evening, Quagmire did not read the bottle directions and ingested a lot of supplements causing him to go to the hospital (to his good fortune, he managed to nail a nurse while in the ER). Would you consider this an isolated case?
    • A. 

      Yes

    • B. 

      No


  • 19. 
    Amenorrhea, which is assocated with nutritional deficiency, is
    • A. 

      The term that refers to the Islamic dietary laws

    • B. 

      Deficiency of dietary supplements

    • C. 

      A side effect of the use of anabolic steroids

    • D. 

      Agents that are often substituted for nutritious food

    • E. 

      Absence of menstrual flow


  • 20. 
    True or False:Individuals with DM are twice as likely to have nutritional deficits.
    • A. 

      True

    • B. 

      False


  • 21. 
    Which of the following is a appropach for nutrition screening of the elderly?
    • A. 

      Daily Reference Intakes

    • B. 

      Dietary Guidlines

    • C. 

      Food Guide Pyramid

    • D. 

      Nutritional Screening Intiative

    • E. 

      None of the above


  • 22. 
    Someone who is cachectic:
    • A. 

      Has fat and muscle wasting

    • B. 

      Is obese

    • C. 

      Lives a sedentary lifestyle

    • D. 

      Lives an active lifestyle

    • E. 

      None of the above


  • 23. 
    True or False:Clinical signs are early manifestations of malnutrition. Deficiencies are comprehensivley readily detectable.
    • A. 

      True

    • B. 

      False


  • 24. 
    Anthropometry is:
    • A. 

      Absent menstrual cycles

    • B. 

      A measurement and evaluation of growth, development, and body composition

    • C. 

      A serious side effect of steroids which affects, among other areas, the skin, eyes, and gums

    • D. 

      Scanty menstrual flow

    • E. 

      An abnormally large head circumference, which often signifies disease


  • 25. 
    Which of the following is not a common location for anthropometry:
    • A. 

      Height

    • B. 

      Triceps skinfold thickness

    • C. 

      Elbow breadth

    • D. 

      Arm and head circumferences

    • E. 

      None of the above


  • 26. 
    Which of the following is the correct formula for calculating mody weight as a percentage of ideal body weight?
    • A. 

      Percent ideal body weight = (ideal weight/current weight) x 703

    • B. 

      Percent ideal body weight = (ideal weight/100) x current weight

    • C. 

      Percent ideal body weight = (current weight/ideal weight) x 100

    • D. 

      Percent ideal body weight = (ideal weight/current weight) x 100

    • E. 

      Percent ideal body weight = (current weight/ideal weight) x 703


  • 27. 
    A body weight (as a percentage of ideal body weight) of 89% is considered to be:
    • A. 

      Healthy

    • B. 

      Mild malnutrition

    • C. 

      Moderate malnutrition

    • D. 

      Severe malnutrition

    • E. 

      None of the above


  • 28. 
    Percent usual body weight is calculated as:
    • A. 

      Percent body weight = (current weight/usual weight) x 100

    • B. 

      Percent body weight = (usual weight/current weight) x 100

    • C. 

      Percent body weight = (current weight/usual weight) x 703

    • D. 

      Percent body weight = (current weight/usual weight) x 307

    • E. 

      None of the above


  • 29. 
    A BMI of 27 is considered to be which of the following?
    • A. 

      Underweight

    • B. 

      Normal weight

    • C. 

      Overweight

    • D. 

      Obese

    • E. 

      Sexy


  • 30. 
    Which of the following is a practical marker of optimal weight for height and an indicator of obesity or protein-calorie malnutrition?
    • A. 

      Body weight as a percentage of ideal weigth

    • B. 

      Percentage usual body weight

    • C. 

      Waist-to-hip ratio

    • D. 

      Percentage of recent weight change

    • E. 

      Body mass index


  • 31. 
    Which of the following assesses body fat distribution as an indicator of health risk?
    • A. 

      Body mass index

    • B. 

      Body weight as a percentage of ideal body weight

    • C. 

      Anthropometry

    • D. 

      Waist-to-hip ratio

    • E. 

      Percentage usual body weight


  • 32. 

    These women carry most of their weight in the hips and thighs (and tooshy), this portrayal describes:
    • A. 

      Android obesity

    • B. 

      Gynoid obesity

    • C. 

      Antrhopometry

    • D. 

      Sexy women


  • 33. 

    Peter depicts which of the following:
    • A. 

      Android obesity

    • B. 

      Gynoid obesity

    • C. 

      Anthropometry

    • D. 

      A good husband


  • 34. 
    Which is the most common site used for obtaining skinfold thickness measurements.
    • A. 

      Biceps skinfold (BSF)

    • B. 

      Gluteal skinfold (GSF)

    • C. 

      Suprailiac skinfold

    • D. 

      Subcapsular skinfold

    • E. 

      Triceps skinfold (TSF)


  • 35. 
    How would one determine the arm muscle circumference and arm muscle area?
    • A. 

      Mid-upper arm circumference (MAC) + Triceps skinfold (TSF)

    • B. 

      Biceps skinfold (BSF) + Triceps skinfold (TSF)

    • C. 

      Body mass index (BMI) + Biceps skinfold (BSF)

    • D. 

      Triceps skinfold (TSF) + Body mass index (BMI)

    • E. 

      None of the above


  • 36. 
    The mid-upper arm muscle circumference (MAMC) estimates
    • A. 

      Smooth muscle reserves

    • B. 

      The amount of lean body mass

    • C. 

      Skeletal muscle reserves

    • D. 

      A and B

    • E. 

      B and C


  • 37. 

    You are Stewie Griffin's nurse. He has become very fussy and refuses to allow you to measure his height. Instead you measure the distance from the tip of the middle finger on one hand to that on the other hand. The arm span should be _____ his height.
    • A. 

      Greater than

    • B. 

      Less than

    • C. 

      Equal to


  • 38. 
    The most accurate way to determine frame size is:
    • A. 

      Wrist breadth

    • B. 

      Shoulder breadth

    • C. 

      Elbow breadth

    • D. 

      A and B

    • E. 

      A and C


  • 39. 
    At approximately what age does height begin slowly declining?
    • A. 

      25

    • B. 

      30

    • C. 

      40

    • D. 

      50

    • E. 

      65


  • 40. 
    A hemoglobin level of 12 g/dl is:
    • A. 

      Is abnormal for an adult male

    • B. 

      May be an indication of iron anemia

    • C. 

      Normal for adult women

    • D. 

      All of the above

    • E. 

      None of the above


  • 41. 
    The doctor orders a hematocrit lab test for Ariel. The test outcome indicates a result of 40%. Which is untrue:
    • A. 

      This lab result should be interpreted with hemoglobin level results

    • B. 

      Hematocrit is a measure of cell volume

    • C. 

      Hematocrit is an indicator of iron status

    • D. 

      This suggests a risk for coronary artery disease

    • E. 

      This is a normal finding for an adult woman


  • 42. 
    True or False:Total cholesterol (screens for hyperlipidemia) and serum triglycerides (TGs) (measured to evaluate fat metabolism) both assess the risk for coronary artery disease.
    • A. 

      True

    • B. 

      False


  • 43. 
    Which of the following is untrue of the total lymphocyte count lab test?
    • A. 

      Measures cell volume

    • B. 

      Is the most commonly used tests of immune function

    • C. 

      Is an indicator of visceral protein status

    • D. 

      Suggests the status of cellular immune function

    • E. 

      None of the above


  • 44. 
    Which is true of serum albumin lab tests?
    • A. 

      Is an early indicator of protein malnutrition

    • B. 

      Measures parietal protein status

    • C. 

      Is more sensitive indicator than serum tranferrin tests

    • D. 

      All of the above

    • E. 

      None of the above


  • 45. 
    Which of the following is untrue about prealbumin?
    • A. 

      Serves as a transport protein for T4

    • B. 

      Serves as a retinol-binding protein

    • C. 

      Is a plasma protein marker of inflammatory status

    • D. 

      Is sensitive to acute changes in protein status

    • E. 

      Is sensitive to sudden demands on protein synthesis


  • 46. 
    C-reactive protein (CRP) :
    • A. 

      Montors metabolic stress

    • B. 

      Is produced by the kidneys

    • C. 

      Is commonly detected in general blood tests

    • D. 

      All of the above

    • E. 

      None of the above


  • 47. 
    Which test can provide an indicator of when to begin nutritional support in cirtically ill patients?
    • A. 

      Triglycerides

    • B. 

      Prealbumin

    • C. 

      Nitrogen balance

    • D. 

      Serum transferrin

    • E. 

      C-reactive protein


  • 48. 
    Which of the following is untrue about nitrogen balance lab tests?
    • A. 

      Used as an index of protein nutritional status

    • B. 

      Nitrogen is released with the anabolism of amino acids

    • C. 

      Nitrogen is extreted in the urine as urea

    • D. 

      It can indicate whether the person is anabolic (positive nigrogen balance)

    • E. 

      It can indicate whether the person is catabolic (negative nigrogen balance)


  • 49. 
    Which is true of creatinine-height index (CHI)?
    • A. 

      Is a method of estimating the amount of net fat on the body

    • B. 

      Is excreted in a altered form in the urine

    • C. 

      Requires a midstream urine specimen

    • D. 

      Creatine is derived from the breakdown of creatinine.

    • E. 

      Creatinine excreted in urine remains at a constant rate in proportion to the amount of body muscle


  • 50. 
    Who is more prone to sickle-cell anemia?
    • A. 

      European-descent

    • B. 

      African descent

    • C. 

      Asian descent

    • D. 

      American Indian descent

    • E. 

      None of the above


  • 51. 
    True or False:At birth, blacks have lower serum cholesterol levels than whites. During childhood blacks have higher serum cholesterol levels than whites. These differences reverse during adulthood, when black adults have lower serum cholesterol levels than white adults.
    • A. 

      True

    • B. 

      False


  • 52. 
    Marasmus is:
    • A. 

      Carbohydrate-calorie malnutrition

    • B. 

      Results in an obese appearance

    • C. 

      Can lead to bowel obstruction and cancer cachexia

    • D. 

      Results in extreme amounts of fat

    • E. 

      None of the above


  • 53. 
    Rickets:
    • A. 

      Is a sign of vitamin D and calcium deficiencies

    • B. 

      Is marked by disorders of cartilage cell growth

    • C. 

      Can lead to osteomalacia in adults

    • D. 

      Results in a bowlegged appearance

    • E. 

      All of the above


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