Question 1

The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI)in the home setting.Which information is of concern?

Accepted Answer

A)  The patient's son uses a marked pillbox to set up the patient's medications weekly. 
B)  The patient has lost 10 pounds (4.5 kg) during the last month. 
C)  The patient is cared for by a daughter during the day and stays with a son at night. 
D)  The patient tells the nurse that a close friend recently died. 
A)  The patient's son uses a marked pillbox to set up the patient's medications weekly. 
B)  The patient has lost 10 pounds (4.5 kg) during the last month. 
C)  The patient is cared for by a daughter during the day and stays with a son at night. 
D)  The patient tells the nurse that a close friend recently died. B

Question 2

Critical Thinking: During a physical examination,the nurse notes that the patient's skin is dry and flaking,with patches of eczema.Which nutritional deficiency might be present?

Accepted Answer

A)  Vitamin C 
B)  Vitamin B 
C)  Essential fatty acid 
D)  Protein 
A)  Vitamin C 
B)  Vitamin B 
C)  Essential fatty acid 
D)  Protein C

Question 3

Critical Thinking: During a physical examination,the nurse notes that the patient's skin is dry and flaking,with patches of eczema,and suspects a nutritional deficiency.What additional data would the nurse expect to find to confirm the suspicion?

Accepted Answer

A)  Hair loss and hair that is easily removed from the scalp 
B)  Inflammation of the tongue and fissured tongue 
C)  Inflammation of peripheral nerves and numbness and tingling in extremities 
D)  Fissures and inflammation of the mouth 
A)  Hair loss and hair that is easily removed from the scalp 
B)  Inflammation of the tongue and fissured tongue 
C)  Inflammation of peripheral nerves and numbness and tingling in extremities 
D)  Fissures and inflammation of the mouth A

Question 4

An African American is at an increased risk for which of the following? (Select all that apply.)

Accepted Answer

A)  Vitamin D deficiency 
B)  Type 1 diabetes 
C)  Celiac disease 
D)  Type 2 diabetes 
E)  Hypertension
F) Metabolic syndrome 
A)  Vitamin D deficiency 
B)  Type 1 diabetes 
C)  Celiac disease 
D)  Type 2 diabetes 
E)  Hypertension
F) Metabolic syndrome

Question 5

During an interview,the nurse is discussing dietary habits with a patient.Which tool would be the best choice to use as a quick screening tool to assess dietary intake?

Accepted Answer

A)  Food diary 
B)  Calorie count 
C)  Comprehensive diet history 
D)  24-hour recall 
A)  Food diary 
B)  Calorie count 
C)  Comprehensive diet history 
D)  24-hour recall

Question 6

During a nutritional assessment,the nurse calculates that a female patient's BMI is 27.The nurse would advise the patient to follow which of these recommendations?

Accepted Answer

A)  This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight. 
B)  This measurement indicates that the patient is underweight and will need to take measures to gain weight. 
C)  This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery. 
D)  This measurement indicates that the patient is of normal weight and should continue with current lifestyle. 
A)  This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight. 
B)  This measurement indicates that the patient is underweight and will need to take measures to gain weight. 
C)  This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery. 
D)  This measurement indicates that the patient is of normal weight and should continue with current lifestyle.

Question 7

The nurse is assisting a 79-year-old patient with information about diet and weight loss.The patient has a body mass index (BMI)of 31.How should the nurse instruct this patient?

Accepted Answer

A)  "Your weight is within normal limits. Continue maintaining with current lifestyle choices." 
B)  "You are a little overweight. Cut down on calories and increase your activity, and you should be fine." 
C)  "You are morbidly obese, and we would like to schedule you an appointment to speak with a bariatric specialist about surgery." 
D)  "You are considered obese and will need to consult with your doctor about a plan that includes exercises, not diet, to decrease weight." 
A)  "Your weight is within normal limits. Continue maintaining with current lifestyle choices." 
B)  "You are a little overweight. Cut down on calories and increase your activity, and you should be fine." 
C)  "You are morbidly obese, and we would like to schedule you an appointment to speak with a bariatric specialist about surgery." 
D)  "You are considered obese and will need to consult with your doctor about a plan that includes exercises, not diet, to decrease weight."

Question 8

Critical Thinking: The nurse is doing a nutritional assessment on a patient with hypertension.What foods would be recommended for this patient?

Accepted Answer

A)  regular diet 
B)  low sodium diet 
C)  pureed diet 
D)  low sugar diet 
A)  regular diet 
B)  low sodium diet 
C)  pureed diet 
D)  low sugar diet

Exam 13: Nutrition

The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI)in the home setting.Which information is of concern?

Critical Thinking: During a physical examination,the nurse notes that the patient's skin is dry and flaking,with patches of eczema.Which nutritional deficiency might be present?

Critical Thinking: During a physical examination,the nurse notes that the patient's skin is dry and flaking,with patches of eczema,and suspects a nutritional deficiency.What additional data would the nurse expect to find to confirm the suspicion?

An African American is at an increased risk for which of the following? (Select all that apply.)

During an interview,the nurse is discussing dietary habits with a patient.Which tool would be the best choice to use as a quick screening tool to assess dietary intake?

During a nutritional assessment,the nurse calculates that a female patient's BMI is 27.The nurse would advise the patient to follow which of these recommendations?

The nurse is assisting a 79-year-old patient with information about diet and weight loss.The patient has a body mass index (BMI)of 31.How should the nurse instruct this patient?

Critical Thinking: The nurse is doing a nutritional assessment on a patient with hypertension.What foods would be recommended for this patient?

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