Roth 10e NCLEX
Chapter 14
MULTIPLE CHOICE
1. During the initial assessment, a 42 year old client indicates that weight gain is a problem despite the
client’s diet not having changed since the client was 25. What reason would it be appropriate for the
nurse to give this client?
a. Actual caloric intake must be higher than c. Calorie requirements start to diminish
the client estimates it is.
after the age of 40, so fewer calories are
now needed to meet the body’s needs.
b. After age 25 calorie needs begin to
d. The client is probably not including
diminish, so fewer calories are now
calories from alcoholic beverage intake in
needed to meet the body’s needs.
the estimate of calories consumed.
ANS: B
Calorie requirements begin to diminish after the age of 25, as basal metabolism rates decrease. After
25 years, a person will gain weight if the total calories are not reduced according to actual need, which
will be determined by activity, REE, and amount of lean muscle mass.
PTS: 1
REF: Calorie Requirements
2. A client tells the nurse when discharged from the hospital that the client is going to do whatever is
necessary to lose some weight. What is the most appropriate response for the nurse to make?
a. Be sure to contact your physician before c. I’ll have the registered dietitian put
embarking on a weight reduction plan.
together a meal plan for you.
b. Good luck with your effort.
d. Just follow a MyPyramid plan for 1,000
calories less a day than you think you
need.
ANS: A
When weight reduction is to be undertaken, the client should confirm with a physician that the client is
in good enough health to embark on a weight reduction plan. After consulting the physician, a
registered dietitian can help the client develop a healthy eating plan.
PTS: 1
REF: Weight Control
3. The nurse is caring for an otherwise healthy patient who has been diagnosed with rheumatoid arthritis
(RA). What dietary factors will the nurse say have an effect on RA?
a. Diet changes have no affect on RA.
c. Taking 500 mg of vitamin C will help
reduce the joint inflammation.
b. Getting vitamin D through sunlight rather d. Taking 2000 mg of calcium a day will
than supplements will help reduce the
help protect the joints from further
symptoms of RA.
damage.
ANS: A
Researchers have determined that dietary changes have no effect on RA.
PTS: 1
REF: Introduction
4. A 40 year old client asks the nurse how much more dietary protein is needed in the diet now that the
client is entering middle adulthood.
a. At age 40 the need for protein actually
c. Don’t worry about a specific number, just
diminishes to 0.7 grams per kilogram of
be sure to have a big steak every week.
body weight.
b. At age 40 the need for protein increases to d. No additional protein is needed after age
1.0 grams per kilogram of body weight.
40.
ANS: D
The estimated protein requirement for all healthy adults is 0.8 grams per kilogram of body weight.
PTS: 1
REF: Nutritional Requirements
MULTIPLE RESPONSE
1. During the initial assessment of a 39 year old premenopausal women, the client proudly states that she
eats very little to maintain herself at a small clothing size. This woman does not take any vitamin and
mineral supplements. The nurse should discuss what nutrients that may be of concern for this client?
Select all that apply.
a. calcium
d. vitamin B12
b. iron
e. vitamin D
c. magnesium
f. vitamin E
ANS: A, B, E
It is especially important of maintain good eating habits during young and middle adulthood. Women,
who may be concerned about weight, can easily develop nutritional deficiencies. During young to
middle adulthood, the beginnings of osteoporosis may be evident. A diet rich in calcium and vitamin D
is thought to help prevent osteoporosis. The iron throughout the childbearing years remains higher than
that for men.
PTS: 1
REF: Nutritional Requirements
NUMERIC RESPONSE
1. The nurse is assessing a client who is overweight and whose weight has been steadily increasing over
the last year. The nurse estimates this client’s total energy needs to be 1800 calories a day. What
energy deficit will the nurse say the client must achieve each day to lose 1 pound a week?
ANS:
500 calories
Rationale: The client must have a weekly energy deficit of 3500 calories to lose 1 pound a week. 3500
calories divided by 7 days is 500 calories per day.
PTS: 1
REF: Weight Control