Nokea
What is the procedure called when direct observations are used to generate an estimate of a client's current food intake?
- A. Food diary
- B. 24-hour recall
- C. Kilocalorie count
- D. Nutrient surveillance record
Correct Answer: C
Rationale: A kilocalorie count is the correct answer as it involves directly observing a client's food intake, which is often used in hospitals to accurately assess nutritional intake and ensure it meets dietary requirements. A food diary (Choice A) is typically self-reported by the client and not directly observed. A 24-hour recall (Choice B) is also usually self-reported and relies on a client's memory of the past 24 hours, which can be unreliable. A nutrient surveillance record (Choice D) is a broader term for tracking nutrient intake in a population and is not specific to the direct observation of an individual's food intake.
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What is one of the best nutritional actions a caregiver can take to help a patient with Alzheimer's disease maintain appropriate body weight?
- A. Thicken liquids to prevent choking
- B. Supervise food planning and mealtimes
- C. Assist the person in completing a grocery checklist
- D. Feed the person their meals and snacks
Correct Answer: B
Rationale: The correct answer is B, 'Supervise food planning and mealtimes'. This action ensures the patient with Alzheimer's disease maintains an appropriate diet and body weight, thus reducing the risk of malnutrition. While choices A, 'Thicken liquids to prevent choking', C, 'Assist the person in completing a grocery checklist', and D, 'Feed the person their meals and snacks', might be beneficial in certain circumstances, they do not directly contribute to the maintenance of appropriate body weight as effectively as supervising food planning and mealtimes does.
What is the most important concern immediately after a myocardial infarction?
- A. Reducing cholesterol intake
- B. Allowing cardiac rest for healing
- C. Reducing saturated fat intake
- D. Eating several small meals each day
Correct Answer: B
Rationale: Immediately after a myocardial infarction, the primary concern is to allow the heart to rest and heal to prevent further damage. This is why choice B is the correct answer. While choices A, C, and D might be a part of the long-term management plan following a myocardial infarction, they are not the immediate priority. Reducing cholesterol and saturated fat intake, as well as adjusting eating habits can help prevent future heart issues, but do not directly contribute to the immediate recovery post-myocardial infarction.
Which of the following is a factor that affects Basal Metabolic Rate (BMR)?
- A. Age
- B. Sleep
- C. Fasting/Starvation
- D. All of the above
Correct Answer: D
Rationale: All the listed options (Age, Sleep, Fasting/Starvation, Activity Level) are factors that can affect a person's Basal Metabolic Rate (BMR). BMR is the number of calories your body needs to accomplish its most basic (basal) life-sustaining functions. Age can affect BMR as metabolism slows with age. Sleep can influence BMR as metabolism slows during sleep. Fasting or starvation can decrease BMR as the body conserves energy. Activity level can also influence BMR; the more active you are, the higher your BMR, as your body requires more energy for physical activities.
During which stage of life is it most critical to build bone mass to prevent osteoporosis?
- A. Infancy
- B. Early childhood
- C. Adolescence
- D. Young adulthood
Correct Answer: C
Rationale: Adolescence is the most critical stage for building bone mass, which plays a significant role in preventing osteoporosis in later life. During adolescence, approximately 45% of adult bone mass is formed. Although bone mass can be built during infancy, early childhood, and young adulthood, it is not as significant as during adolescence, making choices A, B, and D incorrect. Therefore, focusing on adequate nutrition and physical activity during adolescence is vital for long-term bone health.
Which organ absorbs water and vitamin K and may be affected by ulcerative colitis?
- A. Stomach
- B. Pancreas
- C. Large intestine
- D. Small intestine
Correct Answer: C
Rationale: The large intestine is the organ that is primarily responsible for the absorption of water and vitamin K in the human body. A disease like ulcerative colitis can disrupt these functions by causing inflammation and ulcers in the lining of the large intestine, leading to digestive issues. The stomach (Choice A) primarily functions to break down and digest food, not to absorb water and vitamins. The pancreas (Choice B) secretes enzymes to aid in digestion and hormones to regulate blood sugar, but does not absorb water and vitamins. The small intestine (Choice D) is primarily responsible for absorbing nutrients from digested food, but not specifically water and vitamin K. Therefore, these other choices are incorrect.