Chapter 1. Wellness Nutrition

MULTIPLE CHOICE

1. Examples of informal education include

a.attending a workshop on coronary artery disease sponsored by the American Heart

Association.

b.watching a television show about diabetes.

c.learning about food safety techniques in a high school economics course.

d.joining a support group to help overcome an eating disorder.

ANS: B

Watching a television show about diabetes is an example of informal education because it is an

experience that occurs through a daily activity. Attending a workshop or joining a support group

would be considered nonformal education; a high school course would be considered formal

education.

DIF:Cognitive Level: ApplyingREFage 6

TOP: Nursing Process: Implementation MSC: Client Needs: Health promotion and maintenance

2. A college student exercises regularly and generally eats a healthy variety of foods, is taking a

course in general nutrition, buys locally produced food whenever possible, is an active member

of an on-campus faith-based organization, and keeps a journal to help process her emotions.

What else could be important for her to include in her life in order to develop her overall

wellness?

a.Growing some of her own food

b.Keeping a food record to help evaluate what she eats

c.Eating meals with friends throughout the week

d.Meeting with a registered dietitian to review her food choices

ANS: C

Wellness enhances a persons level of health through development of each of the six dimensions

of health: physical health, intellectual health, emotional health, social health, spiritual health, and

environmental health. Exercise and eating a health variety of foods help develop physical health;

taking a course in general nutrition helps develop intellectual health; buying locally produced

food helps develop environmental health; being part of a faith-based organization helps develop

spiritual health; and keeping a journal helps develop emotional health. The missing dimension in

this example is development of social health; eating meals with friends throughout the week

would add this dimension. Growing her own food would be another example of environmental

health; keeping a food record would be another contributor to physical health; and meeting with

a registered dietitian may contribute to physical, intellectual, and emotional health.

DIF:Cognitive Level: AnalyzingREFages 1-3

TOP: Nursing Process: Assessment MSC: Client Needs: Health promotion and maintenance

3. For a client who is missing meals because of poor planning or is too busy to eat, emotional

health can be affected by , which can cause confusion or anxiety.

a.low blood sugar levels

b.high blood sugar levels

c.high blood pressure

d.extremely low blood pressure

ANS: D

Poor eating habits affect emotional health. Missing meals may cause blood sugar levels to

decrease, which can cause anxiety or confusion or make it difficult to control emotions. Late

night binges on snack food are likely to result in excessive energy intake but would have a less

direct effect on emotional health. Eating small meals throughout the day is likely to maintain

more constant blood sugar levels, which would actually have a positive effect on emotional

health. Excessive caffeine consumption may contribute to anxiety, but 2 cups of caffeinated

coffee is not considered excessive.

DIF:Cognitive Level: AnalyzingREFage 2

TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial integrity

4. The best example of the type of concern that is likely to be addressed by the U.S. Department

of Health and Human Services when target goals for Healthy People 2030 are updated is

a.preference for vegetarian eating patterns among white women.

b.low intake of fruits and vegetables by African American children.

c.widespread use of bottled water in higher socioeconomic groups.

d.common use of protein and vitamin supplements in athletes.

ANS: B

Healthy People is used to set targets for health promotion to improve the health of all

individuals. It addresses environmental and social issues that affect health outcomes. Low intake

of fruits and vegetables by African American children is likely to have an adverse effect on their

health and so may be addressed when target goals are set. Vegetarian eating patterns, use of

bottled water, and use of protein and vitamin supplements do not necessarily have an adverse

effect on nutritional health and so are less likely to be addressed.

DIF: Cognitive Level: Applying REF: Pages 4-6 TOP: Nursing Process: Planning

MSC: Client Needs: Health promotion and maintenance

5. An example of community support for health promotion is

a.teaching a young mother skills in safe food preparation.

b.watching a television documentary about industry errors in food processing.

c.labeling fresh poultry packages with information about proper food storage.

d.being aware that Salmonella can be transmitted because of inadequate food preparation.

ANS: C

Food labeling information is an example of community support because it is a regulatory

measure that supports new health-promoting behaviors within a social context. Teaching,

watching television and awareness may increase knowledge, but they do not alter the social

context by regulation or environmental change.