39. The segment of the population who has a BMI lower than 24 has been found to be at increased risk for poor nutritional status and its resultant
... [Show More] problems. What else is a low BMI associated with in the community-dwelling elderly?
A) High risk of diabetes
B) Increased incidence of falls
C) Higher mortality rate
D) Low risk of chronic disease
Ans: C
Feedback:
People who have a BMI lower than 24 (or who are 80% or less of their desirable body weight for height) are at increased risk for problems associated with poor nutritional status. In addition, a low BMI is associated with a higher mortality rate among hospitalized patients and community-dwelling elderly.
Low BMI is not directly linked to an increased risk for falls or diabetes. Excessively low BMI does not result in a decreased incidence of overall chronic disease.
40. Imbalanced nutrition can be characterized by excessive or deficient food intake. What potential effect of imbalanced nutrition should the nurse be aware of when assessing patients?
A) Masking the symptoms of acute infection
B) Decreasing wound healing time
C) Contributing to shorter hospital stays
D) Prolonging confinement to bed
Ans: D
Feedback:
Malnutrition interferes with wound healing, increases susceptibility to infection, and contributes to an increased incidence of complications, longer hospital stays, and prolonged confinement of patients to bed. Malnutrition does not mask the signs and symptoms of acute infection.
41. A nurse who has practiced in the hospital setting for several years will now transition to a new role in the community. How does a physical assessment in the community vary in technique from physical assessment in the hospital?
A) A physical assessment in the community consists of largely the same techniques as are used in the hospital.
B) A physical assessment made in the community does not require the privacy that a physical assessment made in the hospital setting requires.
C) A physical assessment made in the community requires that the patient be made more comfortable than would be necessary in the hospital setting.
D) A physical assessment made in the community varies in technique from that conducted in the hospital setting by being less structured.
Ans: A
Feedback:
The physical assessment in the community and home consists of the same techniques used in the hospital, outpatient clinic, or office setting. Privacy is provided, and the person is made as comfortable as possible. The importance of comfort, privacy and structure are similar in both settings.
42. You are conducting an assessment of a patient in her home setting. Your patient is a 91-year-old woman who lives alone and has no family members living close by. What would you need to be aware of to aid in providing care to this patient?
A) Where the closest relative lives
B) What resources are available to the patient
C) What the patients financial status is
D) How many children this patient has Ans: B
Feedback:
The nurse must be aware of resources available in the community and methods of obtaining those resources for the patient. The other data would be nice to know, but are not prerequisites to providing
care to this patient. [Show Less]