Nursing Elites

1. What is a disadvantage of using a food frequency questionnaire?

• A. It does not influence the food choices of the consumer
• B. It is not affected by seasonal changes in the diet
• C. It is not effective for monitoring short-term changes in food intake
• D. It does not take too long to obtain the results

Correct answer: C

Rationale: Option C is correct because a food frequency questionnaire is designed to capture a person's typical food intake over an extended period and is not suitable for monitoring short-term changes in diet. The questionnaire's purpose is to provide insights into long-term dietary patterns rather than immediate changes. Option A is incorrect as the questionnaire does not influence food choices; it merely records them. Option B is also incorrect because, while seasonal changes can impact food availability and thereby influence diet, the questionnaire itself is not affected by these changes. Lastly, option D is incorrect as the time to obtain results from a food frequency questionnaire would depend on the respondent's speed and accuracy rather than being intrinsically linked to the questionnaire.

2. Each statement is true of rickets, except one. Which is the exception?

• A. Rickets is being diagnosed more frequently in the United States.
• B. Rickets is caused by vitamin C deficiency.
• C. Tachetic deformities such as bow legs or knock-knees develop.
• D. A narrow and distorted chest occurs.

Correct answer: B

Rationale: Rickets is caused by vitamin D deficiency, not vitamin C deficiency. It usually occurs in children who are 1 to 3 years old. The name rickets came from the word 'wrikken,' meaning 'to bend or twist.' Common manifestations of rickets include tachetic deformities like bow legs or knock-knees, a narrow and distorted chest, and failure of the epiphyses of bones to develop normally, resulting in twisted and warped bones. While the diagnosis of rickets may be increasing in the United States, it is not caused by a lack of vitamin C.

3. How much extra protein (above RDA) is safe to consume?

• A. 2x your RDA
• B. any amount
• C. 3x your RDA
• D. 20 grams

Correct answer: A

Rationale: Consuming up to twice the Recommended Dietary Allowance (RDA) of protein is generally considered safe for most people, although it may vary depending on individual health conditions.

4. Which vitamin's recommended dietary allowance (RDA) is significantly increased during pregnancy?

• A. Folate
• B. Thiamine (B1)
• C. Riboflavin (B2)
• D. Niacin (B3)

Correct answer: A

Rationale: The correct answer is A: Folate. During pregnancy, the recommended dietary allowance (RDA) for folate is significantly increased to support fetal development and prevent neural tube defects and other congenital anomalies. Folate plays a crucial role in DNA synthesis and cell growth, making it essential for the rapidly dividing cells of the developing fetus. Thiamine (B1), Riboflavin (B2), and Niacin (B3) are important vitamins, but their RDAs do not undergo as significant an increase during pregnancy as folate's RDA does.

5. The home health nurse visits older adult clients at an assisted living center. Which foods should the nurse recommend to correct the main nutrient deficits for this population?

• A. Carbohydrates
• B. Oily fish and krill oil
• C. Yellow vegetables
• D. Dairy products

Correct answer: D

Rationale: The correct answer is D: Dairy products. Older adults are often deficient in calcium and vitamin D, which are abundant in dairy products. These nutrients are essential for maintaining bone health. Choice A (Carbohydrates) is incorrect because while carbohydrates are an essential nutrient, they are not specifically addressing the main nutrient deficits for older adults. Choice B (Oily fish and krill oil) is incorrect as these foods are sources of omega-3 fatty acids and not specifically addressing the main nutrient deficits common in older adults. Choice C (Yellow vegetables) is incorrect because although vegetables are important for overall health, they do not directly address the main nutrient deficits typically seen in older adults.

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