during nutritional counseling it is most important to

ATI RN

Proctored Nutrition ATI

1. During nutritional counseling, what is the most important step to take?

A. Consult the patient's family
B. Formulate a sample diet plan before presenting it to the patient
C. Include members of the dental team in the dietary formulation
D. Include the patient in the formulation of the dietary plan

Correct answer: D

Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.

2. 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.

3. What instruction should the nurse include on weight gain during pregnancy?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client needs to gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients will need to eat for two when they are pregnant.

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

4. What describes a criterion used to diagnose diabetes?

A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
D. a HbA1C higher than 5 percent

Correct answer: B

Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.

5. Compared to the typical American diet, what does the DASH diet provide more of?

A. More saturated fats
B. Fewer whole grains
C. More fruits and vegetables
D. Fewer dairy products

Correct answer: C

Rationale: The correct answer is C. The DASH diet, which stands for Dietary Approaches to Stop Hypertension, emphasizes the consumption of fruits and vegetables, which are high in potassium, fiber, and antioxidants. These nutrients help lower blood pressure. Therefore, compared to the typical American diet, the DASH diet provides more fruits and vegetables. Choices A, B, and D are incorrect. The DASH diet doesn't focus on providing more saturated fats or fewer whole grains or dairy products. In fact, it encourages the consumption of whole grains and low-fat dairy products to promote a balanced and healthy diet.