The school nurse is discussing dietary concerns with student members of the track team. Which of the following statements indicates the need for further instruction? Standard Text: Select all that apply
1. "There are no differences in the percentage of body fat needed by girls and boys during the teen years."
2. "The lower I can get my body fat percentage, the better."
3. "The body fat percentages needed by females is higher than that of males."
4. "There are no absolute standards for body fat percentages needed by men and women."
5. "Persons having body fat percentages greater than 20% are at an increased risk for illness."
1,2,5
Rationale 1: "There are no differences in the percentage of body fat needed by girls and boys during the teen years." The recommended body fat percentages for females is greater than that of males.
Rationale 2: "The lower I can get my body fat percentage, the better." The absolute minimum levels of body fat are still being studied; however, experts do believe that there are minimum body fat percentages.
Rationale 3: "The body fat percentages needed by females is higher than that of males." A range of 12% to 20% body fat in men and 20% to 30% in women has been suggested for health.
Rationale 4: "There are no absolute standards for body fat percentages needed by men and women." Research aimed at development of future standards and references for body fat percentage will address the relationship between BMI and body fat percentage and allow the nurse a clearer assessment of body composition traits associated with health risks. Age-specific recommendations are also needed.
Rationale 5: "Persons having body fat percentages greater than 20% are at an increased risk for illness." Standards of body fat percentage that are associated with health or morbidity and mortality have not been established. Many sources agree that a minimum essential body fat percentage exists.
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A health care aide caring for a mentally ill client receiving home care insists that the client must
balance energy forces of his body by eating specific foods. The client tells the nurse that he "goes along with the diet to keep the aide happy.". The community psychiatric nurse should assess this situation as demonstrating a. biculturalism. b. cultural imposition. c. culture-bound syndrome. d. preserve-accommodate-restructure phenomenon.
The nurse is caring for a client who requires an intervention the nurse does not know how to perform. Can the nurse delegate this intervention to another person?
1. No; the nurse should delegate only activities that he or she would be willing and able to do. 2. No; the nurse must transfer the accountability and responsibility for this client to another nurse who knows how to do the skill. 3. Yes; there is no requirement for the nurse to have personal knowledge or expertise in the skill. 4. Yes, but the nurse must then learn to perform the skill within a "reasonable" period of time.
Slight bluish discoloration of hands and feet
What will be an ideal response?
A client is having difficulty with transferring from the bed to the chair with assistance. Which nursing diagnosis should the nurse use in the plan of care?
1. Immobility 2. Risk for injury 3. Activity intolerance 4. Alteration in activities of daily living