The nurse is collecting nutritional intake information from a client. The nurse does not feel the client is being forthcoming and honest with the intake self-reports. Which factor may be associated with inaccurate reporting of dietary intake?

1. Female gender.
2. Male gender.
3. Higher socioeconomic levels.
4. Lower educational levels.


Correct Answer: 4

Some clients may underreport portions of the nutritional history during the data collection process. Clients seeking the social approval of the nurse or wanting to avoid disapproval for their habits may underreport. Underreporting occurs for all ages and is seen more often in smokers, the obese, and individuals with lower educational and socioeconomic levels. Additionally, alcohol and drug use are frequently underreported. A nonjudgmental approach during the nutritional history will provide an environment conducive to full answers by the client.

Nursing

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An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild cyanotic heart defect should:

1. Maintain normal activity. 2. Be placed on bedrest. 3. Not be given antipyretics. 4. Have a low-grade fever until the defect is repaired.

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The Joint Commission standards and goals shape organization practice and documentation, thereby affecting information system documentation design. The Joint Commission assesses organizations for compliance with set standards

Which of the following statements are considered standards? Select all that apply. 1. Measures to protect information confidentiality, security, and integrity 2. Uniform definitions and methods for data capture as a means to facilitate data comparison within and among health care institutions 3. Education on the principles of information management and training for system use. This may include education about the transformation of data into information for subsequent use in decision support and statistical analysis. 4. Accurate, timely transmission of information 5. Integration of clinical systems (i.e., pharmacy, nursing, laboratory, and radiology systems) and nonclinical systems for ready availability of information

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Which fraction represents a whole number?

a. 4/20 b. 5/20 c. 10/20 d. 20/20

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A middle-aged female client tells the nurse that her mother and aunts all have been diagnosed with osteoporosis. The nurse realizes that this client might benefit from having which of the following diagnostic tests?

1. Dual energy s-ray absorptiometry (DEXA) scan 2. MRI 3. CT scan 4. Myelogram

Nursing