Sleep_Nutrition Flashcards

Data Collected as Part of Cultural Assessment Origins and Family

4 c's in cultural assessment

The process of developing cultural competence consists of four interrelated constructs which are:

_______________ means conveying acceptance of the patients health beliefs while sharing information, encouraging self-efficacy, and strengthening the patients coping resources.

a Chinese American person might eat hamburgers together with traditional Chinese vegetables, might speak ‘Chinglish,’ and might mix in social groups that include both Chinese and American friends.

________the individual has a dual pattern of identification and chooses which aspects of the individuals original culture he or she wishes to retain.

A Native American loses his Native identity after living in Chicago for 10 years is an example of ____________

_____________is a process by which a person gives up his or her original identity and develops a new cultural identity by becoming absorbed into a more dominant cultural group.

_________________is the process of acquiring new attitudes, roles, customs, or behaviors as a result of contact with another culture.

_______ is common among those who are far from their native land, among the refugee, migrants, etc. An immigrant from Chine develops a preference for Western foods and music

A high school student from the United States spends a summer abroad with a family in Switzerland is an example of

the process by which a person learns the norms, values and behaviors of a culture, similar to socialization.

The genital stage is the last stage of Freud's psychosexual theory of personality development, and begins in puberty. It is a time of adolescent sexual experimentation, the successful resolution of which is settling down in a loving one-to-one relationship with another person in our 20's.

fixation at the oral stage may result in a person gaining sexual pleasure primarily from kissing and oral sex, rather than sexual intercourse.
true or false

The child becomes aware of anatomical sex differences, which sets in motion the conflict between erotic attraction, resentment, rivalry, jealousy and fear and range

Acquisition of knowledge and skills.
The latency stage is the forth stage of psychosexual development, spanning the period of six years to puberty. During this stage the libido is dormant and no further psychosexual development takes place (latent means hidden). and range

Capacity to withhold or expel feces and range

Pleasure from oral activities such as sucking.

Believed that personality is the result of how individuals resolve conflicts.

The review of life stage and the range

this stage is related to feeling part of the bigger picture, parenting, teaching and guiding life and the range

during this stage we learnt o share ourselves more intimately with someone other than a family memeber, stage & range plzzz

A pt states "I don't know what I want to be when I grow up" what developmental theory is this, what stage, and whats the range?

This stage involves two identities sexual and occupational, success in this stage leads to the virtue of fidelity, list range

If a person is woken up from stage 3 or 4 they could be disoriented for a brief period of time before regaining awareness. 75-80% of sleep is spent in NREM stages.

how long can you expect a pt to be in REM?

which would you give to a patient that cant swallow and has an intact gi?

a. enteral
b. parenteral

child in _____overweight
a. 90-100th
b.80-90th
c. 85-95th

Secondary: screens to detect diseases. a.Lipid
b.BMI
c. blood glucose
d. all above

plan of care would be, Healthy eating like food labels that state four marker nutrients: calcium, iron, vitamin A and ______

a. b2
b. vitamin c
c. folic acid

which would you look test to rule out anemia?
a. calcium
b. phosphorus
c. vitam D level
d. iron
e. all

which trimester is most important in pregnancy to take calcium for bone growth

a. 1st
b. 2
c.3rd
d.4th

a pt who is ordered Fish beans, turkey, and to take with citrus because it increases absorption, that is absorbed in the duodenum and the partial of the juojenum could have which deficiency

a. clacium
b. iron
c. sodium
d. folate

pt with dysphagia should have a mechanical soft diet
a. yes
b. no

low fiber is recommenced when giving a soft diet
a. true
b. false

which isnt a major mineral?

a. calcium
b. phosphorus
c. magnesium
d. hydrogen
e.sodium
f. potassium
e. chloride

Fat-Soluble Vitamins:
a. a.
b. k
c. d
d.e
e. all of the above

Dermatitis, impaired taste, impaired growth, low level of alkaline phosphatase enzyme
a. mg
b. zinc
c. folic acid
d. carotenoids

Hypertension, dysrhythmia, preeclampsia
a. mg
b. zinc
c. folic acid
d. carotenoids

Pernicious anemia, psychiatric disorders
a. vit b12
b. vit b 1
c. vit c
d. vit d

patient has a decreased gag reflex, left-sided weakness, and drooling. Which action will the nurse take when feeding this patient?

a. Position in semi-Fowler’s.

b. Flex head with chin down.

c. Place food on left side.

d. Offer fruit juice.

Vitamin A is also a component of ______, a protein in your eyes that allows you to see in low light conditions
a. lutein
b. pellagra
c. rhodopsin
d. anasarca

________can be added to flour processes in US and other countries as a important reduction in neural tube deficits (NTD)( think babies who have brain, spinal cord issues).
a. vit C def
b. folic acid
c. lutein
d. zeaxanthin

Causes Pellagra (4D’s: Dermatitis, diarrhea, dementia, and death).
a. vit C def.
b. vit B def
c. vit A def
d. vit D def

Causes Scurvy, most common in sailors until the 18^th century.
a. vit C def.
b. vit B def
c. vit A def
d. vit D def

Long chain omega 3 fatty acids that support retinal development, neurotransmitter production and brain function.
a. Docosahexaenoic acid (DHA) and eicosatetraenoic acid
b. antibiotics, corticosteroids
c. temazepam & zolpidem
d. ramelton

which nutrient deficiency can result in pre mature neurological issues and affects the cellular membrane
a. carbs
b. fatty acid
c. protein
d. none of the above

most calorie-dense nutrient, composed of triglycerides
a. carbs
b. fatty acid
c. protein
d. none of the above

Shift in body fat and protein for energy resulting in weight loss and accumulation of ketone (especially if insulin isn’t available)
a. vitamin b deficiency
b. carb deficiencies
c. anasarca
d. sarcopenia

When _______ isn't available the body turns to protein which results in diminished cell growth and repair
a. fatty acid
b. ketones
c. vitamin B
d. cabrs

major energy source, composed of carbon, hydrogen, and oxygen.
a. fatty acid
b. carbs
c.protein
d. none

Adult: Insufficient circulating protein in the blood can lead to _______ (severe generalized edema).
a. kwashiorkor
b. marasmus
c. anasarca
d. sarcopenia

Older adults, the loss of muscle mass _____: (normal part of aging) is difficult to replace.
a. kwashiorkor
b. marasmus
c. anasarca
d. sarcopenia

It's most common in some developing regions where babies and children do not get enough protein alone in their diet. The main sign of________is too much fluid in the body's tissues, which causes swelling under the skin (oedema).
a. kwashiorkor
b. marasmus
c. anasarca
d. sarcopenia

severe undernourishment causing an infant's or child's weight to be significantly low for their age (e.g., below 60 percent of normal).
a. anorexia
b. marasmus
c. anasarca
d. sarcopenia

Drugs with anti nutrient or catabolic properties that increase risk for malnutrition
a. Docosahexaenoic acid (DHA) and eicosatetraenoic acid
b. antibiotics, corticosteroids
c. temazepam & zolpidem
d. ramelton

Transports nutrients and drugs in the blood.
a. vitamins
b. oxygen
c. protein
d. all of the above

(RDI) make up the second set of values on food labels and consist of nutrients such as total fat, saturated fat, cholesterol, carbohydrates, fiber, sodium, and potassium

a. true
b. false

a nurse is teaching a health class about the ChooseMyPlate program. Which guidelines will the nurse include in the teaching session?

a. Balancing sodium and potassium

b. Decreasing water consumption

c. Increasing portion size

d. Balancing calories

A nurse is describing the ChooseMyPlate program to a patient. Which statement from the patient indicates successful learning?
a. “I can use this to make healthy lifestyle food choices.”
b. “I can use this to count specific calories of food.”
c. “I can use this for my baby girl.”
d. “I can use this when I am sick.”

a patient who has been diagnosed with cardiovascular disease and placed on a low-fat diet, asks the nurse, “How much fat should I have? I guess the less fat, the better.” Which information will the nurse include in the teaching session?
a. Cholesterol intake needs to be less than 300 mg/day.
b. Fats have no significance in health and the incidence of disease. c. A
ll fats come from external sources, so this can be easily controlled.
d. Deficiencies occur when fat intake falls below 10% of daily nutrition.

In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share?
a. Polyunsaturated fats should be less than 7% of the total calories.

b. Trans fat should be less than 7% of the total calories.

c. Unsaturated fats are found mostly in animal sources.
d. Saturated fats are found mostly in animal sources.

A nurse is caring for a patient with a postsurgical wound. When planning care, which goal will be the priority?
a. Reduce dependent nitrogen balance.
b. Maintain negative nitrogen balance.
c. Promote positive nitrogen balance.
d. Facilitate neutral nitrogen balance.

nurse is teaching a patient about proteins that must be obtained through the diet since they cannot be synthesized in the body.Which term used by the patient indicates teaching is successful?
a. Amino acids
b. Triglycerides
c. Dispensable amino acids
d. Indispensable amino acids

A nurse is asked how many kcal/g are provided by fats?
a. 3
b. 4
c. 6
d. 9

In general, when a patient’s energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe?
a. Weight increases.
b. Weight decreases.
c. Weight does not change.
d. Weight fluctuates daily.

nurse is teaching about the energy needed at rest to maintain life-sustaining activities for a specific period of time. What form of energy is the nurse discussing?
a. Resting energy expenditure
b. Basal metabolic rate
c. Nutrient density
d. Nutrients

the site of fat and fat-soluble vitamin absorption
a. middle sec. jujunum
b. upper portion duodendum
c. lower section ileum
d. colon

the primary site for absorbing trace minerals.
a. middle sec. jujunum
b. upper portion duodendum
c. lower section ileum
d. colon

Source of fatty acid, necessary for growth and development; energy
a. Carbohydrates
b. Protein
c. Fat

Facilitates growth and repair of tissues; energy source
a. Carbohydrates
b. Protein
c. Fat

Primary source of fuel and energy
a. Carbohydrates
b. Protein
c. Fat

a.Vitamin A
b. Vitamin D
c.Vitamin E
d. Vitamin K

Pancreatic enzymes finalize digestion in the small bowel, with fats being broken down into fatty acids. Bile, produced in the liver and stored in the gallbladder, is involved in fat digestion by modifying dietary fats into emulsions for better absorption.
a. true
b. false

Chemical breakdown begins in the oral cavity. Saliva is a mucous-like fluid that contains the digestive enzyme _________, which assists with the process of food breakdown and aids in the chewing and swallowing process
a. amylase
b. lutien
c. islet
d. progesterone

Where does chemical breakdown begin?
a. stomach
b. oral cavity
c. duodendum

Digestive enzymes are responsible for the chemical breakdown of food matter; this process is most efficient when food is thoroughly chewed, thus increasing the surface of food particles for enzyme action.

Adequate oral intake of nutrients (and water) involves access to food sources, informed food choices, and efficient chewing (mastication) and swallowing abilities.

Examples of phytochemicals include lutein (associated with the green color of vegetables) and lycopene (found in high amounts in tomato products). Another popular phytochemical is resveratrol in red grapes and peanuts.

Vitamins and minerals are ___ because they are required in minute amounts.

Macronutrients are the kilocalorie (kcal) energy-containing nutrients known as carbohydrates, proteins, and fats.

very light sleep, few min long, muscle relaxation, loss of awareness, vitals/metabolism decrease, awakens easily, feels relaxed and drowsy
a. N1
b. N2
c. N3
d. N4

deeper sleep, 10-20 minutes, vitals and metabolism continue to slow, 50% of the total sleep cycle, increased relaxation, requires slightly more stimulation to awaken.
a. N1
b. N2
c. N3
d. N4

Rem accounts for 20-25 %
a. true
b. false

slow waves sleep or DELTA sleep, vitals signs decreasing, more difficult to awaken, physiological rest and restoration, reduced sympathetic activity
a. N1
b. N2
c. N3
d. N4

Polysonogram is what is used to do a sleep study