Exam 19: Medications

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Explain how one's culture can affect nutritional views and practices.

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Cultural practices are gradually learned by individuals in childhood through both conscious and unconscious learning. Food preferences and eating habits are among the most deeply rooted aspects of one's culture. Certain foods have deep symbolic meaning within each culture. Older family members are usually the transmitters of these preferences, which have been passed from generation to generation as special food served at family, community, and religious gatherings. Such foods bind people together, are served at rites of passage, soothe those who are grieving, and are an integral part of celebrations. Cultural food preferences may also affect methods of handling, storing, and cooking food, as well as the types of food eaten, attitudes toward food, and how food relates to health. Cultures often identify specific staple foods, times for meals, as well as special feasts for various holidays. Certain foods are even identified in the treatment of disease.

List and explain the factors that contribute to undernutrition in older adults.

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Older adults are especially prone to undernutrition (less than body requirements) for a variety of reasons such as living alone, eating empty calories rather than nutritious food, poor fluid intake, medications, depression, anorexia, malignancy, and bereavement. Although many factors-medications, mood, lack of socialization, and diminished sense of taste and smell-alter appetite, psychological aspects also inhibit appetite. Appetite plays a significant role in causing malnutrition. Lessened motivation to eat because of decreased neurotransmitter activity or changes in certain gastrointestinal hormones may also decrease appetite.

You are a nurse working at an assisted-living facility. A patient of yours, Christopher, experiences constipation often. Which macronutrient would you recommend that he increase his intake of to prevent this condition?

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C

You are a dietician working in a long-term care facility. You find that one of your residents has a deficiency of vitamin K, which is important for blood clotting. Which of the following foods would you recommend to this resident to boost vitamin K intake?

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You are a nurse working at an assisted-living facility. A patient of yours, Esther, often suffers from dehydration. According to MyPlate, how many servings of fluid should an older adult have per day?

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A patient of yours, Hector, has recently been found to be anorexic. Which of the following recommendations would you, as a dietician, make to Hector to address his condition? Select all that apply.

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You are caring for an older patient, Margaret, in a long-term nursing care facility. Margaret has been found to have nutritional anemia. Margaret is most likely experiencing deficiency in which of the following minerals?

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What percentage of individuals age 65 years and older in the United States in 2010 were obese?

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Which of the following are risk factors for poor nutrition? Select all that apply.

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As the dietitian at a long-term care facility, you are instructing the nurses on staff regarding how to properly feed patients who require this service. Which of the following suggestions is correct?

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