Chapter 14: Nutrition Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. An older adult who is within a normal weight range asks a nurse, “I have heard that it is
important to limit the amount of fats in my diet, but I don’t know how much I should be taking in daily. Can you help me?” The best response by the nurse is: a. “Someone of your age needs to limit fats.” b. “Since you are at your ideal weight, you should limit your daily fat grams to half your weight.” c. “Fat intake will depend on the presence of any cardiac issues.” d. “Read food labels well and focus your diet on low-fat foods.” ANS: B
A simple technique to determine how much fat a person should consume is to divide the ideal weight in half and allowing that number of grams of fat. The remaining options don’t address the issue of how much fat should be eaten daily. DIF: Cognitive Level: Applying REF: p. 173 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 2. A nursing student asks the instructor, “Our textbook discussed the obesity paradox in older
adults. I am not sure I understand; isn’t obesity bad for everyone?” The best response by the instructor is: a. “While there is evidence that obesity in younger people lessens life expectancy, it remains unclear whether overweight and obesity are predictors of mortality in older adults.” b. “Obesity is usually not a concern in older adults, as most older people tend to weigh less than they did when they were younger.” c. “Obesity is a concern in all age groups; however, over the past decade obesity in older adults has decreased.” d. “Obesity in older adults is less of a concern than we once thought; individuals over age 65 with a higher BMI have a lower mortality rate.” ANS: A
There is evidence that obesity in younger people contributes to a decreased life expectancy. However, in older adults, it is not clear whether obesity is a predictor of mortality. Recent evidence demonstrated that for people who have survived to 70 years of age, mortality risk is lowest in those with a BMI classified as overweight. Persons who increased or decreased BMI have a greater mortality risk than those who have a stable BMI, particularly in those aged 70-79. Obesity is prevalent in older adults. The proportion of older adults who are obese has doubled in the past 30 years. More than one-third of individuals 65 years and older are obese with a higher prevalence in those 65-74 years than in those 75 years and older. DIF: Cognitive Level: Remembering REF: p. 174 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance
