A 14-year old patient with cancer is concerned about diet, and ...

[Davideckstein7]

A 14-year old patient with cancer is concerned about diet, and questions the need for vitamins to supplement the diet. The patient states, I don't think my diet alone is providing the upper intake levels (ULs) of vitamins that I need.
 
   What is the best response from the nurse? a. You should try to get your vitamins from food, rather than a supplement.
  b. You should be trying to achieve the recommended dietary allowances (RDA).
  c. You should compare your diet to the UL for children, not the UL for adults.
  d. You shouldn't worry about vitamins as long as you are getting enough calories.

Question 2

A nurse has been working overtime because of high hospital census and a decreased work force. The nurse is concerned about the danger of work-related burnout or compassion fatigue. To combat this risk, the nurse should:
 
  a. increase nursing responsibilities at work.
  b. take control over new areas at work to reduce stress.
  c. strengthen relationships outside of the hospital.
  d. hang out with co-workers when not at work.

[bitingbit]

Answer to Question 1

B
The tolerable UL is the highest level that likely poses no risk for adverse health events. It is not a recommended level of intake. There are four components to the DRIs: estimated average requirement (EAR), recommended dietary allowances (RDAs), adequate intakes (AIs), and tolerable upper intake levels (ULs). The EAR is the recommended amount of a nutrient that appears sufficient to maintain a specific body function for 50 of the population based on age and gender. The RDA is the average needs of 98 of the population, not the exact needs of an individual. The AI is the suggested intake for individuals based on observed or experimentally determined estimates of nutrient intakes by groups and is provided when there is insufficient evidence to set an RDA. You shouldn't worry is false reassurance and should not be used. The patient needs to be educated on not using the ULs as a measure of intake, not that vitamins from food are better than supplements.

Answer to Question 2

C
Compassion fatigue occurs as a result of chronic stress and is often associated with the human service professions. Make a clear separation between work and home life. Strengthening friendships outside of the workplace, socially isolating oneself for personal recharging of emotional energy, and spending off-duty hours in interesting activities all help reduce burnout. Identify the limits and scope of your responsibilities at work. Recognize the areas over which you have control and the ability to change and those for which you do not have responsibility.

[Davideckstein7]

Gracias!

[cici]

Excellent