A patient is pregnant for the third time. In regard to her ...

[bobbie]

A patient is pregnant for the third time. In regard to her nutritional status, which of the following applies?
 
  a. The patient should be given rigid recommendations about weight gain.
  b. The patient should approximately double her protein intake.
  c. The patient should increase her vitamin A and milk product consumption.
  d. The patient should eat a variety of foods from the four food groups.

Question 2

A school-age client has just been diagnosed with juvenile diabetes. The client is very angry about the new disease. Which of the following statements is most appropriate for the nurse counsellor working with this client to make?
 
  a. Try not to be angry, because you are receiving the best care possible.
  b. It is all right to be angry with your friends, but try not to be angry with your parents.
  c. You appear upset about the diagnosis. Let's talk about your feelings.
  d. You learn quickly and will probably handle the difficult treatments very well.

[potomatos]

Answer to Question 1

D

Feedback
A Rigid recommendations about weight gain should be avoided, as the quality of nutrition during pregnancy is more important than weight gain. The kilocalories consumed per day are guidelines recommended in Eating Well With Canada's Food Guide for energy requirements during pregnancy.
B The patient needs to increase her daily protein intake to 60 g during pregnancy, but she does not need to double it. (This would be an increase of approximately 20 g of protein.)
C Prenatal care usually includes vitamin and mineral supplementation to ensure daily intakes. The recommended intake of vitamin A does not increase over that of the nonpregnant state.
D The patient should choose extra nutrition by eating a variety of foods from the four food groups to ensure adequate vitamin, mineral, and nutritional intake.

Answer to Question 2

C
The statement You appear upset about the diagnosis. Let's talk about your feelings clarifies the meanings of verbal and nonverbal communication. It also demonstrates acceptance of the client's thoughts and feelings and encourages open communication.
The statement Try not to be angry, because you are receiving the best care possible is not therapeutic. It does not address the client's feelings of anger and conveys a message that feeling angry is not acceptable.
The statement It is all right to be angry with your friends, but try not to be angry with your par-ents is not therapeutic. It does not address the cause of the anger and puts limits on how the an-ger may be expressed.
The statement You learn quickly and will probably handle the difficult treatments very well is not therapeutic. It does not encourage the client to communicate his or her feelings.

[bobbie]

Thanks for the timely response, appreciate it

[cici]

TYSM