Roth 10e NCLEX Chapter 23

MULTIPLE CHOICE 1. A nurse is asked to help feed a client. The food is arranged on the plate like a clock and the

nurse instructs the client to eat based on the clock analogy. Which of the following is the most likely reason the nurse gave these instructions?
a. The client is blind, and arranging the c. The food should be arranged

food like the face of a clock allows the client to help themselves eat.
b. The client needs to be given the food

in a particular order, and organizing the food like a clock would allow the nurse to better remember the order.
ANS: A

attractively on the plate, and the clock analogy is the attractive pattern typically used by nurses. d. The primary nurse realizes that it is the other nurses first time feeding the client, and arranging the food like a clock would help the nurse keep track of the food.

To help the client who is blind feed herself or himself, arrange the food as if the plate were the face of a clock. The meat might be put at 6 oclock, vegetables at 9 oclock, salad at 12, and bread at 3 oclock. People who are blind usually feel better when they can help themselves.
PTS: 1 REF: Feeding the Blind Client

2. The result of a swallow study indicates that the client has dysphagia. Using this diagnosis,

what should the nurse remember to do while feeding this client?

a. allow the client to eat independently c. massage the throat after each bite to

while watching for problems b. assure that the client is in an upright position while eating
ANS: B

facilitate swallowing d. make sure the client is fed through an IV, as swallowing is impossible in dysphagic clients

Dysphagia clients should always be in an upright position when eating.

PTS: 1 REF: Physical Problems of the Institutionalized Elderly

3. The client reveals to the nurse that they do not enjoy their food and they feel lonely. What can

the nurse attempt to do to address these issues?

a. Adapt the clients family meals to the c. Have the client eat the exact same

client so they may feel a part of their family b. Eat with the client so they no longer feel lonely

meal as their family, so they feel included d. Invite family and friends to bring the clients favorite foods, regardless of what they are

ANS: A

In the home, the family menu should serve as the basis of the clients meal whenever possible. This usually pleases the client because it makes her or him feel a part of the family.
PTS: 1 REF: Feeding the Client

4. The client is not exactly sure what they are able or not able to do in regards to feeding

themselves and communicates this to the nurse. In this condition, what would be an appropriate response from the nurse?
a. Allow the client to do everything c. Help the client to do whatever they are

themselves to avoid the humiliation of able to themselves, while offering them needing help. further assistance when needed. b. Ask for the foods to be converted to d. Help the client with everything liquid form to assure the client will be involved in feeding just in case they able to consume them. are not able.
ANS: C

The client must be allowed to help her or himself as much as possible.

PTS: 1 MULTIPLE RESPONSES 1. The client is on complete bed rest, and the nurse is aware that special preparations are REF: Feeding the Client Who Requires Assistance

required for this clients meal. Which of the following should the nurse do to ensure ideal conditions for the clients meal? Select all that apply
a. Arrange the room in an aesthetically d. Notify the client that their family is

pleasing manner. eating position.

c. Comment on the clients progress to

going to eat the same meal. easily accessible and comfortable to the client. f. Provide the client with a bedpan in case it is needed before the meal.

b. Assure that the client is in comfortable e. Place the tray and utensils so they are

enhance their mood if appropriate.

ANS: A, B, C, D, E, F

The client should be given the opportunity to use the bedpan and to wash before the meal is served. The room can be ventilated and the bedcovers straightened. The client should be helped to a comfortable position, and any unpleasant sights should be removed before the meal is served. The client might be told that the family is anticipating the same meal. Appropriate remarks on the clients progress, whenever possible, are helpful. The tray should be placed so that it is easy for the client to feed herself or himself.
PTS: 1 REF: Serving the Meal