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Hsci 104 :Clinical Nutrition &Amp; Dietetics Question Paper

Hsci 104 :Clinical Nutrition &Amp; Dietetics

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2014

KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2014 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 104
UNIT TITLE : CLINICAL NUTRITION & DIETETICS
TIME : 3 HOURS

INSTRUCTIONS:

This examination has three sections namely A, B & C.

Answer all questions

Answers should be written in the provided booklet.

SECTION A: Choose the most appropriate response 1 mark each.

Question One

Nonheme Iron intestinal absorption is enhanced by

Antacids
Calcium supplements
Ascorbic acid
Phytates.

Question Two

Dietary Zinc is important in that it;

Improves appetite through stimulating taste
Regulates plasma volume and acid-base balance
Enhance bone and teeth formation
Synthesizes proteins that help control bleeding.

Question Three

A sensitive indicator of acute state of malnutrition is

Height for age
Weight for height
Weight for age
Mid upper arm circumference

Question Four

The body mass index (BMI) of a person 1.6m tall and weighing 65kg is;

22.4
24.6
25.4
40.6

Question Five

Replacement feeding;

Reduces the risk of transmission of HIV through breast milk.
Can double the number of children who become sick and die from other illnesses.
Carries the greatest risk for both HIV infection and death from other illnesses
Is always considered infant’s who are exposed to HIV.

Question Six

Low residue diet is recommended in the management of;

Diabetes mellitus, diarrhea
Colostomy, pre operative phase of large bowel surgery
Constipation, hemorrhoids
Overweight, post perineal suturing

Question Seven

High protein-high calorie diet is indicated in the management of:

Burns, glomerulonephritis
Pregnancy, liver cirrhosis
Infancy, multiple injuries
Post major surgery

Question Eight

The following statements are true regarding adequate nutritive in people living with HIV/AIDs, except;

Helps increase and maintain the levels of CD4, count.
Helps increase the viral load.
Helps delay proguellion to AIDs stage.
Enhances the body’s ability to fight opportunistic infection.

Question Nine

With weight loss, fat cell:

Decrease in size
Decrease in number
Decrease in both number and size
Decrease in number and increase in size

Question Ten

Regarding anorexia nervosa:

The client pursues thinner compulsively through imposed starvation.
The client BMI is always between 18-24.9
The client experiences recurrent episodes of bingeing and purging.
The client compulsively binges duly without any compensatory behavior.

SECTION B (40 Marks)

Question One
Outline five functions of proteins. (5 marks)

Question Two
List six dietary sources of iron. (3 marks)

Question Three
Outline five health risks associated with obesity. (5 marks)

Question Four
Describe a bland diet. (3 marks)

Question Five
State four features of a child suffering from Kwashiorkor. (4 marks)

Question Six
State five causes of Cancer Cachexia. (5 marks)

Question Seven
Explain five factors that may affect mother to child transmission of HIV among 0-6 month’s infants. (5 marks)

Question Eight
State four indications of a low sodium diet. (4 marks)

Question Nine
Explain three factors in diet therapy of a patient diagnosed with diabetes mellitus type II. (6 marks)

SECTION C: (20 Marks)

Question One
Describe the nutrition infection cycle. (5 marks)

Question Two
You are taking personal history for a client in order to determine his nutritional status. Discuss five factors that may place a client at risk for developing malnutrition. (15 marks)

Hsci 104 :Clinical Nutrition &Amp; Dietetics Question Paper

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