An older adults unexplained weight loss of 15 pounds over the past 3 months has prompted a thorough o diagnostic workup. What is the nurses rationale for prioritizing biochemical assessment when appraising a persons nutritional status? N

Correct Answer: D

Rationale: The correct answer is D because prioritizing biochemical assessment in nutritional status appraisal helps predict metabolic abnormalities in nutritional intake. By analyzing blood levels of key nutrients and metabolic markers, the nurse can identify deficiencies or excesses that indicate how well the body is utilizing nutrients. This information can guide interventions to correct imbalances and improve overall health. Choice A is incorrect as it refers to identifying abnormalities in the chemical structure of nutrients, which is not directly related to predicting metabolic abnormalities in nutritional intake. Choice B is incorrect because predicting abnormal utilization of nutrients does not necessarily directly correlate to metabolic abnormalities. Choice C is incorrect as it refers to reflecting the tissue level of a given nutrient, which is not the primary focus when prioritizing biochemical assessment for nutritional status appraisal.

Correct Answer: B

Rationale: The correct answer is B: Increased incidence of falls. A low BMI in community-dwelling elderly individuals is associated with decreased muscle mass and strength, which can lead to reduced balance and increased risk of falls. Falls are a significant concern among the elderly population, often resulting in serious injuries and complications. The other choices are incorrect because: A: High risk of diabetes - Low BMI is not typically associated with a high risk of diabetes; in fact, it is more commonly linked to a higher risk of malnutrition-related problems. C: Higher mortality rate - While low BMI can be a risk factor for mortality in older adults, the question specifically asks about associations with low BMI in the elderly, not mortality rates. D: Low risk of chronic disease - A low BMI is not indicative of a low risk of chronic diseases; in fact, it can be a risk factor for various health issues due to malnutrition and decreased muscle mass.

Correct Answer: B

Rationale: The correct answer is B: What resources are available to the patient. This is important because it helps in determining the support systems and services that can be utilized to assist the patient in her home setting. Knowing the available resources can help in providing appropriate care and assistance tailored to the patient's specific needs. A: Where the closest relative lives is not as critical as knowing the available resources that can provide immediate support and care for the patient. C: The patient's financial status may be important for long-term planning but is not essential for immediate care in the home setting. D: The number of children the patient has is not as relevant as knowing the resources that can be accessed to provide care and support for the patient.

Correct Answer: B

Rationale: The correct answer is B because evaluations measure the effectiveness of a program by assessing the outcomes and impact it has achieved. This includes evaluating whether the program's goals were met, the extent of its success, and the changes it has brought about. Evaluations go beyond just monitoring the timeliness of activities (choice A) or budget adherence (choice C). Evaluations focus on the overall effectiveness and success of the program in delivering the intended results.

Correct Answer: C

Rationale: Project monitoring is referred to as Process Evaluation because it focuses on tracking and assessing the implementation of project activities to ensure they are on track and meeting objectives. Process evaluation involves examining the methods, strategies, and procedures used in the project to identify strengths and areas for improvement. It helps in understanding how well the project is progressing in terms of timelines, resource allocation, and quality of deliverables. Explanation of other choices: A: Evaluation - too broad and does not specifically address the ongoing tracking and assessment of project processes. B: Impact Evaluation - focuses on the outcomes and long-term effects of a project, not the ongoing monitoring of project activities. D: Performance Evaluation - typically refers to the assessment of individual or team performance, not the systematic monitoring of project processes.