Nutrition

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DescriptionNURS 225: Nutritional Self-Assessment
Name________________________________ Date_________________
Part 1
Subjective information. Answer each question:
1. Family History: (check all that apply)
___ Diabetes
___ Heart Disease
___ Weight Problems
____Cancer
____ High Cholesterol ____ Hypertension
____ Other____________________________ None _______________
How could these disorders affect your diet? __________________________
2. Culture: How does your ethnic culture or race affect your nutritional choices?
______________________________________________________________
3. Activity Level:
____Never ____ Occasionally ____1-2 times/week ____3-4 times/week
____ 5 or more days/week
Describe:
4. BMI Calculation:
_____ Height _____ Weight _____ BMI
Show calculation to obtain BMI:
Analysis of BMI calculation:
Part 2:
Barriers to Healthy Living: Answer each question below: Answer agree if this is a barrier that
applies to you or disagree if it is not a barrier.
Provide an explanation of your answer choice.
I do not have time to prepare healthy foods
Agree
Disagree
Explain:
I find myself snacking on “unhealthy” foods while studying
Explain:
I do not like the taste of healthy foods
Explain:
I have problems making healthy food my family will eat
Explain:
I eat when I feel sad/depressed/stressed/happy/or other emotion
Explain:
I get “mad” at myself for not making healthier food choices
Explain:
I often eat past the time of feeling “full”
Explain:
I often have powerful cravings for “unhealthy” foods
Explain:
I do not have time to exercise
Explain:
I feel self-conscious when I exercise
Explain:
Part 3:
Two-day food recall: Write down all foods consumed for two full days.
Day One
Breakfast:
Lunch:
Dinner:
Snacks:
Day Two
Breakfast:
Lunch:
Dinner:
Snacks:
Nutrition: Find the nutritional values for the nutrients below for each day:
Nutrient
Protein
Carbohydrates
Your Recommend Daily
Allowance based on
weight/height/activity
level
Day One
Day Two
B:
L:
D:
S:
B:
L:
B:
L:
D:
S:
B:
L:
Fat
Fiber
Vitamin C
Iron
Cholesterol
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
B:
L:
D:
S:
Part 4:
Answer each question based on your food recall
1. Based on your subjective data, barriers, and nutritional analysis, what changes should
you make to your current diet? (Support your answer with at least one reference)
2. Provide one SMART goal (Specific, measurable, achievable, realistic, timed) and two
strategies to help you obtain that goal.
3. Reflection: What did you learn from this assignment regarding your diet and health in
regard to your dietary habits?

Purchase answer to see full
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DescriptionNURS 225: Nutritional Self-Assessment Name________________________________ Date_________________ Part 1 Subjective information. Answer each question: 1. Family History: (check all that apply) ___ Diabetes ___ Heart Disease ___ Weight Problems ____Cancer ____ High Cholesterol ____ Hypertension ____ Other____________________________ None _______________ How could these disorders affect your diet? __________________________ 2. Culture: How does your ethnic culture or race affect your nutritional choices? ______________________________________________________________ 3. Activity Level: ____Never ____ Occasionally ____1-2 times/week ____3-4 times/week ____ 5 or more days/week Describe: 4. BMI Calculation: _____ Height _____ Weight _____ BMI Show calculation to obtain BMI: Analysis of BMI calculation: Part 2: Barriers to Healthy Living: Answer each question below: Answer agree if this is a barrier that applies to you or disagree if it is not a barrier. Provide an explanation of your answer choice. I do not have time to prepare healthy foods Agree Disagree Explain: I find myself snacking on “unhealthy” foods while studying Explain: I do not like the taste of healthy foods Explain: I have problems making healthy food my family will eat Explain: I eat when I feel sad/depressed/stressed/happy/or other emotion Explain: I get “mad” at myself for not making healthier food choices Explain: I often eat past the time of feeling “full” Explain: I often have powerful cravings for “unhealthy” foods Explain: I do not have time to exercise Explain: I feel self-conscious when I exercise Explain: Part 3: Two-day food recall: Write down all foods consumed for two full days. Day One Breakfast: Lunch: Dinner: Snacks: Day Two Breakfast: Lunch: Dinner: Snacks: Nutrition: Find the nutritional values for the nutrients below for each day: Nutrient Protein Carbohydrates Your Recommend Daily Allowance based on weight/height/activity level Day One Day Two B: L: D: S: B: L: B: L: D: S: B: L: Fat Fiber Vitamin C Iron Cholesterol D: S: B: L: D: S: B: L: D: S: B: L: D: S: B: L: D: S: B: L: D: S: D: S: B: L: D: S: B: L: D: S: B: L: D: S: B: L: D: S: B: L: D: S: Part 4: Answer each question based on your food recall 1. Based on your subjective data, barriers, and nutritional analysis, what changes should you make to your current diet? (Support your answer with at least one reference) 2. Provide one SMART goal (Specific, measurable, achievable, realistic, timed) and two strategies to help you obtain that goal. 3. Reflection: What did you learn from this assignment regarding your diet and health in regard to your dietary habits? Purchase answer to see full attachment

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