TEST BANK
Lutz's Nutrition and Diet Therapy
Nancy A. Mazur, and Erin E. Litch
8th Edition
,Table of Contents
Chapter 01. Nutrition in Human Health 1
Chapter 02. Carbohydrates 14
Chapter 03. Fats 29
Chapter 04. Protein 44
Chapter 05. Energy Balance 59
Chapter 06. Vitamins 74
Chapter 07. Minerals 89
Chapter 08. Water 102
Chapter 09. Digestion, Absorption, Metabolism, and Excretion 116
Chapter 10. Life Cycle Nutrition: Pregnancy and Lactation 130
Chapter 11. Life Cycle Nutrition: Infancy, Childhood, and Adolescence 144
Chapter 12. Life Cycle Nutrition: The Mature Adult 159
Chapter 13. Food Management 174
Chapter 14. Nutrient Delivery 188
Chapter 15. Interactions: Food and Nutrients Versus Medications and Supplements 203
Chapter 16. Weight Management 217
Chapter 17. Diet in Diabetes Mellitus and Hypoglycemia 231
Chapter 18. Diet in Cardiovascular Disease 245
Chapter 19. Diet in Renal Disease 259
Chapter 20. Diet in Digestive Diseases 272
Chapter 21. Diet and Cancer 286
Chapter 22. Nutrition in Critical Care 299
Chapter 23. Diet in HIV and AIDS 313
Chapter 24. Nutritional Care of the Terminally Ill 326
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Chapter 1. Nutrition in Human Health
MULTIPLE CHOICE
1. A nurse is leading a seminar with middle school students on healthy food choices at the
community health center every Tuesday. The nurse knows that the seminar is a form of:
a. Secondary prevention
b. Primary prevention
c. Tertiary prevention
d. Complication prevention
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 1. Describe the relationship between nutrition and health.
Page: 3
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is incorrect. Secondary prevention is the establishment of monitoring
techniques to discover diseases early enough to provide the opportunity to
control their effects.
B This is correct. The information the nurse presents to the class is considered a
primary prevention level of disease prevention. The nurse is teaching about
nutritional changes that can prevent diseases caused by overeating.
C This is incorrect. Tertiary prevention is the use of treatment techniques after
disease has occurred to prevent further complications.
D This is incorrect. The class is about the different categories of disease
prevention. Actions meant to prevent complications or to promote maximum
adaptation would be considered tertiary prevention.
PTS: 1 CON: Nutrition
2. A nurse knows that energy nutrients are measured in which of the following ways?
a. Kilocalories
b. Proteins
c. Heat (thermal)
d. Electric signals
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. The energy both in foods and in the body is measured in
kilocalories, abbreviated kcal.
B This is incorrect. Carbohydrates, fats, and proteins, the nutrients that supply
energy, are referred to as the energy nutrients.
C This is incorrect. Energy exists in a variety of forms: electric, thermal (heat),
chemical, mechanical, and nuclear.
D This is incorrect. Chemical energy is transformed into electric signals in nerves
and into mechanical energy in muscles.
PTS: 1 CON: Nutrition
3. A nurse is caring for a client with Crohn disease. The nurse notes that the health-care
provider has ordered the addition of omega-3 fatty acids to the diet and omega-3 fatty acid
supplements to the medication regimen. The nurse suspects the health-care provider is
applying which process to help this client minimize chronic inflammation from the disease?
a. Nutrigenetics
b. Epigenetics
c. Nutrigenomics
d. Epigenomics
ANS: C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 3. Recognize the possible relationship of genetics to the adequacy of nutrition.
Page: 5
Heading: Nutritional Genomics
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A This is incorrect. Nutrigenetics detects gene variants within an individual to
identify nutritional factors that trigger dysfunction or disease.
B This is incorrect. Epigenetics is the process that regulates how and when genes
are turned on and off.
C This is correct. Nutrigenomics is the study of the interaction between one’s diet
and their genes. These interactions can markedly influence digestion, absorption,
and elimination, as well as influence their sites of actions.
D This is incorrect. Epigenomics is the study of the process of epigenetics.
PTS: 1 CON: Evidence-Based Practice
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
4. Which is the main focus of the 2015–2020 Dietary Guidelines for Americans?
a. Base overall eating patterns on personal and cultural choice.
b. Provide simple instructions that promote healthy eating patterns.
c. Monitor dietary intake through a telephone survey.
d. Increase the number of schools providing fruits and vegetables.
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 4. Compare dietary intakes in the United States with the U.S. Department of
Agriculture Dietary Guidelines.
Page: 7
Heading: Dietary Guidelines
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is correct. The 2015–2020 Dietary Guidelines for Americans focuses on
overall eating patterns, which should be utilized as a flexible framework based
upon an individual’s personal and cultural choice.
B This is incorrect. MyPlate is a U.S. Department of Agriculture (USDA) program
developed to provide simple-to-follow guidelines and graphics, which promote
healthy eating patterns.
C This is incorrect. The Centers for Disease Control and Prevention (CDC)
monitors dietary intake through a telephone survey.
D This is incorrect. The CDC recommends increasing the number of schools
providing fruits and vegetables.
PTS: 1 CON: Nutrition
5. Which statement made to a nurse about food insecurity is concerning?
a. “My mom cooks once a week and we go out to eat the other days.”
b. “We often eat at the local shelter when we can.”
c. “I often feel like I don’t want to eat; I’m getting so fat!”
d. “I love to cook. I often cook for my friends and family.”
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 5. Discuss issues related to food insecurity.
Page: 9
Heading: Food Insecurity
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
A This is incorrect. This statement is not about food insecurity, as the client eats
every day.
B This is correct. This statement conveys food insecurity because it expresses that
the client is unsure whether food will be attainable or affordable. Food insecurity
is often associated with poverty and low income.
C This is incorrect. This statement indicates an aversion to food, and could be
associated with anorexia, rather than food insecurity.
D This is incorrect. This statement indicates that food is readily available and does
not indicate food insecurity.
PTS: 1 CON: Nutrition
6. In order to make suitable recommendations about nutritional status, which criteria must the
nurse gather during assessment from a client diagnosed with diabetes?
a. Reported dietary intake and physical examination
b. Anthropomorphic measurements and physical examination
c. Food diary and interview
d. Dietary recalls and self-report
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 6. List and describe the steps in providing nutritional care.
Page: 12
Heading: Subjective Data; Objective Data
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Metabolism
Difficulty: Moderate
Feedback
A This is correct. Subjective and objective data are needed to make suitable
recommendations about nutritional status.
B This is incorrect. This information is objective only and is not suitable as the
sole criterion on nutritional status.
C This is incorrect. This information is subjective only and is not suitable as the
sole criterion on nutritional status.
D This is incorrect. This information is subjective only and is not suitable as the
sole criterion on nutritional status.
PTS: 1 CON: Metabolism
7. A nurse is caring for a client diagnosed with diverticulitis. Which question asked during
nutritional assessment is most appropriate for the nurse to ask?
a. “Do you consume meat at most of your meals?”
b. “Doesn’t everyone like grilled chicken?”
c. “What comfort foods do you enjoy?”
d. “What types of food do you consume regularly?”
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
ANS: D
Chapter: Chapter 1, Nutrition in Human Health
Objective: 8. Give an example of a provider’s use of, and respect for, cultural beliefs having
a favorable impact on a health outcome for a client.
Page: 18
Heading: Impact of Cultural Nutrition
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is incorrect. This question implies that the client includes meat in their diet,
which may not necessarily be the case. Diet preferences must be assessed, and
not assumed.
B This is incorrect. This question implies that the client consumes poultry based on
the nurse’s own assumptions about what “everyone” likes to consume. It is
important for the nurse to assess dietary preferences rather than assume them.
C This is incorrect. This question assumes that the client enjoys comfort foods and
would not help the nurse accurately assess the client’s nutritional preferences.
D This is correct. Dietary preferences differ among people and should be assessed
accordingly. This question allows the client to identify their preferences, rather
than expressing any of the nurse’s assumptions.
PTS: 1 CON: Nutrition
8. A nurse is caring for a client admitted to the emergency department (ED). When the nurse
learns that the client is an Alaskan native, which diagnosis of acculturation does the nurse
suspect?
a. Chronic obstructive pulmonary disease (COPD)
b. Diabetes
c. Crohn disease
d. Gastrointestinal (GI) bleeding
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 9. State the preferences and dietary restrictions of several cultural and religious
groups.
Page: 19
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Metabolism
Difficulty: Moderate
Feedback
A This is incorrect. COPD is not an effect of acculturation.
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
B This is correct. Diabetes mellitus occurs in high numbers among widely
scattered indigenous populations undergoing acculturation.
C This is incorrect. Crohn disease is not an effect of acculturation.
D This is incorrect. GI bleeding is not an effect of acculturation.
PTS: 1 CON: Metabolism
9. When taking care of a client with irritable bowel syndrome (IBS), the nurse talks about new
genetic knowledge that could personalize nutrition prescriptions. The nurse does this to:
a. Cure the disease
b. Research proper use of prescriptions
c. Utilize nutrients properly
d. Help address nutritional needs
ANS: C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 3. Recognize the possible relationship of genetics to the adequacy of nutrition.
Page: 5
Heading: Nutritional Genomics
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A This is incorrect. Nutrition prescriptions do not cure disease.
B This is incorrect. New genetic knowledge does not research proper use of
prescriptions.
C This is correct. New genetic knowledge offers the potential to personalize
nutrition prescriptions to avoid interactions between one’s diet and their genes,
which can adversely affect the body’s use of nutrients.
D This is incorrect. Nutrition prescriptions do not help address nutritional needs.
PTS: 1 CON: Evidence-Based Practice
MULTIPLE RESPONSE
10. A nurse is caring for a client diagnosed with bulimia. In addition to the nurse, which other
members of the health-care team are involved in the comprehensive nutritional assessment?
Select all that apply.
a. Social worker
b. Laboratory staff
c. Dietitian
d. Physician
e. Physical therapist
ANS: A, B, C, D
Chapter: Chapter 1, Nutrition in Human Health
______________________________________________________________________________________________
6|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Objective: 6. List and describe the steps in providing nutritional care.
Page: 11
Heading: Nutritional Care
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Addiction and Behaviors
Difficulty: Moderate
Feedback
A This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the social worker.
B This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the laboratory staff.
C This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the dietitian.
D This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the physician.
E This is incorrect. Although there are many members of the health-care team
involved in a comprehensive nutritional assessment, the physical therapist is
not typically involved.
PTS: 1 CON: Addiction and Behaviors
11. When discharging a client who had gastric-bypass surgery, the nurse makes sure to include
which information in the client’s discharge planning? Select all that apply.
a. Take vitamins daily.
b. Drink plenty of water.
c. Include polyphenols in the diet.
d. Limit carbohydrates and fats.
e. Eat plenty of protein shakes.
ANS: A, B, C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. Vitamins are essential nutrients that the body requires but
cannot manufacture sufficiently.
B This is correct. Water is an essential nutrient that participates in the
continued growth and maintenance of building body structures.
______________________________________________________________________________________________
7|Page
, ______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
C This is correct. Polyphenols are found in plants and help stimulate the
immune system, prevent cell damage, and reduce inflammation.
D This is incorrect. Carbohydrates, fats, and proteins are nutrients that supply
energy. The client, in conjunction with the health-care team, including the
health-care provider and nutritionist, will develop a diet plan that is individual
to the client.
E This is incorrect. Protein shakes may contain nonessential nutrients that the
body may make from other substances. The quantity of any one component
of food and its usefulness of function varies and should be planned and
discussed with the health-care team.
PTS: 1 CON: Nutrition
12. Which are functions of nutrients? Select all that apply.
a. Serve as a source of heat.
b. Support the growth of tissue.
c. Aid in the loss of weight.
d. Help prevent diabetes.
e. Provide control of disease.
ANS: A, B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: Nutrients: Functions
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. All nutrients perform one or more functions, such as serving
as a source of energy or heat.
B This is correct. All nutrients perform one or more functions, such as supporting
the growth and maintenance of tissue.
C This is incorrect. Nutrients do not aid in weight loss.
D This is incorrect. Nutrients do not help prevent diabetes, but they may help
control it.
E This is incorrect. This is a secondary prevention function; nutrients do not
provide control of disease.
PTS: 1 CON: Nutrition
13. A nurse received report from the GI department and is waiting to admit a client diagnosed
with lactose intolerance. The nurse suspects that the client may be from which of the
following cultures? Select all that apply.
a. Native American
b. Italian
______________________________________________________________________________________________
8|Page
Lutz's Nutrition and Diet Therapy
Nancy A. Mazur, and Erin E. Litch
8th Edition
,Table of Contents
Chapter 01. Nutrition in Human Health 1
Chapter 02. Carbohydrates 14
Chapter 03. Fats 29
Chapter 04. Protein 44
Chapter 05. Energy Balance 59
Chapter 06. Vitamins 74
Chapter 07. Minerals 89
Chapter 08. Water 102
Chapter 09. Digestion, Absorption, Metabolism, and Excretion 116
Chapter 10. Life Cycle Nutrition: Pregnancy and Lactation 130
Chapter 11. Life Cycle Nutrition: Infancy, Childhood, and Adolescence 144
Chapter 12. Life Cycle Nutrition: The Mature Adult 159
Chapter 13. Food Management 174
Chapter 14. Nutrient Delivery 188
Chapter 15. Interactions: Food and Nutrients Versus Medications and Supplements 203
Chapter 16. Weight Management 217
Chapter 17. Diet in Diabetes Mellitus and Hypoglycemia 231
Chapter 18. Diet in Cardiovascular Disease 245
Chapter 19. Diet in Renal Disease 259
Chapter 20. Diet in Digestive Diseases 272
Chapter 21. Diet and Cancer 286
Chapter 22. Nutrition in Critical Care 299
Chapter 23. Diet in HIV and AIDS 313
Chapter 24. Nutritional Care of the Terminally Ill 326
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Chapter 1. Nutrition in Human Health
MULTIPLE CHOICE
1. A nurse is leading a seminar with middle school students on healthy food choices at the
community health center every Tuesday. The nurse knows that the seminar is a form of:
a. Secondary prevention
b. Primary prevention
c. Tertiary prevention
d. Complication prevention
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 1. Describe the relationship between nutrition and health.
Page: 3
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is incorrect. Secondary prevention is the establishment of monitoring
techniques to discover diseases early enough to provide the opportunity to
control their effects.
B This is correct. The information the nurse presents to the class is considered a
primary prevention level of disease prevention. The nurse is teaching about
nutritional changes that can prevent diseases caused by overeating.
C This is incorrect. Tertiary prevention is the use of treatment techniques after
disease has occurred to prevent further complications.
D This is incorrect. The class is about the different categories of disease
prevention. Actions meant to prevent complications or to promote maximum
adaptation would be considered tertiary prevention.
PTS: 1 CON: Nutrition
2. A nurse knows that energy nutrients are measured in which of the following ways?
a. Kilocalories
b. Proteins
c. Heat (thermal)
d. Electric signals
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. The energy both in foods and in the body is measured in
kilocalories, abbreviated kcal.
B This is incorrect. Carbohydrates, fats, and proteins, the nutrients that supply
energy, are referred to as the energy nutrients.
C This is incorrect. Energy exists in a variety of forms: electric, thermal (heat),
chemical, mechanical, and nuclear.
D This is incorrect. Chemical energy is transformed into electric signals in nerves
and into mechanical energy in muscles.
PTS: 1 CON: Nutrition
3. A nurse is caring for a client with Crohn disease. The nurse notes that the health-care
provider has ordered the addition of omega-3 fatty acids to the diet and omega-3 fatty acid
supplements to the medication regimen. The nurse suspects the health-care provider is
applying which process to help this client minimize chronic inflammation from the disease?
a. Nutrigenetics
b. Epigenetics
c. Nutrigenomics
d. Epigenomics
ANS: C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 3. Recognize the possible relationship of genetics to the adequacy of nutrition.
Page: 5
Heading: Nutritional Genomics
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A This is incorrect. Nutrigenetics detects gene variants within an individual to
identify nutritional factors that trigger dysfunction or disease.
B This is incorrect. Epigenetics is the process that regulates how and when genes
are turned on and off.
C This is correct. Nutrigenomics is the study of the interaction between one’s diet
and their genes. These interactions can markedly influence digestion, absorption,
and elimination, as well as influence their sites of actions.
D This is incorrect. Epigenomics is the study of the process of epigenetics.
PTS: 1 CON: Evidence-Based Practice
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
4. Which is the main focus of the 2015–2020 Dietary Guidelines for Americans?
a. Base overall eating patterns on personal and cultural choice.
b. Provide simple instructions that promote healthy eating patterns.
c. Monitor dietary intake through a telephone survey.
d. Increase the number of schools providing fruits and vegetables.
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 4. Compare dietary intakes in the United States with the U.S. Department of
Agriculture Dietary Guidelines.
Page: 7
Heading: Dietary Guidelines
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is correct. The 2015–2020 Dietary Guidelines for Americans focuses on
overall eating patterns, which should be utilized as a flexible framework based
upon an individual’s personal and cultural choice.
B This is incorrect. MyPlate is a U.S. Department of Agriculture (USDA) program
developed to provide simple-to-follow guidelines and graphics, which promote
healthy eating patterns.
C This is incorrect. The Centers for Disease Control and Prevention (CDC)
monitors dietary intake through a telephone survey.
D This is incorrect. The CDC recommends increasing the number of schools
providing fruits and vegetables.
PTS: 1 CON: Nutrition
5. Which statement made to a nurse about food insecurity is concerning?
a. “My mom cooks once a week and we go out to eat the other days.”
b. “We often eat at the local shelter when we can.”
c. “I often feel like I don’t want to eat; I’m getting so fat!”
d. “I love to cook. I often cook for my friends and family.”
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 5. Discuss issues related to food insecurity.
Page: 9
Heading: Food Insecurity
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
A This is incorrect. This statement is not about food insecurity, as the client eats
every day.
B This is correct. This statement conveys food insecurity because it expresses that
the client is unsure whether food will be attainable or affordable. Food insecurity
is often associated with poverty and low income.
C This is incorrect. This statement indicates an aversion to food, and could be
associated with anorexia, rather than food insecurity.
D This is incorrect. This statement indicates that food is readily available and does
not indicate food insecurity.
PTS: 1 CON: Nutrition
6. In order to make suitable recommendations about nutritional status, which criteria must the
nurse gather during assessment from a client diagnosed with diabetes?
a. Reported dietary intake and physical examination
b. Anthropomorphic measurements and physical examination
c. Food diary and interview
d. Dietary recalls and self-report
ANS: A
Chapter: Chapter 1, Nutrition in Human Health
Objective: 6. List and describe the steps in providing nutritional care.
Page: 12
Heading: Subjective Data; Objective Data
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Metabolism
Difficulty: Moderate
Feedback
A This is correct. Subjective and objective data are needed to make suitable
recommendations about nutritional status.
B This is incorrect. This information is objective only and is not suitable as the
sole criterion on nutritional status.
C This is incorrect. This information is subjective only and is not suitable as the
sole criterion on nutritional status.
D This is incorrect. This information is subjective only and is not suitable as the
sole criterion on nutritional status.
PTS: 1 CON: Metabolism
7. A nurse is caring for a client diagnosed with diverticulitis. Which question asked during
nutritional assessment is most appropriate for the nurse to ask?
a. “Do you consume meat at most of your meals?”
b. “Doesn’t everyone like grilled chicken?”
c. “What comfort foods do you enjoy?”
d. “What types of food do you consume regularly?”
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
ANS: D
Chapter: Chapter 1, Nutrition in Human Health
Objective: 8. Give an example of a provider’s use of, and respect for, cultural beliefs having
a favorable impact on a health outcome for a client.
Page: 18
Heading: Impact of Cultural Nutrition
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is incorrect. This question implies that the client includes meat in their diet,
which may not necessarily be the case. Diet preferences must be assessed, and
not assumed.
B This is incorrect. This question implies that the client consumes poultry based on
the nurse’s own assumptions about what “everyone” likes to consume. It is
important for the nurse to assess dietary preferences rather than assume them.
C This is incorrect. This question assumes that the client enjoys comfort foods and
would not help the nurse accurately assess the client’s nutritional preferences.
D This is correct. Dietary preferences differ among people and should be assessed
accordingly. This question allows the client to identify their preferences, rather
than expressing any of the nurse’s assumptions.
PTS: 1 CON: Nutrition
8. A nurse is caring for a client admitted to the emergency department (ED). When the nurse
learns that the client is an Alaskan native, which diagnosis of acculturation does the nurse
suspect?
a. Chronic obstructive pulmonary disease (COPD)
b. Diabetes
c. Crohn disease
d. Gastrointestinal (GI) bleeding
ANS: B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 9. State the preferences and dietary restrictions of several cultural and religious
groups.
Page: 19
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Metabolism
Difficulty: Moderate
Feedback
A This is incorrect. COPD is not an effect of acculturation.
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
B This is correct. Diabetes mellitus occurs in high numbers among widely
scattered indigenous populations undergoing acculturation.
C This is incorrect. Crohn disease is not an effect of acculturation.
D This is incorrect. GI bleeding is not an effect of acculturation.
PTS: 1 CON: Metabolism
9. When taking care of a client with irritable bowel syndrome (IBS), the nurse talks about new
genetic knowledge that could personalize nutrition prescriptions. The nurse does this to:
a. Cure the disease
b. Research proper use of prescriptions
c. Utilize nutrients properly
d. Help address nutritional needs
ANS: C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 3. Recognize the possible relationship of genetics to the adequacy of nutrition.
Page: 5
Heading: Nutritional Genomics
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A This is incorrect. Nutrition prescriptions do not cure disease.
B This is incorrect. New genetic knowledge does not research proper use of
prescriptions.
C This is correct. New genetic knowledge offers the potential to personalize
nutrition prescriptions to avoid interactions between one’s diet and their genes,
which can adversely affect the body’s use of nutrients.
D This is incorrect. Nutrition prescriptions do not help address nutritional needs.
PTS: 1 CON: Evidence-Based Practice
MULTIPLE RESPONSE
10. A nurse is caring for a client diagnosed with bulimia. In addition to the nurse, which other
members of the health-care team are involved in the comprehensive nutritional assessment?
Select all that apply.
a. Social worker
b. Laboratory staff
c. Dietitian
d. Physician
e. Physical therapist
ANS: A, B, C, D
Chapter: Chapter 1, Nutrition in Human Health
______________________________________________________________________________________________
6|Page
,______________________________________________________________________________________________
Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
Objective: 6. List and describe the steps in providing nutritional care.
Page: 11
Heading: Nutritional Care
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Addiction and Behaviors
Difficulty: Moderate
Feedback
A This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the social worker.
B This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the laboratory staff.
C This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the dietitian.
D This is correct. Many members of the health-care team are involved in a
comprehensive nutritional assessment, including the physician.
E This is incorrect. Although there are many members of the health-care team
involved in a comprehensive nutritional assessment, the physical therapist is
not typically involved.
PTS: 1 CON: Addiction and Behaviors
11. When discharging a client who had gastric-bypass surgery, the nurse makes sure to include
which information in the client’s discharge planning? Select all that apply.
a. Take vitamins daily.
b. Drink plenty of water.
c. Include polyphenols in the diet.
d. Limit carbohydrates and fats.
e. Eat plenty of protein shakes.
ANS: A, B, C
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: The Language of Nutrition: Disease Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. Vitamins are essential nutrients that the body requires but
cannot manufacture sufficiently.
B This is correct. Water is an essential nutrient that participates in the
continued growth and maintenance of building body structures.
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Test Bank - Lutz's Nutrition and Diet Therapy, 8th Edition (Mazur, 2023)
C This is correct. Polyphenols are found in plants and help stimulate the
immune system, prevent cell damage, and reduce inflammation.
D This is incorrect. Carbohydrates, fats, and proteins are nutrients that supply
energy. The client, in conjunction with the health-care team, including the
health-care provider and nutritionist, will develop a diet plan that is individual
to the client.
E This is incorrect. Protein shakes may contain nonessential nutrients that the
body may make from other substances. The quantity of any one component
of food and its usefulness of function varies and should be planned and
discussed with the health-care team.
PTS: 1 CON: Nutrition
12. Which are functions of nutrients? Select all that apply.
a. Serve as a source of heat.
b. Support the growth of tissue.
c. Aid in the loss of weight.
d. Help prevent diabetes.
e. Provide control of disease.
ANS: A, B
Chapter: Chapter 1, Nutrition in Human Health
Objective: 2. Identify the six classes of nutrients, their functions, and their essentiality.
Page: 4
Heading: Nutrients: Functions
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Comprehension
Concept: Nutrition
Difficulty: Moderate
Feedback
A This is correct. All nutrients perform one or more functions, such as serving
as a source of energy or heat.
B This is correct. All nutrients perform one or more functions, such as supporting
the growth and maintenance of tissue.
C This is incorrect. Nutrients do not aid in weight loss.
D This is incorrect. Nutrients do not help prevent diabetes, but they may help
control it.
E This is incorrect. This is a secondary prevention function; nutrients do not
provide control of disease.
PTS: 1 CON: Nutrition
13. A nurse received report from the GI department and is waiting to admit a client diagnosed
with lactose intolerance. The nurse suspects that the client may be from which of the
following cultures? Select all that apply.
a. Native American
b. Italian
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