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,Chapter01: Food, Nutrition and Health i i i i i
NIX:WILLIAMS’BASICNUTRITIONANDDIETTHERAPY16THEDITION
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MULTIPLECHOICE i
1. Promotingahealthcareservicethatimprovesdiabetes managementforthe elderlyina i i i i i i i i i i i i i
community would assist in which of the following?
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a. supportingtheNational HealthGoals-HealthyPeople 2020 i i i i i i
b. reducingworldhungerin theUnitedStatesandAsia i i i i i i i i
c. improvingMedicarereimbursementclaims i i i
d. providingaccesstochild careservicesforchildren i i i i i i i
ANS:A i
HealthyPeople2020has awideinfluence andisthefocusofthenation’smain objectiveto promote health
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and prevent disease.
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DIF:CognitiveLevel:ApplicationREF:3-Feb
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TOP:NursingProcess: ImplementationMSC:NCLEX:HealthPromotionandMaintenance
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2. Apatientrequiresanutritionassessment.Themost appropriateprofessional toperformthe
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assessment is a
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a. physician.
b. nurse.
c. publichealthnutritionist. i i
d. registered dietitian. i
ANS: D i
The registered dietitian is the nutrition expert registered with the Commission of Dietetic Registration
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(CDR), the certifying agency of Academy of Nutrition and Dietetics. Registered dietitians are the only
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professionals who have met strict educational and professional prerequisitesandpassedanational
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registrationexamination, whichwouldproperlypreparethem to conduct a nutrition assessment.
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DIF:CognitiveLevel:ApplicationREF:1 TOP:
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Nursing Process: Assessment
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MSC:NCLEX:Safeand EffectiveCareEnvironment: ManagementofCare
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3. Thesum ofall bodyprocessesinsideliving cellsthat sustain lifeandhealthis
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a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C i
Metabolismisthesumofallchemical changesthattakeplaceinthebody.Metabolismprovides energy, i i i i i i i i i i i i i i i i
builds tissue, and regulates metabolic processes in the body.
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,DIF:CognitiveLevel:KnowledgeREF:4-MarTOP:NursingProcess:Planning
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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4. Thenutrients that providethe bodywith itsprimarysourceof fuel forenergyare
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a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D i
Carbohydrates(e.g.,starches andsugars)arethebody’sprimaryfueltocarryoutnecessary processes; fat i i i i i i i i i i i i i i i
is the secondary source of energy.
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DIF:CognitiveLevel:KnowledgeREF:4TOP:NursingProcess:Planning MSC:
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NCLEX: Physiological Integrity: Physiological Adaptation
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5. Whichofthefollowingis themostaccuratestatementregardingthefunctions ofprotein?
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a. Proteinscanbeaprimaryfuelsource evenifthereisadequatecarbohydrate intake. i i i i i i i i i i i i i
b. Proteinsareanecessarynutrient to provideenergyforthe bodyintimesof stress. i i i i i i i i i i i i i i
c. Proteinscanbeusedascoenzymefactorsduringcell metabolism. i i i i i i i i i
d. Proteinsareessentialtotissuebuildingandrepair withinthebody. i i i i i i i i i i
ANS: D i
The primary function of proteins is to provide amino acids, which are the building units necessaryto
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buildandrepairtissueswithinthebody.Thisisaconstantprocessthatensures adequate growth and
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maintenance of tissues for a strong body.
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DIF:CognitiveLevel:ComprehensionREF:4
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TOP: Nursing Process: Assessment
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MSC:NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation
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6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate requirements.
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Theapproximate numberofkilocaloriesperdayfromfathisdiet shouldprovideis
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kcal/day.
a. 400 to 700 i i
b. 100 to 300 i i
c. 500 to 800 i i
d. 900 to 1200 i i
ANS:A i
Fatshouldprovidenomorethan20%to35%ofthetotal kilocaloriesperday, sofora2000-kcal diet 400 to
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700 kcal should be provided.
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DIF:CognitiveLevel:ApplicationREF:4TOP:NursingProcess:Planning MSC:
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NCLEX: Health Promotion and Maintenance
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, 7. Thebody’smainstorage formofcarbohydrateis i i i i i i i
a. glycogen.
b. glycerol.
c. glucagon.
d. glucose.
ANS:A i
Glycogenisapolysaccharidethatisthemainstorageformofcarbohydrateinthehumanbody. It is mainly
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stored in the liver and to a lesser extent in muscle tissue.
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DIF:CognitiveLevel:KnowledgeREF:4TOP:NursingProcess:
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PlanningMSC:NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation i i i i i
8. Thenumberofkilocalories provided byoneslice ofbreadthat contains 30 gcarbohydrate,3 g protein,
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and 1 g fat is
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a. 34
b. 136
c. 141
d. 306
ANS:C i
Calculateasfollows:Carbohydrateprovides4kcal/g,proteinprovides4kcal/g,andfatprovides 9 kcal/g.
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Therefore:
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30 gcarbohydrate ´4 kcal/g =120 kcal
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3 gprotein ´4 kcal/g=12 kcal
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1 gfat ´9 kcal/g=9 kcal
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=141total kcal(120kcal +12 kcal +9 kcal)
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DIF:CognitiveLevel:ApplicationREF:4 TOP:
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Nursing Process: Assessment
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MSC:NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation
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9. Thenumberofkilocalories fromfat inasandwich that contains22 gfat is
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a. 88
b. 132
c. 154
d. 198
ANS:C i
Fat provides9 kcal/g.Thus, 22 gfat ´9 kcal/g=198 kcal.
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DIF:CognitiveLevel:ApplicationREF:4 TOP:
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Nursing Process: Assessment
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MSC:NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation
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10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
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kcal.
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a. 45