b
,Chapter 01: Food, Nutrition and Health b b b b b
NIX: WILLIAMS’ BASIC NUTRITION AND DIET THERAPY 16TH EDITION
b b b b b b b b
MULTIPLE CHOICE b
1. Promoting a health care service that improves diabetes management for the elderly in a b b b b b b b b b b b b b
community would assist in which of the following?
b b b b b b b b
a. supporting the National Health Goals-Healthy People 2020 b b b b b b
b. reducing world hunger in the United States and Asia b b b b b b b b
c. improvingMedicare reimbursement claims b b b
d. providing access to child care services for children b b b b b b b
ANS: A b
HealthyPeople 2020 has a wide influence and is the focus of the nation’s main objective to promote
b b b b b b b b b b b b b b b b b
health and prevent disease.
b b b b
DIF: CognitiveLevel: Application REF: 3-Feb
b b b b b
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
b b b b b b b b b
2. A patient requires a nutrition assessment. The most appropriate professional to perform the
b b b b b b b b b b b b
assessment is a
b b b
a. physician.
b. nurse.
c. public health nutritionist. b b
d. registered dietitian. b
ANS: D b
The registered dietitian is the nutrition expert registered with the Commission of Dietetic
b b b b b b b b b b b b
Registration (CDR), the certifying agency of Academy of Nutrition and Dietetics. Registered
b b b b b b b b b b b b
dietitians are the only professionals who have met strict educational and professional prerequisites
b b b b b b b b b b b b b
and passed a national registration examination, which would properlyprepare them to conduct a
b b b b b b b b b b b b b b
nutrition assessment.
b b
DIF: CognitiveLevel: Application REF: 1 TOP:
b b b b b b
Nursing Process: Assessment
b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
b b b b b b b b b
3. The sum of all bodyprocesses inside living cells that sustain life and health is
b b b b b b b b b b b b b b
a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C b
Metabolism is the sum of all chemical changes that take place in the body. Metabolism provides
b b b b b b b b b b b b b b b
energy, builds tissue, and regulates metabolic processes in the body.
b b b b b b b b b b
,DIF: Cognitive Level: Knowledge REF: 4-MarTOP: Nursing Process: Planning
b b b b b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
4. The nutrients that provide the bodywith its primarysource of fuel for energy are
b b b b b b b b b b b b b b
a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D b
Carbohydrates (e.g., starches and sugars) are the body’s primaryfuel to carry out necessary processes;
b b b b b b b b b b b b b b
fat is the secondary source of energy.
b b b b b b b
DIF: Cognitive Level: Knowledge REF: 4 TOP: Nursing Process: Planning MSC:
b b b b b b b b b b
NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b
5. Which of the following is the most accurate statement regarding the functions of protein?
b b b b b b b b b b b b b
a. Proteins can be a primary fuel source even if there is adequate carbohydrate intake.
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b. Proteins are a necessary nutrient to provide energy for the body in times of stress.
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c. Proteins can be used as coenzyme factors during cell metabolism.
b b b b b b b b b
d. Proteins are essential to tissue building and repair within the body.
b b b b b b b b b b
ANS: D b
The primary function of proteins is to provide amino acids, which are the building units necessaryto
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build and repair tissues within the body. This is a constant process that ensures adequate growth and
b b b b b b b b b b b b b b b b b
maintenance of tissues for a strong body.
b b b b b b b
DIF: CognitiveLevel: Comprehension REF: 4
b b b b b
TOP: Nursing Process: Assessment
b b b b
MSC:NCLEX:Physiological Integrity: Physiological Adaptation
b b b b b
6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate requirements.
b b b b b b b b b b b b
The approximate number of kilocalories per day from fat his diet should provide is
b b b b b b b b b b b b b b
kcal/day.
a. 400 to 700 b b
b. 100 to 300 b b
c. 500 to 800 b b
d. 900 to 1200 b b
ANS: A b
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-kcal diet
b b b b b b b b b b b b b b b b b b b
400 to 700 kcal should be provided.
b b b b b b b
DIF: CognitiveLevel: Application REF: 4TOP: Nursing Process: Planning MSC:
b b b b b b b b b b
NCLEX: Health Promotion and Maintenance
b b b b b
, 7. The body’s main storage form of carbohydrate is
b b b b b b b
a. glycogen.
b. glycerol.
c. glucagon.
d. glucose.
ANS: A b
Glycogen is apolysaccharide that is themain storage form of carbohydrate in the human body. It is
b b b b b b b b b b b b b b b b b
mainly stored in the liver and to a lesser extent in muscle tissue.
b b b b b b b b b b b b b
DIF: Cognitive Level: Knowledge REF: 4TOP: Nursing Process:
b b b b b b b b
PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation b b b b b
8. The number of kilocalories provided byone slice of bread that contains 30 g carbohydrate, 3 g
b b b b b b b b b b b b b b b b
protein, and 1 g fat is
b kcal. b b b b b
a. 34
b. 136
c. 141
d. 306
ANS: C b
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat provides 9
b b b b b b b b b b b b b b
kcal/g. Therefore:
b b
30 g carbohydrate ´ 4 kcal/g = 120 kcal
b b b b b b b b
3 g protein ´ 4 kcal/g = 12 kcal
b b b b b b b b
1 g fat ´ 9 kcal/g = 9 kcal
b b b b b b b b
= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
b b b b b b b b b b b
DIF: CognitiveLevel: Application REF: 4 TOP:
b b b b b b
Nursing Process: Assessment
b b b
MSC:NCLEX:Physiological Integrity: Physiological Adaptation
b b b b b
9. The number of kilocalories from fat in a sandwich that contains 22 g fat is
b b b b b b b b b b b b b b kcal.
a. 88
b. 132
c. 154
d. 198
ANS: C b
Fat provides 9 kcal/g. Thus, 22 g fat ´ 9 kcal/g = 198 kcal.
b b b b b b b b b b b b b
DIF: CognitiveLevel: Application REF: 4 TOP:
b b b b b b
Nursing Process: Assessment
b b b
MSC:NCLEX:Physiological Integrity: Physiological Adaptation
b b b b b
10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
b b b b b b b b b b b b b b b
kcal.
b
a. 45