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,Chapter01:Food, Nutrition, andHealth
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Nix: Williams' Basic Nutrition and Diet Therapy, 16th Edition
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MULTIPLE CHOICE v
1. Promoting a health care service that improves diabetes management for the elderlyin a
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v community would assist in which of the following? v v v v v v v
a. Supportingthenational health goals Healthy People 2020 v v v v v v v
b. Reducing hunger in a subset of the United States population v v v v v v v v v
c. Improving Medicare reimbursement claims v v v
d. Providing access to primaryhealth care services v v v v v v
ANS: A v
HealthyPeople 2020 has awide influence and is the focus of the nation’s main objective to promote
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health and prevent disease.
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DIF: Cognitive Level: Application v v REF: p. 2 v v
TOP: NursingProcess: Implementation
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2. A patient requires a nutrition assessment. Themost appropriate professional to perform the
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vassessment is a v v
a. physician.
b. nurse.
c. publichealth nutritionist. v v
d. registered dietitian. v
ANS: D v
The registered dietitian is the nutrition expert registered with the Commission of Dietetic
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Registration (CDR), the certifying agency ofAcademy ofNutrition and Dietetics. Registered
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dietitians are the only professionals who have met strict educational and professional prerequisites
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and passed a national registration examination that properly prepares them to conduct a nutrition
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assessment.
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DIF: Cognitive Level: Application REF: p.1 v v v v
TOP: Nursing Process: Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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3. The sum of all bodyprocesses inside living cells that sustain life and health is
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a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C v
Metabolism is the sum of all chemical changes that take place in the body. Metabolism provides
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energy, builds tissue, and regulates metabolic processes in the body.
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, DIF: Cognitive Level: Knowledge REF: p. 3 TOP: Nursing Process: Planning v v v v v v v
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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4. The nutrients that provide the body with its primary source of fuel for energy are
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a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D v
Carbohydrates (e.g., starches and sugars) are the body’s primaryfuel to carry out necessary processes;
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fat is the secondary source of energy.
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DIF: Cognitive Level: Knowledge REF: p. 4 TOP: Nursing Process: Planning v v v v v v v
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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5. Which of the following is the most accurate statement regarding the functions of protein?
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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. v v v v v v v v v
d. Proteins are essential to building and repairing tissues within the body.v v v v v v v v v v
ANS: D v
The primary function of proteins is to provide amino acids, which are the building units
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necessaryto building and repairing tissues within thebody. This is a constant process that ensures
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adequate growth and maintenance of tissues for a strong body.
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DIF: Cognitive Level: Comprehension REF: p.4 v v v v
TOP: Nursing Process: Assessment
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MSC: NCLEX: Physiological Integrity: PhysiologicalAdaptation
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6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate
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vrequirements. The approximate number of kilocalories per day from fat that his diet should v v v v v v v v v v v v v
vprovide is kcal/day. v
a. 400 to 700 v v
b. 100 to 300 v v
c. 500 to 800 v v
d. 900 to 1200 v v
ANS: A v
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000- kcal diet,
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400 to 700 kcal should be provided.
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DIF: Cognitive Level: Application REF: p. 4 v v v v TOP: NursingProcess: Planning
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MSC: NCLEX: Health Promotion and Maintenance
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7. Thebody’s main storage form ofcarbohydrate is
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a. glycogen.
b. glycerol.
, c. glucagon.
d. glucose.
ANS: A v
Glycogen is a polysaccharide that is themain storage form of carbohydrate in the human body. It
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is mainly stored in the liver and to a lesser extent in muscle tissue.
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DIF: Cognitive Level: Knowledge REF: p. 4 TOP: Nursing Process: Planning v v v v v v v
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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8. The number of kilocalories provided byone slice of bread that contains 30 g carbohydrate, 3 g
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v protein, and 1 g fat is v v v v v kcal.
a. 34
b. 136
c. 141
d. 306
ANS: C v
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat provides
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9 kcal/g. Therefore:
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30gcarbohydrate 4 kcal/g=120 kcal
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3 g protein 4 kcal/g =12kcal
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1gfat 9 kcal/g =9 kcal
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= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
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DIF: Cognitive Level: Application REF: p.4 v v v v
TOP: Nursing Process: Assessment
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MSC: NCLEX: Physiological Integrity: PhysiologicalAdaptation
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9. The number of kilocalories from fat in a sandwich that contains 22 g fat is
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a. 88
b. 132
c. 154
d. 198
ANS: D v
Fat provides 9 kcal/g. Thus, 22 gfat
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DIF: Cognitive Level: Application REF: p.4 v v v v
TOP: Nursing Process: Assessment
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MSC: NCLEX: Physiological Integrity: 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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v kcal.
a. 45
b. 60
c. 75