NUTRITION AND DIET THERAPY 16TH
EDITION BY NIX WILLIAM UPDATED 2024
CERTIFIED 100% COMPLETE GUIDE
CHAPTER 01: FOOD, NUTRITION, AND HEALTH
Nix: Williams' Basic Nutrition and Diet Therapy, 16th Edition
MULTIPLE CHOICE
1. Promoting a health care service that improves diabetes management for the elderly in
acommunity would assist in which of the following?
a. Supporting the national health goals Healthy People 2020
b. Reducing hunger in a subset of the United States population
c. Improving Medicare reimbursement claims
d. Providing access to primary health care services
SELECTED ANSWER: A
Healthy People 2020 has a wide influence and is the focus of the nation’s main objective to
promote health and prevent disease.
DIF: Cognitive Level: Application REF: p. 2
TOPIC: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. A patient requires a nutrition assessment. The most appropriate professional to perform
theassessment is a
a. physician.
b. nurse.
c. public health nutritionist.
d. registered dietitian.
SELECTED ANSWER: D
The registered dietitian is the nutrition expert registered with the Commission of Dietetic
Registration (CDR), the certifying agency of Academy of Nutrition and Dietetics. Registered
dietitiSelected Answer are the only professionals who have met strict educational and
professional prerequisites and passed a national registration examination that properly
preparesthem to conduct a nutrition assessment.
DIF: Cognitive Level: Application REF: p.
1TOPIC: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. The sum of all body processes inside living cells that sustain life and health is
a. science.
b. digestion.
c. metabolism.
d. nutrition.
SELECTED ANSWER: C
Metabolism is the sum of all chemical changes that take place in the body. Metabolism
, provides energy, builds tissue, and regulates metabolic processes in the body.
DIF: Cognitive Level: Knowledge REF: p. 3 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. The nutrients that provide the body with its primary source of fuel for energy are
a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
SELECTED ANSWER: D
Carbohydrates (e.g., starches and sugars) are the body’s primary fuel to carry out necessary
processes; fat is the secondary source of energy.
DIF: Cognitive Level: Knowledge REF: p. 4 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. Which of the following is the most accurate statement regarding the functions of protein?
a. Proteins can be a primary fuel source even if there is adequate carbohydrate intake.
b. Proteins are a necessary nutrient to provide energy for the body in times of stress.
c. Proteins can be used as coenzyme factors during cell metabolism.
d. Proteins are essential to building and repairing tissues within the body.
SELECTED ANSWER: D
The primary function of proteins is to provide amino acids, which are the building units
necessary to building and repairing tissues within the body. This is a constant process that
ensures adequate growth and maintenance of tissues for a strong body.
DIF: Cognitive Level: Comprehension REF: p.
4TOPIC: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate
requirements. The approximate number of kilocalories per day from fat that his diet
shouldprovide is kcal/day.
a. 400 to 700
b. 100 to 300
c. 500 to 800
d. 900 to 1200
SELECTED ANSWER: A
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-
kcal diet, 400 to 700 kcal should be provided.
DIF: Cognitive Level: Application REF: p. 4 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Health Promotion and Maintenance
7. The body’s main storage form of carbohydrate is
a. glycogen.
b. glycerol.
, c. glucagon.
d. glucose.
SELECTED ANSWER: A
Glycogen is a polysaccharide that is the main storage form of carbohydrate in the human
body. It is mainly stored in the liver and to a lesser extent in muscle tissue.
DIF: Cognitive Level: Knowledge REF: p. 4 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. The number of kilocalories provided by one slice of bread that contains 30 g carbohydrate, 3 g
protein, and 1 g fat is kcal.
a. 34
b. 136
c. 141
d. 306
SELECTED ANSWER: C
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat
provides 9 kcal/g. Therefore:
30 g carbohydrate 4 kcal/g = 120 kcal
3 g protein 4 kcal/g = 12 kcal
1 g fat 9 kcal/g = 9 kcal
= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
DIF: Cognitive Level: Application REF: p.
4TOPIC: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
9. The number of kilocalories from fat in a sandwich that contains 22 g fat is kcal.
a. 88
b. 132
c. 154
d. 198
SELECTED ANSWER: D
Fat provides 9 kcal/g. Thus, 22 g fat 9 kcal/g = 198 kcal.
DIF: Cognitive Level: Application REF: p.
4TOPIC: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
kcal.
a. 45
b. 60
c. 75
, d. 135
SELECTED ANSWER: B
Protein provides 4 kcal/g. Thus, 15 g protein 4 kcal/g = 60 kcal.
DIF: Cognitive Level: Application REF: p.
4TOPIC: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
11. The basic building units of protein are called acids.
a. fatty
b. amino
c. nucleic
d. carboxyl
SELECTED ANSWER: B
The basic building units of protein are amino acids, which are necessary for building,
repairing, and maintaining body tissues.
DIF: Cognitive Level: Knowledge REF: p. 4 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
12. The main nutrients involved in metabolic regulation and control are
a. water and vitamins.
b. vitamins and minerals.
c. vitamins and fatty acids.
d. minerals and carbohydrates.
SELECTED ANSWER: B
Vitamins and minerals are the key nutrients in regulating and controlling the many chemical
processes in the body. Vitamins and minerals function as coenzyme factors, which are
components of cell enzymes that govern cell chemical reactions in cell metabolism.
DIF: Cognitive Level: Knowledge REF: p. 5 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
13. The dietary regimen that would provide optimal nutrition for a person who is recovering
froman extended illness is a diet
a. low in protein, fat, and carbohydrates; high in minerals and vitamins; and very
lowin fiber.
b. providing adequate amounts of carbohydrates, protein, fat, minerals, and
vitaminsalong with adequate water and fiber.
c. high in protein, fiber, and fluid; low in carbohydrates; and adequate in vitamins
andminerals.
d. with essential amounts of vitamins and minerals; high in protein; and low in
fat,carbohydrates, and fiber.
SELECTED ANSWER: B
Optimal nutrition incorporates a varied diet supplying adequate amounts of all nutrients,
including carbohydrates, protein, fat, vitamins, minerals, fiber, and fluid.
DIF: Cognitive Level: Application REF: p. 5 TOPIC: Nursing
Process:PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation
14. A young woman is 5 months pregnant. She currently lives in a condition of poverty and often
runs out of money to buy food. She is most at risk for
a. liver damage.
b. osteopenia.
c. undernutrition.