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Chapter 01: Food, Nutrition, and Health
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Nix: Williams’ Basic Nutrition and Diet Therapy, 16th Edition
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MULTIPLE CHOICE b
1. Promoting a health care service that improves diabetes management for the elderly in a
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community would assist in which of the following?
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a. Supporting the national health goals Healthy People 2020 b b b b b b b
b. Reducing hunger in a subset of the United States population b b b b b b b b b
c. Improving Medicare reimbursement claims b b b
d. Providing access to primary health care services b b b b b b
ANS: A b
Healthy People 2020 has a wide influence and is the focus of the nation’s main objectiveto
b b b b b b b b b b b b b b b
promote health and prevent disease.
b b b b b
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation b b b b b
MSC: NCLEX: Health Promotion and Maintenance
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
Theregistered 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.
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Registered dietitians are the only professionals who have met strict educational and
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professional prerequisites and passed a national registration examination that properly
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prepares them to conduct a nutrition assessment.
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DIF: Cognitive Level: Application TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
b b b b b b b b b b
3. Thesum of all body processes inside living cells that sustain lifeand 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
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provides energy, builds tissue, and regulates metabolic processes in the body.
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DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
4. Thenutrients that provide the body with its primary source of fuel for energy are
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a. vitamins.
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b. minerals.
c. fiber.
d. carbohydrates.
ANS: D b
Carbohydrates (e.g., starches and sugars) are the body’s primary fuel to carry out
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necessary processes; fat is the secondary source of energy.
b b b b b b b b b
DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
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 area 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.
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d. Proteins areessential to building and repairing tissues within the body.
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ANS: D b
The primary function of proteins is to provide amino acids, which are the building units
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necessary to building and repairing tissues within the body. This is aconstant process thatensures
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adequate growth and maintenance of tissues for a strong body.
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DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate
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requirements. The approximate number of kilocalories per day from fat that his diet should
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provide is
b kcal/day. b
a. 400–700
b. 100–300
bb b
c. 500–800
d. 900–1200
bb b
ANS: A b
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a
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2000-kcal diet, 400–700 kcal should be provided.
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DIF: Cognitive Level: Application TOP: Nursing Process: Planning b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
7. Thebody’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 a polysaccharide that is the main storage form of carbohydrate in the human
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body. It is mainly stored in the liver and to a lesser extent in muscle tissue.
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DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
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8. Thenumber of kilocalories provided by one slice of bread that contains 30 g carbohydrate,3g
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protein, and 1 g fat is
b b b b b b kcal.
a. 34
b. 136 bb b
c. 141
d. 306 bb b
ANS: C b
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat
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provides 9 kcal/g. Therefore:
b b b b
30 g carbohydrate 4 kcal/g = 120 kcal
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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)
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DIF: Cognitive Level: Application TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
9. Thenumber 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 bb b
c. 154
d. 198 bb b
ANS: D b
Fat provides 9 kcal/g. Thus, 22 g fat 9 kcal/g = 198 kcal.
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DIF: Cognitive Level: Application TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
10. Thenumber 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
kcal.
b
a. 45
b. 60
c. 75
d. 135 b
ANS: B b
Protein provides 4 kcal/g. Thus, 15 g protein 4 kcal/g = 60 kcal.
b b b b b b b b b b b b b
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment b b b b b
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
b b b b b b
11. Thebasic building units of protein are called
b b b b b b b acids.
a. fatty
b. amino
c. nucleic
d. carboxyl
ANS: B b