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,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 |a
|community |would |assist |in |which |of |the |following?
a. supporting |the |National |Health |Goals-Healthy |People |2020
b. reducing |world |hunger |in |the |United |States |and |Asia
c. improving |Medicare |reimbursement |claims
d. providing |access |to |child |care |services |for |children
ANS: |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: |3-Feb
TOP: |Nursing |Process: |Implementation |MSC: |NCLEX: |Health |Promotion |and |Maintenance
2. A |patient |requires |a |nutrition |assessment. |The |most |appropriate |professional |to |perform |the
|assessment |is |a
a. physician.
b. nurse.
c. public |health |nutritionist.
d. registered |dietitian.
ANS: |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
|dietitians |are |the |only |professionals |who |have |met |strict |educational |and |professional |prerequisites
|and |passed |a |national |registration |examination, |which |would |properly |prepare |them |to |conduct |a
|nutrition |assessment.
DIF: |Cognitive |Level: |Application |REF: |1 |TOP:
|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.
ANS: |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: |4-Mar |TOP: |Nursing |Process: |Planning
|MSC: |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.
ANS: |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: |4 |TOP: |Nursing |Process: |Planning |MSC:
|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 |tissue |building |and |repair |within |the |body.
ANS: |D
The |primary |function |of |proteins |is |to |provide |amino |acids, |which |are |the |building |units |necessary
|to |build |and |repair |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: |4
|TOP: |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 |his |diet |should |provide |is
kcal/day.
a. 400 |to |700
b. 100 |to |300
c. 500 |to |800
d. 900 |to |1200
ANS: |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: |4 |TOP: |Nursing |Process: |Planning |MSC:
|NCLEX: |Health |Promotion |and |Maintenance
, 7. The |body’s |main |storage |form |of |carbohydrate |is
a. glycogen.
b. glycerol.
c. glucagon.
d. glucose.
ANS: |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: |4 |TOP: |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
ANS: |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: |4 |TOP:
|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
ANS: |C
Fat |provides |9 |kcal/g. |Thus, |22 |g |fat |´ |9 |kcal/g |= |198 |kcal.
DIF: |Cognitive |Level: |Application |REF: |4 |TOP:
|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