Therapy 16th Edition by Nix William
, Carbohydrates (e.g., starches and sugars) are the body’s primary fuel to carry out necessary
processes; fat is the secondary source of energy.
Chapter 01: Food, Nutrition, and Health
Nix: Williams' Basic Nutrition and Diet Therapy, 16th Edition DIF: Cognitive Level: Knowledge REF: p. 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?
MULTIPLE CHOICE
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.
1. Promoting a health care service that improves diabetes management for the elderly in a
c.Proteins can be used as coenzyme factors during cell metabolism.
community would assist in which of the following?
d.Proteins are essential to building and repairing tissues within the body.
a. Supporting the national health goals Healthy People 2020
b. Reducing hunger in a subset of the United States population ANS: D
c. Improving Medicare reimbursement claims The primary function of proteins is to provide amino acids, which are the building units
d. Providing access to primary health care services 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.
ANS: A
Healthy People 2020 has a wide influence and is the focus of the nation’s main objective to
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promote health and prevent disease.
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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 should
2. A patient requires a nutrition assessment. The most appropriate professional to perform the
provide is kcal/day.
assessment is a
a. 400 to 700
a. physician.
b. 100 to 300
b. nurse.
c. 500 to 800
c. public health nutritionist.
d. 900 to 1200
d. registered dietitian.
ANS: A
ANS: D
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-
The registered dietitian is the nutrition expert registered with the Commission of Dietetic kcal diet, 400 to 700 kcal should be provided.
Registration (CDR), the certifying agency of Academy of Nutrition and Dietetics. Registered
dietitians are the only professionals who have met strict educational and professional DIF: Cognitive Level: Application REF: p. 4 TOP: Nursing Process: Planning MSC:
prerequisites and passed a national registration examination that properly prepares them to NCLEX: Health Promotion and Maintenance
conduct a nutrition assessment.
7. The body’s main storage form of carbohydrate is
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a.glycogen.
TOP: Nursing Process: Assessment
b.glycerol.
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
c.glucagon.
d.glucose.
3. The sum of all body processes inside living cells that sustain life and health is a. science.
b. digestion. ANS: A
c. metabolism. Glycogen is a polysaccharide that is the main storage form of carbohydrate in the human
d. nutrition. body. It is mainly stored in the liver and to a lesser extent in muscle tissue.
ANS: C
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Metabolism is the sum of all chemical changes that take place in the body. Metabolism MSC: NCLEX: Physiological Integrity: Physiological Adaptation
provides energy, builds tissue, and regulates metabolic processes in the body.
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8. The number of kilocalories provided by one slice of bread that contains 30 g carbohydrate, 3
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
g protein, and 1 g fat is kcal.
a. 34
4. The nutrients that provide the body with its primary source of fuel for energy are a. vitamins.
b. 136
b. minerals.
c. 141
c. fiber.
d. 306
d. carbohydrates.
ANS: C
ANS: D
, Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat ANS: B
provides 9 kcal/g. Therefore: 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
30 g carbohydrate 4 kcal/g = 120 kcal components of cell enzymes that govern cell chemical reactions in cell metabolism.
3 g protein 4 kcal/g = 12 kcal
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1 g fat 9 kcal/g = 9 kcal MSC: NCLEX: Physiological Integrity: Physiological Adaptation
= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
13. The dietary regimen that would provide optimal nutrition for a person who is recovering from
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an extended illness is a diet
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a. low in protein, fat, and carbohydrates; high in minerals and vitamins; and very low in
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
fiber.
b. providing adequate amounts of carbohydrates, protein, fat, minerals, and vitamins along
9. The number of kilocalories from fat in a sandwich that contains 22 g fat is kcal. a. 88
with adequate water and fiber.
b. 132
c. high in protein, fiber, and fluid; low in carbohydrates; and adequate in vitamins and
c. 154
minerals.
d. 198 d. with essential amounts of vitamins and minerals; high in protein; and low in fat,
ANS: D carbohydrates, and fiber.
Fat provides 9 kcal/g. Thus, 22 g fat 9 kcal/g = 198 kcal. ANS: B
Optimal nutrition incorporates a varied diet supplying adequate amounts of all nutrients,
DIF: Cognitive Level: Application REF: p. 4 including carbohydrates, protein, fat, vitamins, minerals, fiber, and fluid.
TOP: Nursing Process: Assessment
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
kcal. 14. A young woman is 5 months pregnant. She currently lives in a condition of poverty and often
a. 45 runs out of money to buy food. She is most at risk for
b. 60 a. liver damage.
c. 75 b. osteopenia.
d. 135 c. undernutrition.
ANS: d. overnutrition.
B ANS: C
Protein provides 4 kcal/g. Thus, 15 g protein 4 kcal/g = 60 kcal. A person with undernutrition, or an intake less than the desired amounts of nutrients a person
needs to sustain and maintain health, carries a greater risk for physical illness than a person
DIF: Cognitive Level: Application REF: p. 4 receiving adequate nutrition. In this case, a young, pregnant woman living in poverty who
TOP: Nursing Process: Assessment cannot obtain the necessary nutrition for herself and her baby is in a state of undernutrition,
MSC: NCLEX: Physiological Integrity: Physiological Adaptation placing both at nutritional risk.
11. The basic building units of protein are called acids. a. fatty DIF: Cognitive Level: Application REF: p. 5 TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
b. amino
c. nucleic
d. carboxyl 15. Which factors place a person at the greatest risk for malnutrition?
a. Poor appetite, insufficient nutrient intake, poor hygiene, and depleted nutrition reserves
ANS: B b. Poor hygiene, insufficient exercise, and excess carbohydrate intake
The basic building units of protein are amino acids, which are necessary for building, c. Depleted carbohydrate intake, poor hygiene, and excess calorie intake
repairing, and maintaining body tissues. d. Poor appetite, insufficient nutrient intake, depleted nutrition reserves, and a form of
metabolic stress
DIF: Cognitive Level: Knowledge REF: p. 4 TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation ANS: D
Malnutrition appears when nutritional reserves are depleted and nutrient and energy intake is
12. The main nutrients involved in metabolic regulation and control are
not sufficient to meet day-to-day needs or added metabolic stress.
a. water and vitamins.
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b. vitamins and minerals.
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c. vitamins and fatty acids.
d. minerals and carbohydrates.
, 16. Mr. Katz, who is 48 years old, is admitted to the hospital with a fracture to his left hip. He The DRIs refer to a system of reference values that can be used for assessing and planning
weighs 248 lb (54 lb above his desired weight). He is considered to be in a state of diets for healthy population groups and other purposes.
overnutrition. The statement most true regarding his state of overnutrition is that DIF: Cognitive Level: Knowledge REF: p. 6
a. desired nutrients are consumed in excess amounts without the risk of malnutrition. TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
b. because excess body fat is evident and excess calories are consumed, there is no risk of
nutrient deficiency leading to malnutrition. 20. The Dietary Reference Intakes (DRIs) are developed by the
c. even though excess body fat and excess nutrient intake are evident, there still may be a risk a. U.S. Public Health Service.
for some type of nutrient deficiency leading to malnutrition. b. U.S. Food and Drug Administration (FDA).
d. excess body weight may or may not be present along with excess consumption of c. Food and Nutrition Board of the Institute of Medicine
carbohydrates and fat, which results in inadequate vitamin and mineral intake. d. National Institutes of Health (NIH).
ANS: C
DRIs are developed by the Food and Nutrition Board of the Institute of Medicine.
ANS: C
Overnutrition results from excess nutrient and energy intake over time, resulting in excess DIF: Cognitive Level: Knowledge REF: p. 6
weight and a state of obesity. Malnutrition can result from excess body weight and the lack of TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
vitamin- and mineral-rich food consumption (e.g., consumption of fatty and carbohydrate-rich
foods only). 21. When not enough scientific evidence is available to establish a Recommended Dietary
Allowance (RDA), the value used to guide intake is called the
DIF: Cognitive Level: Application REF: p. 5 TOP: Nursing Process: Diagnosis a. Dietary Reference Intake (DRI).
MSC: NCLEX: Physiological Integrity: Physiological Adaptation b. tolerable upper intake level (UL).
c. estimated average requirement (EAR).
17. Which is least likely to be a primary cause of malnutrition? d. adequate intake (AI).
a. Conditions of poverty
b. Prolonged hospitalization ANS: D
c. Homelessness AI is used as a guide when not enough scientific data are available to establish the RDA
d. Exercise figure.
ANS: D DIF: Cognitive Level: Knowledge REF: p. 7
Malnutrition appears when nutritional reserves are depleted and nutrient and energy intake is TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
not sufficient to meet day-to-day needs or the additional requirements necessary during
periods of stress, thus exercise is not a factor. 22. You are asked to help plan meals for a local monthly community dinner meeting for the
elderly. The tool that would be most helpful for planning healthy meals is the
DIF: Cognitive Level: Application REF: p. 5 a. Dietary Reference Intakes.
TOP: Nursing Process: Assessment b. Dietary Guidelines for Americans.
MSC: NCLEX: Physiological Integrity: Physiological Adaptation c. MyPlate food guidance system.
d. basic four food groups.
18. Overnutrition is characterized by
a. overeating at a meal. ANS: C
b. excess nutrient and energy intake over time. MyPlate, provided by the U.S. Department of Agriculture, provides a valuable tool for meal
c. eating a diet with too much variety. planning, providing serving sizes for each food group and the ability to create a balanced meal
d. using dietary supplements. from each group listed.
ANS: B DIF: Cognitive Level: Knowledge REF: p. 7
Overnutrition results from excess nutrient and energy intake over time or occurs when TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
excessive amounts of nutrient supplements are consumed, resulting in tissue-damaging
effects. 23. You are asked to explain the Dietary Guidelines for Americans to an adult community
education class at the local college. The most appropriate areas to cover in teaching this topic
DIF: Cognitive Level: Comprehension REF: p. 5 TOP: Nursing Process: Diagnosis include
MSC: NCLEX: Physiological Integrity: Physiological Adaptation a. appropriate amounts of sodium, saturated fat, cholesterol, trans-fatty acids, whole grains,
and alcohol.
19. The Dietary Reference Intakes (DRIs) address the nutrient needs of a. all adults. b. adequate calories and protein for weight maintenance, smoking cessation, herbal
b. most healthy population groups. supplements, and food fads.
c. minority ethnic groups. c. the importance of low-carbohydrate diets, smoking cessation, herbal supplements,
d. pregnant women, infants, and children. appropriate food groups, and sodium and potassium.
ANS: B d. food security, weight maintenance, glucose monitoring, and blood pressure monitoring
technique.