2 2
Therapy 16th Edition by Nix William
,Chapter201:2Food,2Nutrition,2and2Health
Nix:2Williams'2Basic2Nutrition2and2Diet2Therapy,216th2Edition
MULTIPLE2CHOICE
1. Promoting2a2health2care2service2that2improves2diabetes2management2for2the2elderly2in2
a2community2would2assist2in2which2of2the2following?
a. Supporting2the2national2health2goals2Healthy2People22020
b. Reducing2hunger2in2a2subset2of2the2United2States2population
c. Improving2Medicare2reimbursement2claims
d. Providing2access2to2primary2health2care2services
ANS:2A
Healthy2People220202has2a2wide2influence2and2is2the2focus2of2the2nation’s2main2objective2to2pro
mote2health2and2prevent2disease.
DIF: Cognitive2Level:2Application REF:2 p.22
TOP:2 Nursing2Process:2Implementation MSC:2 NCLEX:2Health2Promotion2and2Maintenance
2. A2patient2requires2a2nutrition2assessment.2The2most2appropriate2professional2to2perform2th
e2assessment2is2a
a. physician.
b. nurse.
c. public2health2nutritionist.
d. registered2dietitian.
ANS:2D
The2registered2dietitian2is2the2nutrition2expert2registered2with2the2Commission2of2Dietetic2Regi
stration2(CDR),2the2certifying2agency2of2Academy2of2Nutrition2and2Dietetics.2Registered2dietitia
ns2are2the2only2professionals2who2have2met2strict2educational2and2professional2prerequisites2an
d2passed2a2national2registration2examination2that2properly2prepares2them2to2conduct2a2nutrition2
assessment.
DIF: Cognitive2Level:2Application
REF:2p.212TOP:2Nursing2Process:2Assessment
MSC:2 NCLEX:2Safe2and2Effective2Care2Environment:2Management2of2Care
3. The2sum2of2all2body2processes2inside2living2cells2that2sustain2life2and2health2is
a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS:2C
Metabolism2is2the2sum2of2all2chemical2changes2that2take2place2in2the2body.2Metabolism2pr
ovides2energy,2builds2tissue,2and2regulates2metabolic2processes2in2the2body.
, DIF: Cognitive2Level:2Knowledge REF:2 p.23
TOP:2Nursing2Process:2Planning2MSC:2 NCLEX:2Physiological2Integrity:2Physiological2A
daptation
4. The2nutrients2that2provide2the2body2with2its2primary2source2of2fuel2for2energy2are
a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS:2D
Carbohydrates2(e.g.,2starches2and2sugars)2are2the2body’s2primary2fuel2to2carry2out2necessary2pro
cesses;2fat2is2the2secondary2source2of2energy.
DIF: Cognitive2Level:2Knowledge REF:2 p.24
TOP:2Nursing2Process:2Planning2MSC:2 NCLEX:2Physiological2Integrity:2Physiological2A
daptation
5. Which2of2the2following2is2the2most2accurate2statement2regarding2the2functions2of2protein?
a. Proteins2can2be2a2primary2fuel2source2even2if2there2is2adequate2carbohydrate2intake.
b. Proteins2are2a2necessary2nutrient2to2provide2energy2for2the2body2in2times2of2stress.
c. Proteins2can2be2used2as2coenzyme2factors2during2cell2metabolism.
d. Proteins2are2essential2to2building2and2repairing2tissues2within2the2body.
ANS:2D
The2primary2function2of2proteins2is2to2provide2amino2acids,2which2are2the2building2units2n
ecessary2to2building2and2repairing2tissues2within2the2body.2This2is2a2constant2process2that2
ensures2adequate2growth2and2maintenance2of2tissues2for2a2strong2body.
DIF: Cognitive2Level:2Comprehension
REF:2p.242TOP:2Nursing2Process:2Assessment
MSC:2 NCLEX:2Physiological2Integrity:2Physiological2Adaptation
6. A265-year-
old2man2requires220002kcal/day2without2any2specific2fat2or2carbohydrate2requirements.2T
he2approximate2number2of2kilocalories2per2day2from2fat2that2his2diet2should2provide2is
kcal/day.
a. 4002to2700
b. 1002to2300
c. 5002to2800
d. 9002to21200
ANS:2A
Fat2should2provide2no2more2than220%2to235%2of2the2total2kilocalories2per2day,2so2for2a22000-
2kcal2diet,24002to27002kcal2should2be2provided.
DIF: Cognitive2Level:2Application REF:2 p.24
TOP:2Nursing2Process:2Planning2MSC:2 NCLEX:2Health2Promotion2and2Maintenance
7. The2body’s2main2storage2form2of2carbohydrate2is
a. glycogen.
b. glycerol.
, c. glucagon.
d. glucose.
ANS:2A
Glycogen2is2a2polysaccharide2that2is2the2main2storage2form2of2carbohydrate2in2the2human2
body.2It2is2mainly2stored2in2the2liver2and2to2a2lesser2extent2in2muscle2tissue.
DIF: Cognitive2Level:2Knowledge REF:2 p.24
TOP:2Nursing2Process:2Planning2MSC:2 NCLEX:2Physiological2Integrity:2Physiological2A
daptation
8. The2number2of2kilocalories2provided2by2one2slice2of2bread2that2contains2302g2carbohydrate,232
g2protein,2and212g2fat2is kcal.
a. 34
b. 136
c. 141
d. 306
ANS:2C
Calculate2as2follows:2Carbohydrate2provides242kcal/g,2protein2provides242kcal/g,2and2fat2pr
ovides292kcal/g.2Therefore:
302g2carbohydrate 42kcal/g2=21202kcal
32g2protein 42kcal/g2=2122kcal
12g2fat 92kcal/g2=292kcal
=21412total2kcal2(1202kcal2+2122kcal2+292kcal)
DIF: Cognitive2Level:2Application
REF:2p.242TOP:2Nursing2Process:2Assessment
MSC:2 NCLEX:2Physiological2Integrity:2Physiological2Adaptation
9. The2number2of2kilocalories2from2fat2in2a2sandwich2that2contains2222g2fat2is kcal.
a. 88
b. 132
c. 154
d. 198
ANS:2D
Fat2provides292kcal/g.2Thus,2222g2fat 9 kcal/g2=21982kcal.
DIF: Cognitive2Level:2Application
REF:2p.242TOP:2Nursing2Process:2Assessment
MSC:2 NCLEX:2Physiological2Integrity:2Physiological2Adaptation
10. The2number2of2kilocalories2from2protein2in2a2sandwich2that2contains2152g2protein2is2
kcal.
a. 45
b. 60
c. 75