n
,Chapter 01: Food, Nutrition and Health n n n n n
NIX: WILLIAMS’ BASIC NUTRITION AND DIET THERAPY 16TH EDITION
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MULTIPLE CHOICE n
1. Promoting a health care service that improves diabetes management for the elderly in a n n n n n n n n n n n n n
community would assist in which of the following?
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a. supporting the National Health Goals-Healthy People 2020 n n n n n n
b. reducing world hunger in the United States and Asia n n n n n n n n
c. improvingMedicare reimbursement claims n n n
d. providing access to child care services for children n n n n n n n
ANS: A n
HealthyPeople 2020 has a wide influence and is the focus of the nation’s main objective to promote
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health and prevent disease.
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DIF: CognitiveLevel: Application REF: 3-Feb
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TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
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2. A patient requires a nutrition assessment. The most appropriate professional to perform the
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assessment is a
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a. physician.
b. nurse.
c. public health nutritionist. n n
d. registered dietitian. n
ANS: D n
The registered dietitian is the nutrition expert registered with the Commission of Dietetic
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Registration (CDR), the certifying agency of Academy of Nutrition and Dietetics. Registered
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dietitians are the only professionals who have met strict educational and professional prerequisites
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and passed a national registration examination, which would properlyprepare them to conduct a
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nutrition assessment.
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DIF: CognitiveLevel: Application REF: 1 TOP:
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Nursing Process: Assessment
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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3. The sum of all bodyprocesses inside living cells that sustain life and health is
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a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C n
Metabolism is the sum of all chemical changes that take place in the body. Metabolism provides
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energy, builds tissue, and regulates metabolic processes in the body.
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,DIF: Cognitive Level: Knowledge REF: 4-MarTOP: Nursing Process: Planning
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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4. The nutrients that provide the bodywith its primarysource of fuel for energy are
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a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D n
Carbohydrates (e.g., starches and sugars) are the body’s primaryfuel to carry out necessary processes;
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fat is the secondary source of energy.
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DIF: Cognitive Level: Knowledge REF: 4 TOP: Nursing Process: Planning MSC:
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NCLEX: Physiological Integrity: Physiological Adaptation
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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 are a 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 are essential to tissue building and repair within the body.
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ANS: D n
The primary function of proteins is to provide amino acids, which are the building units necessaryto
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build and repair tissues within the body. This is a constant process that ensures adequate growth and
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maintenance of tissues for a strong body.
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DIF: CognitiveLevel: Comprehension REF: 4
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TOP: Nursing Process: Assessment
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MSC:NCLEX:Physiological Integrity: Physiological Adaptation
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6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate requirements.
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The approximate number of kilocalories per day from fat his diet should provide is
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kcal/day.
a. 400 to 700 n n
b. 100 to 300 n n
c. 500 to 800 n n
d. 900 to 1200 n n
ANS: A n
Fat should provide no more than 20% to 35% of the total kilocalories per day, so for a 2000-kcal diet
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400 to 700 kcal should be provided.
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DIF: CognitiveLevel: Application REF: 4TOP: Nursing Process: Planning MSC:
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NCLEX: Health Promotion and Maintenance
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, 7. The body’s main storage form of carbohydrate is
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a. glycogen.
b. glycerol.
c. glucagon.
d. glucose.
ANS: A n
Glycogen is apolysaccharide that is themain storage form of carbohydrate in the human body. It is
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mainly stored in the liver and to a lesser extent in muscle tissue.
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DIF: Cognitive Level: Knowledge REF: 4TOP: Nursing Process:
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PlanningMSC: NCLEX: Physiological Integrity: Physiological Adaptation n n n n n
8. The number of kilocalories provided byone slice of bread that contains 30 g carbohydrate, 3 g
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protein, and 1 g fat is
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a. 34
b. 136
c. 141
d. 306
ANS: C n
Calculate as follows: Carbohydrate provides 4 kcal/g, protein provides 4 kcal/g, and fat provides 9
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kcal/g. Therefore:
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30 g carbohydrate ´ 4 kcal/g = 120 kcal
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3 g protein ´ 4 kcal/g = 12 kcal
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1 g fat ´ 9 kcal/g = 9 kcal
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= 141 total kcal (120 kcal + 12 kcal + 9 kcal)
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DIF: CognitiveLevel: Application REF: 4 TOP:
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Nursing Process: Assessment
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MSC:NCLEX:Physiological Integrity: Physiological Adaptation
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9. The number of kilocalories from fat in a sandwich that contains 22 g fat is
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a. 88
b. 132
c. 154
d. 198
ANS: C n
Fat provides 9 kcal/g. Thus, 22 g fat ´ 9 kcal/g = 198 kcal.
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DIF: CognitiveLevel: Application REF: 4 TOP:
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Nursing Process: Assessment
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MSC:NCLEX:Physiological Integrity: Physiological Adaptation
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10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
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kcal.
n
a. 45