n
,Chapter01:Food,Nutrition,andHealth
n n n n n
Nix:Williams'Basic Nutrition andDietTherapy,16thEdition
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MULTIPLE CHOICE n
1. Promotingahealthcareservicethatimprovesdiabetesmanagement forthe elderlyina n n n n n n n n n n n n n
community would assist in which of the following?
n n n n n n n n
a.Supportingthenationalhealth goalsHealthyPeople2020 n n n n n n n
b.Reducinghungerin asubset oftheUnitedStates population n n n n n n n n n
c.ImprovingMedicarereimbursementclaims n n n
d.Providingaccesstoprimaryhealthcareservices n n n n n n
ANS: A n
HealthyPeople2020has awideinfluenceandisthefocusofthenation’smainobjectiveto promote health
n n n n n n n n n n n n n n n n n n
and prevent disease.
n n n
DIF: Cognitive Level:Application n n REF: p. 2 n n
TOP: NursingProcess:Implementation
n n n MSC: NCLEX:HealthPromotionandMaintenance n n n n n
2. Apatientrequiresanutritionassessment.Themostappropriateprofessional toperformthe
n n n n n n n n n n n n
nassessment is a n n
a. physician.
b. nurse.
c. publichealthnutritionist. n n
d. registered dietitian. n
ANS: D n
The registered dietitian is the nutrition expert registered with the Commission of Dietetic Registration
n n n n n n n n n n n n n
(CDR),thecertifyingagencyofAcademyofNutritionandDietetics.Registered dietitians are the only
n n n n n n n n n n n n n n n
professionals who have met strict educational and professional prerequisites and passed a national
n n n n n n n n n n n n n
registration examination that properly prepares them to conduct a nutrition assessment.
n n n n n n n n n n n
DIF: Cognitive Level: Application REF:p.1 n n n n
TOP: Nursing Process: Assessment
n n n n
MSC: NCLEX:SafeandEffectiveCareEnvironment:Managementof Care
n n n n n n n n n
3. Thesum ofall bodyprocesses insidelivingcells that sustain lifeand health is
n n n n n n n n n n n n n n
a. science.
b. digestion.
c. metabolism.
d. nutrition.
ANS: C n
Metabolismisthesumofall chemical changesthattakeplaceinthebody. Metabolism provides n n n n n n n n n n n n n n n
energy, builds tissue, and regulates metabolic processes in the body.
n n n n n n n n n n
, DIF: Cognitive Level: Knowledge REF: p. 3 TOP:NursingProcess:Planning n n n n n n n
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
n n n n n n
4. Thenutrients that providethe bodywith its primarysource offuel forenergyare
n n n n n n n n n n n n n n
a. vitamins.
b. minerals.
c. fiber.
d. carbohydrates.
ANS: D n
Carbohydrates (e.g.,starchesandsugars)arethebody’sprimaryfueltocarryoutnecessary processes; fat n n n n n n n n n n n n n n n
is the secondary source of energy.
n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 4 TOP:NursingProcess:Planning n n n n n n n
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
n n n n n n
5. Whichofthefollowingisthe mostaccurate statement regardingthe functions ofprotein?
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a. Proteinscanbeaprimaryfuelsourceevenifthere isadequate carbohydrate intake. n n n n n n n n n n n n n
b. Proteinsare anecessarynutrient to provideenergyforthebodyin times ofstress. n n n n n n n n n n n n n n
c. Proteinscanbeused ascoenzyme factorsduringcell metabolism. n n n n n n n n n
d. Proteinsareessentialtobuildingandrepairingtissueswithinthebody. n n n n n n n n n n
ANS: D n
The primary function of proteins is to provide amino acids, which are the building units necessary
n n n n n n n n n n n n n n n
tobuildingandrepairingtissueswithinthebody.Thisisaconstantprocessthat ensures adequate
n n n n n n n n n n n n n n n n
growth and maintenance of tissues for a strong body.
n n n n n n n n n
DIF: Cognitive Level: Comprehension REF:p.4 n n n n
TOP: Nursing Process: Assessment
n n n n
MSC:NCLEX: Physiological Integrity: PhysiologicalAdaptation
n n n n n
6. A 65-year-old man requires 2000 kcal/day without any specific fat or carbohydrate
n n n n n n n n n n n
nrequirements.Theapproximatenumberofkilocaloriesperdayfromfatthathisdietshould n n n n n n n n n n n n n
nprovide is kcal/day. n
a. 400to700 n n
b. 100to 300 n n
c. 500to800 n n
d. 900to 1200 n n
ANS: A n
Fat shouldprovidenomorethan20%to35%ofthetotal kilocaloriesperday, sofora2000- kcal diet,
n n n n n n n n n n n n n n n n n n n n
400 to 700 kcal should be provided.
n n n n n n n
DIF: Cognitive Level: Application REF: p. 4 n n n n TOP: NursingProcess:Planning n n n
MSC: NCLEX: Health Promotion and Maintenance
n n n n n n
7. Thebody’smainstorageformofcarbohydrateis
n n n n n n n
a. glycogen.
b. glycerol.
, c. glucagon.
d. glucose.
ANS: A n
Glycogenisapolysaccharidethatisthemainstorageformofcarbohydrate inthehuman body. It is
n n n n n n n n n n n n n n n n n
mainly stored in the liver and to a lesser extent in muscle tissue.
n n n n n n n n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 4 TOP:NursingProcess:Planning n n n n n n n
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
n n n n n n
8. Thenumberofkilocalories providedbyoneslice ofbreadthat contains30 gcarbohydrate, 3 g protein,
n n n n n n n n n n n n n n n n n
and 1 g fat is
n n n n n kcal.
a. 34
b. 136
c. 141
d. 306
ANS: C n
Calculateasfollows:Carbohydrateprovides4kcal/g,proteinprovides4kcal/g,andfat provides 9
n n n n n n n n n n n n n n
kcal/g. Therefore:
n n
30gcarbohydrate 4kcal/g=120kcal
n n n n n n n n
3gprotein 4kcal/g=12kcal
n n n n n n n n
1gfat 9kcal/g=9kcal
n n n n n n n n
=141 total kcal (120kcal +12 kcal +9 kcal)
n n n n n n n n n n n
DIF: Cognitive Level: Application REF:p.4 n n n n
TOP: Nursing Process: Assessment
n n n n
MSC:NCLEX: Physiological Integrity: PhysiologicalAdaptation
n n n n n
9. Thenumberofkilocalories from fat in asandwich that contains 22 gfat is
n n n n n n n n n n n n n n kcal.
a. 88
b. 132
c. 154
d. 198
ANS: D n
Fatprovides9kcal/g.Thus,22gfat
n n n n n n n n n 9kcal/g=198kcal.
n n n n
DIF: Cognitive Level: Application REF:p.4 n n n n
TOP: Nursing Process: Assessment
n n n n
MSC:NCLEX: Physiological Integrity: PhysiologicalAdaptation
n n n n n
10. The number of kilocalories from protein in a sandwich that contains 15 g protein is
n n n n n n n n n n n n n n n
kcal.
n
a. 45
b. 60
c. 75