Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur – Test Bank

 

 

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Sample Test

Chapter 3: Fats

 

 

 

1.    The descriptive name for fats of all kinds is:

2.    Complete

3.    Essential

4.    Lipids

5.    Saturated

 

Ans: 3

 

Feedback

1.

Complete is not a term used when referring to all types of fat.

2.

Essential is not a term used when referring to all types of fat. Essential nutrients are those that are required by the body that must be consumed because the body cannot manufacture them.

3.

The descriptive name for all fats is lipids and includes true fats and oils as well as related fat compounds such as lipoids and sterols.

4.

Saturated is a term that refers to one type of fat, that is the type that is filled with as many hydrogen atoms as the carbon atoms can bond with and has no double bonds between the carbons.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

2.    Fat contains ______ kcal/g.

3.    2.2

4.    4

5.    7

6.    9

 

Ans: 4

 

Feedback

1.

One gram of fat yields 9 kilocalories.

2.

One gram of fat yields 9 kilocalories

3.

One gram of fat yields 9 kilocalories

4.

Each gram of fat contains 9 kilocalories.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

3.    Which of the following is not a function of fat in the body?

4.    Build scar tissue

5.    Lubricate body tissues

6.    Pad vital organs

7.    Provide energy

 

Ans: 1

 

Feedback

1.

Fats are not involved in building scar tissue.

2.

Fats lubricate body tissues.

3.

Fatty tissue cushions and protects vital organs.

4.

Fats supply fuel to most tissues and serves as the body’s main fuel or energy reserve.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

4.    Which of the following would a nurse suggest as a lean meat?

5.    Ground beef, pork chops, and mozzarella cheese

6.    Corned beef, spare ribs, and Swiss cheese

7.    Round steak, pork tenderloin, and cottage cheese

8.    Dark-meat chicken, eggs, and bologna

 

Ans: 3

 

Feedback

1.

Lean meat contains 1 to 3 grams of fat. Ground beef, pork chops, and mozzarella cheese contain 5 grams of fat.

2.

Lean meat contains 1 to 3 grams of fat. Corned beef contains 5 grams of fat. Spare ribs and Swiss cheese contain 8 grams of fat.

3.

Round steak, pork tenderloin, and cottage cheese are considered lean meats because each contains 3 grams of fat.

4.

Lean meat contains 1 to 3 grams of fat. Dark meat chicken and eggs contain 5 grams of fat. Bologna contains 8 grams of fat.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

 

 

 

5.    What percentage range of an adult’s kilocalories is recommended as the maximum to be obtained from fat?

6.    20 to 30

7.    20 to 35

8.    30

9.    More than 50

 

Ans: 2

 

Feedback

1.

The recommendation is for adults to have 20% to 35% of kilocalories from fat.

2.

The recommendation is for adults to have 20% to 35% of kilocalories from fat.

3.

The recommendation is for adults to have 20% to 35% of kilocalories from fat.

4.

The recommendation is for adults to have 20% to 35% of kilocalories from fat.

KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

 

 

 

6.    Fats are classified as saturated, monounsaturated, or polyunsaturated based on which of the following?

7.    Appearance after cooking

8.    Source, whether animal or vegetable

9.    Type of chemical bonds in their fatty acids

10.  Ease of emulsification

 

Ans: 3

 

Feedback

1.

The degree of saturation used for classification is based on the extent to which hydrogen is joined to the carbon atoms present. It has nothing to do with appearance.

2.

The source of the fat does not determine the saturation.

3.

The type of chemical bond in the fatty acids determines the saturation of the fat.

4.

The ease of emulsification does not determine the saturation of the fat.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

7.    Which of the following would a nurse instruct a patient to use for one fat exchange?

8.    1 tablespoon of butter

9.    1/2 ounce of cream cheese

10.  Two slices of bacon

11.  3 tablespoons of mayonnaise

 

Ans: 2

 

Feedback

1.

Each fat exchange provides 5 grams of fat. A teaspoon of butter would contain 5 grams of total fat. So a tablespoon would contain 15 grams of fat.

2.

Each fat exchange provides 5 grams of fat. A 1/2 ounce amount of cream cheese would provide 5 grams of fat.

3.

Each fat exchange provides 5 grams of fat. One slice of bacon, not two, would provide 5 grams of fat.

4.

Each fat exchange provides 5 grams of fat. One teaspoon of mayonnaise, not 3 tablespoons, would provide 5 grams of fat.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

 

 

 

8.    To be labeled “lean,” a product must have no more than ______ g of fat per 3 1/2-ounce serving.

9.    5

10.  10

11.  15

12.  20

 

Ans: 2

 

Feedback

1.

Lean can be used on meat, poultry, seafood, or game meat products only if the product contains less than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95 milligrams of cholesterol per 100-gram serving (3.5 ounces).

2.

Lean can be used on meat, poultry, seafood, or game meat products only if the product contains less than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95 milligrams of cholesterol per 100-gram serving (3.5 ounces).

3.

Lean can be used on meat, poultry, seafood, or game meat products only if the product contains less than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95 milligrams of cholesterol per 100-gram serving (3.5 ounces).

4.

Lean can be used on meat, poultry, seafood, or game meat products only if the product contains less than 10 grams of fat, less than 4.5 grams of saturated fat, and less than 95 milligrams of cholesterol per 100-gram serving (3.5 ounces).

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

9.    In developing countries, nutrition transition often leads to a combination of underweight in children and overweight in adults. A partial explanation for this involves which of the following?

10.  Availability of low-cost fruits and vegetables

11.  Availability of cheap energy-dense foods

12.  Home-cooked meals

13.  Children exercising too much

 

Ans: 2

 

Feedback

1.

Changes in diet, food availability, and lifestyle are all components of transition as countries modernize. However, obesity in adults has been linked to the availability of cheap, energy-dense foods (including those from street vendors and fast-food restaurants) that facilitate the consumption of more fat. In addition, the introduction of low-cost vegetable oils from industrialized countries greatly increases the amount of fat in the average diet.

2.

Changes in diet, food availability, and lifestyle are all components of transition as countries modernize. However, obesity in adults has been linked to the availability of cheap, energy-dense foods (including those from street vendors and fast-food restaurants) that facilitate the consumption of more fat. In addition, the introduction of low-cost vegetable oils from industrialized countries greatly increases the amount of fat in the average diet.

3.

Changes in diet, food availability, and lifestyle are all components of transition as countries modernize. However, obesity in adults has been linked to the availability of cheap, energy-dense foods (including those from street vendors and fast-food restaurants) that facilitate the consumption of more fat. In addition, the introduction of low-cost vegetable oils from industrialized countries greatly increases the amount of fat in the average diet.

4.

Changes in diet, food availability, and lifestyle are all components of transition as countries modernize. However, obesity in adults has been linked to the availability of cheap, energy-dense foods (including those from street vendors and fast-food restaurants) that facilitate the consumption of more fat. In addition, the introduction of low-cost vegetable oils from industrialized countries greatly increases the amount of fat in the average diet.

KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

 

 

 

10.  If 1 cup of whole milk (3.3% fat) contains 8 gram of fat and gives 150 kcal of energy, what percent of its kilocalories is derived from fat?

11.  5%

12.  21%

13.  37%

14.  48%

 

Ans: 4

 

Feedback

1.

To determine the percent of kilocalories derived from fat, multiply the number of grams of fat per serving by 9 and divide this number by 150 kcal and then multiply the result by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%.

2.

To determine the percent of kilocalories derived from fat, multiply the number of grams of fat per serving by 9 and divide this number by 150 kcal and then multiply the result by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%

3.

To determine the percent of kilocalories derived from fat, multiply the number of grams of fat per serving by 9 and divide this number by 150 kcal and then multiply the result by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%

4.

To determine the percent of kilocalories derived from fat, multiply the number of grams of fat per serving by 9 and divide this number by 150 kcal and then multiply the result by 100. 8 ´ 9 = 72/150 = 0.48 ´ 100 = 48%

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Analysis

 

 

 

11.  Most of the fat in our diets and in our bodies is in which form?

12.  Fatty acids

13.  Glycerol

14.  Sterols

15.  Triglycerides

 

Ans: 4

 

Feedback

1.

Fatty acids are one of the structural components of a true fat.

2.

Glycerol is one of the structural components of a true fat.

3.

Sterols are fatlike compounds.

4.

Most of the fat in our diets and bodies is in the form of triglycerides.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

12.  The manufacturing process that helps to make a fat harder is:

13.  Saturation

14.  Modification

15.  Hydrogenation

16.  Emulsification

 

Ans: 3

 

Feedback

1.

Saturation refers to the extent to which hydrogen is joined to the carbon atoms present.

2.

Modification refers to the changes individuals make.

3.

Hydrogenation refers to the process of adding hydrogen to a fat of vegetable origin to extend the shelf life or make the fat harder.

4.

Emulsification refers to the blending of two substances into one liquid form.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

13.  Which of the following would a nurse instruct a client about as being on the high-fat meat exchange lists?

14.  Chicken with skin, pork chops, and mozzarella cheese

15.  Spare ribs, cheddar cheese, and bologna

16.  Round steak, pork tenderloin, and cottage cheese

17.  Fried salmon, ground beef, and eggs

 

Ans: 2

 

Feedback

1.

One high-fat meat exchange contains 8 or more grams of fat. Chicken with skin, pork chops, and mozzarella cheese each contain 5 grams of fat and are considered medium-fat meat exchanges.

2.

One high-fat meat exchange contains 8 or more grams of fat. Spare ribs, cheddar cheese, and bologna each contain 8 grams of fat.

3.

One high-fat meat exchange contains 8 or more grams of fat. Round steak, pork tenderloin, and cottage cheese each contain 3 grams of fat and are considered lean-meat fat exchanges.

4.

One high-fat meat exchange contains 8 or more grams of fat. Fried salmon, ground beef, and eggs each contain 5 grams of fat and are considered medium-fat meat exchanges.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

 

 

 

14.  Which type of oil would a nurse instruct a patient to avoid because it is high in saturated fatty acids?

15.  Canola

16.  Coconut

17.  Corn

18.  Olive

 

Ans: 2

 

Feedback

1.

Canola oil is high in monounsaturated fatty acids.

2.

Coconut oil is high in saturated fatty acids.

3.

Corn oil is high in polyunsaturated fatty acids.

4.

Olive oil is high in monounsaturated fatty acids.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application

 

 

 

15.  If a client has been maintaining a stable, healthy body weight by consuming 1800 kcal, what is the maximum fat recommended for him or her?

16.  26 grams

17.  40 grams

18.  70 grams

19.  85 grams

 

Ans: 3

 

Feedback

1.

Twenty-six grams of fat is the minimum amount of fat intake recommended for 1200 kcal.

2.

Forty grams of fat is the minimum amount of fat intake recommended for 1800 kcal.

3.

Seventy grams of fat is the maximum amount of fat intake recommended for 1800 kcal.

4.

Eighty-five grams of fat is the maximum amount of fat intake recommended for 2200 kcal.

KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

 

 

 

16.  A patient expresses an interest in controlling his or her blood cholesterol. Which of the following statements would be least inappropriate for the nurse to make when teaching this client?

17.  Cholesterol is a component of adrenal hormones and sex hormones.

18.  Cell membranes require cholesterol as part of their structure.

19.  Eliminating cholesterol from the diet will effectively eliminate it from the bloodstream.

20.  Plant products never increase blood cholesterol levels.

 

Ans: 3

 

Feedback

1.

Cholesterol is important for the production of adrenal hormones and sex hormones, estrogen and testosterone.

2.

Cholesterol is an essential component of all cell membranes.

3.

The Food and Nutrition Board of the Institute of Medicine stated that saturated fat and cholesterol provide no known beneficial role in preventing chronic diseases and are not required at any level in the diet. However, the complete elimination of saturated fat and cholesterol from the diet would make it difficult to meet other nutritional guidelines.

4.

Cholesterol is present only in animal foods. Therefore, foods from plants do not provide cholesterol.

KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

 

 

 

17.  Which of the following would appear on the fat exchange list?

18.  Avocado

19.  Baked beans

20.  Banana

21.  Sweet potato

 

Ans: 1

 

Feedback

1.

Avocado is part of the fat exchange list. Approximately 1/8 of an avocado is equal to one fat exchange.

2.

Baked beans are not part of the fat exchange list.

3.

Bananas are not part of the fat exchange list.

4.

Sweet potato is not part of the fat exchange list.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

18.  A group of students demonstrate the need for more teaching when they identify which of the following as a function of fat in the body?

19.  Carrier of fat-soluble vitamins

20.  Contribute to satiety

21.  Preferred source of immediate energy

22.  Provide insulation protection from heat and cold

 

Ans: 3

 

Feedback

1.

Fat act as a vehicle for vitamins A, D, E, and K, the fat-soluble vitamins.

2.

Fats contribute to the sensations of fullness and satisfaction after eating.

3.

Fats function as the body’s main fuel reserve, being released when an individual does not eat enough to meet the body’s energy demands.

4.

The subcutaneous layer of fat under the skin helps to insulate the body by protecting it from excessive heat and cold.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Analysis

 

 

 

19.  Which of the following lipids is an omega-6 fatty acid?

20.  Arachidonic acid

21.  Linolenic

22.  Cholesterol

23.  Linoleic acid

 

Ans: 4

 

Feedback

1.

Arachidonic acid is one of the essential fatty acids but not an omega-6 fatty acid.

2.

Linolenic acid is one of the essential fatty acids but not an omega-6 fatty acid.

3.

Cholesterol is a sterol.

4.

Linoleic acid is called an omega-6 fatty acid and plays a major role in the transport and metabolism of cholesterol.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

20.  Compared with those made with unsaturated fats, grocery items containing saturated fats have:

21.  Longer shelf lives

22.  More valid health claims on the labels

23.  Fewer kilocalories

24.  Permanent protection against becoming rancid

 

Ans: 1

 

Feedback

1.

Saturated fats are more chemically stable and have a fairly long shelf life.

2.

Saturated fats have been identified as having unhealthful effects when ingested in excess of the body’s needs.

3.

Fats, regardless of the type, provide 9 kcal/gram.

4.

Saturated fats become rancid more slowly than unsaturated fats; however, they can become rancid.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

21.  A patient tells the nurse that he chooses “fat-free” foods whenever possible. The nurse understands that this labeling indicates that the food contains no more than ______ g of fat per serving.

22.  0.1

23.  0.5

24.  1

25.  5

 

Ans: 2

 

Feedback

1.

Fat-free labeling means that the food contains no more than 0.5 grams of fat per serving.

2.

Fat-free labeling means that the food contains no more than 0.5 grams of fat per serving.

3.

Fat-free labeling means that the food contains no more than 0.5 grams of fat per serving.

4.

Fat-free labeling means that the food contains no more than 0.5 grams of fat per serving.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

 

 

 

22.  When teaching consumers about fat consumption, the nurse would recommend that they should consume as little as possible of which of the following?

23.  Trans fats

24.  Cholesterol

25.  Monounsaturated

26.  Sucrose

 

Ans: 1

 

Feedback

1.

Currently it is recommended that individuals limit trans fats as much as possible in the diet because they are not essential and may be linked to increasing the risk of cardiovascular disease.

2.

Cholesterol should be consumed but in amounts less than 300 mg/day.

3.

Monounsaturated fats are recommended in part to help decrease the risk of nonfatal myocardial infarction and coronary death.

4.

Sucrose is not a fat.

KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension

 

 

 

23.  Trans fats are commonly found in which of the following?

24.  Olive oil

25.  Commercially baked goods

26.  Shortening

27.  Egg yolks

 

Ans: 2

 

Feedback

1.

Olive oil is considered high in monounsaturated fats.

2.

Commercially baked goods are commonly high in trans fats

3.

Shortening typically is high in saturated fats.

4.

Egg yolks are high in saturated fats and cholesterol

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

24.  After teaching a group of students about fatty acids, the students demonstrate a need for additional teaching when they identify fatty acids as varying based on which of the following?:

25.  Length of the carbon chain

26.  Composition

27.  Degree of saturation

28.  Lack of carbon in the chain

 

Ans: 4

 

Feedback

1.

Fatty acids can vary by the length of the carbon chain.

2.

Fatty acids vary in terms of composition.

3.

Fatty acids vary in their degree of saturation.

4.

Fatty acids all contain a chain of carbon atoms with hydrogen and a few oxygen atoms attached.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Analysis

 

 

 

25.  The primary care provider orders a calorie count for a patient who is malnourished. Over a 24-hour period, the patient consumes 24 grams of fat. Which of the following denotes the patient’s caloric intake of fat?

26.  96

27.  120

28.  216

29.  240

 

Ans: 3

 

Feedback

1.

Fats yield 9 kcal/g; therefore, 24 grams of fat would yield 216 kcalories.

2.

Fats yield 9 kcal/g; therefore, 24 grams of fat would yield 216 kcalories.

3.

Fats yield 9 kcal/g; therefore, 24 grams of fat would yield 216 kcalories.

4.

Fats yield 9 kcal/g; therefore, 24 grams of fat would yield 216 kcalories.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Analysis

 

Chapter 4: Protein

 

 

 

1.    Which of the following is not a complete protein?

2.    Baked beans

3.    Beef liver

4.    Cottage cheese

5.    Pork steak

 

Ans: 1

 

Feedback

1.

Grains, vegetables, legumes, nuts, and seeds contain incomplete protein. Complete proteins supply all nine essential amino acids in sufficient quantity to maintain tissue and support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of complete protein.

2.

Complete proteins supply all nine essential amino acids in sufficient quantity to maintain tissue and support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of complete protein.

3.

Complete proteins supply all nine essential amino acids in sufficient quantity to maintain tissue and support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of complete protein.

4.

Complete proteins supply all nine essential amino acids in sufficient quantity to maintain tissue and support growth. Meat, poultry, fish, eggs, milk, and cheese are sources of complete protein.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

2.    In addition to carbon, hydrogen, and oxygen, proteins are characterized by the presence of:

3.    Calcium

4.    Nitrogen

5.    Sodium

6.    Sulfur

 

Ans: 2

 

Feedback

1.

Proteins are composed of four elements: carbon, hydrogen, oxygen, and nitrogen.

2.

Proteins are composed of four elements: carbon, hydrogen, oxygen, and nitrogen.

3.

Proteins are composed of four elements: carbon, hydrogen, oxygen, and nitrogen.

4.

Proteins are composed of four elements: carbon, hydrogen, oxygen, and nitrogen.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

3.    Essential amino acids are those:

4.    Available from grains

5.    Essential to body processes

6.    Manufactured by the body because they are essential to life

7.    Unable to be synthesized in adequate amounts by the body

 

Ans: 4

 

Feedback

1.

An amino acid is classified as essential if the body is unable to make it in sufficient amounts to meet metabolic needs. All essential amino acids must be available in the body simultaneously and in sufficient quantity for the synthesis of body proteins.

2.

An amino acid is classified as essential if the body is unable to make it in sufficient amounts to meet metabolic needs. All essential amino acids must be available in the body simultaneously and in sufficient quantity for the synthesis of body proteins.

3.

An amino acid is classified as essential if the body is unable to make it in sufficient amounts to meet metabolic needs. All essential amino acids must be available in the body simultaneously and in sufficient quantity for the synthesis of body proteins.

4.

An amino acid is classified as essential if the body is unable to make it in sufficient amounts to meet metabolic needs. All essential amino acids must be available in the body simultaneously and in sufficient quantity for the synthesis of body proteins.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

4.    Protein provides how many kilocalories per gram?

5.    2

6.    4

7.    5

8.    9

 

Ans: 2

 

Feedback

1.

Proteins provide 4 kilocalories per gram.

2.

Proteins provide 4 kilocalories per gram.

3.

Proteins provide 4 kilocalories per gram.

4.

Proteins provide 4 kilocalories per gram.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

5.    One milk exchange contains how many grams of protein?

6.    4

7.    6

8.    8

9.    10

 

Ans: 3

 

Feedback

1.

One milk exchange provides 8 grams of protein.

2.

One milk exchange provides 8 grams of protein.

3.

One milk exchange provides 8 grams of protein.

4.

One milk exchange provides 8 grams of protein.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

6.    Anabolism describes the process of:

7.    Building tissue

8.    Destroying worn-out or infected tissue

9.    Too few kilocalories and insufficient protein

10.  Use of body protein for glucose production

 

Ans: 1

 

Feedback

1.

Anabolism is the building up of tissues.

2.

Catabolism is the breaking down of tissues into simpler substances that the body can use or eliminate.

3.

Marasmus occurs with the intake of few too kilocalories and insufficient protein.

4.

Gluconeogensis refers to the process in which the body uses protein for glucose production.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

7.    A protein-containing substance secreted directly into the bloodstream to regulate body processes is called a(n):

8.    Enzyme

9.    Hormone

10.  Antibody

11.  Nucleoprotein

 

Ans: 2

 

Feedback

1.

Enzymes act as catalysts, influencing the speed at which a chemical reaction takes place, but they do not actually enter into the reaction.

2.

Hormones are chemicals secreted by various organs to regulate body processes. They are secreted directly into the bloodstream.

3.

An antibody is produced by the body in response to the presence of a foreign substance or a substance that the body senses to be foreign.

4.

Nucleoproteins are regulatory complexes that direct the maintenance and reproduction of the cell.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

8.    Which of the following is a source of complete protein?

9.    Peanut butter

10.  Winter squash

11.  Chicken nuggets

12.  Whole-grain bagel

 

Ans: 3

 

Feedback

1.

Nuts, such as peanuts, are incomplete proteins.{Ed/Au: are peanuts actually nuts, though? Aren’t they a legume (bean)?}

2.

Vegetables, such as winter squash, are incomplete proteins.

3.

Meats and poultry are complete proteins.

4.

Whole grains are incomplete proteins.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

9.    An infant with phenylketonuria (PKU) lacks an enzyme to digest phenylalanine. To avoid mental retardation from an accumulation of toxic materials, the infant can consume only prescribed amounts of:

10.  Chocolate

11.  Milk

12.  Oats

13.  Wheat

 

Ans: 2

 

Feedback

1.

Chocolate is not problematic in PKU

2.

Milk contains phenylalanine and must be restricted.

3.

Oats is not problematic in PKU

4.

Wheat is not problematic in PKU

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application

 

 

 

10.  The process of breaking down tissue is called:

11.  Anabolism

12.  Catabolism

13.  Metabolism

14.  Nitrogen imbalance

 

Ans: 2

 

Feedback

1.

Anabolism refers to the building up of body tissues.

2.

Catabolism refers to the breakdown of body tissues.

3.

Metabolism refers to the processes that cells produce energy and necessary substances for life.

4.

Nitrogen balance occurs when the amount of nitrogen taken in equals the amount excreted.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

11.  Regardless of its fat content, one meat exchange contains how many grams of protein?

12.  3

13.  5

14.  7

15.  9

 

Ans: 3

 

Feedback

1.

Each meat exchange contains 7 grams of protein.

2.

Each meat exchange contains 7 grams of protein.

3.

Each meat exchange contains 7 grams of protein.

4.

Each meat exchange contains 7 grams of protein.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

12.  The unique function of protein in the human body is to:

13.  Aid in digestion and absorption of fats

14.  Modify the passage time to excretion of selected medications

15.  Provide energy

16.  Serve as building materials for tissue repair

 

Ans: 4

 

Feedback

1.

Proteins are not involved in digestion and storage of fats.

2.

Proteins do no modify the passage of time to excretion of medications.

3.

Proteins act as a substitute fuel, but their main function is not to provide energy.

4.

Proteins serve to maintain and promote tissue growth and repair.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

13.  All proteins are composed of:

14.  Amino acids

15.  Hormones

16.  Antibody

17.  Enzymes

 

Ans: 1

 

Feedback

1.

Amino acids are the building blocks of protein.

2.

Hormones are regulated by proteins.

3.

Antibodies are a special type of protein.

4.

Enzymes facilitate body function and require proteins to act.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Knowledge

 

 

 

14.  A client has been urged to consume high-quality protein foods. Which of the following choices for lunch would indicate that he or she is implementing the advice?

15.  Caesar salad with bacon instead of anchovies

16.  Grilled chicken salad

17.  Potato salad

18.  Three-bean salad

 

Ans: 2

 

Feedback

1.

Meat, poultry, fish, eggs, milk, and cheese are good sources of protein. Salad is not; bacon is higher in fat than protein.

2.

Grilled chicken provides a good complete protein source.

3.

Meat, poultry, fish, eggs, milk, and cheese are good sources of protein. Potatoes are not.

4.

Although beans can be an important source of protein, it would be important to identify which types of beans are included in the salad.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Application

 

 

 

15.  After reviewing information about albumin, the student demonstrates a need for additional review based on which statement about albumin?

16.  It carries nutrients to tissues and cells.

17.  It affects the metabolism of medications.

18.  It is a minor blood protein.

19.  It helps with water balance.

 

Ans: 3

 

Feedback

1.

Albumin is a transport protein that carries nutrients or elements to cells.

2.

Albumin plays a significant role in metabolism.

3.

Albumin is a major blood protein.

4.

Albumin aids in water balance.

KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Analysis

 

 

 

16.  When assessing a patient, which of the following would the nurse identify as least likely indicating malnutrition?

17.  Frequent bouts of infection

18.  Low weight-for-height value

19.  Slow wound healing

20.  Hyperactivity

 

Ans: 4

 

Feedback

1.

Malnutrition can affect immunity, making the person more susceptible to infection and diseases.

2.

Malnutrition is associated with low weight in relation to height.

3.

Malnutrition can affect healing, leading to slowed wound healing.

4.

Malnutrition is not associated with hyperactivity. The person may be lethargic.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Physiological Adaptation | Cognitive Level: Application

 

 

 

17.  A vegan limits food intake to:

18.  Fruits, grains, nuts, and vegetables

19.  Eggs, fruits, grains, nuts, and vegetables

20.  Dairy products, fruits, grains, nuts, and vegetables

21.  Eggs, dairy products, fruits, grains, nuts, and vegetables

 

Ans: 1

 

Feedback

1.

A vegan diet excludes all animal sources of protein, dairy products, and eggs. Thus, fruits, grain, nuts, and vegetables would be consumed.

2.

A vegan diet excludes all animal sources of protein, dairy products and eggs. Thus, fruits, grain, nuts, and vegetables would be consumed.

3.

A vegan diet excludes all animal sources of protein, dairy products and eggs. Thus fruits, grain, nuts, and vegetables would be consumed.

4.

A vegan diet excludes all animal sources of protein, dairy products and eggs. Thus fruits, grain, nuts, and vegetables would be consumed.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

18.  The nurse is caring for a patient who is an ovolactovegetarian. The nurse understands that this patient’s food intake is limited to:

19.  Fruits, grains, nuts, and vegetables

20.  Eggs, fruits, grains, nuts, and vegetables

21.  Dairy products, fruits, grains, nuts, and vegetables

22.  Eggs, dairy products, fruits, grains, nuts, and vegetables

 

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