Nursing Elites

1. Which of the following provides the best source of nutrients?

• A. specific food combinations.
• B. a variety of foods.
• C. individual foods.
• D. a variety of food supplements.

Correct answer: B

Rationale: A variety of foods is the best source of nutrients because it ensures a balanced intake of all essential nutrients required by the body. Option A, specific food combinations, may not provide all necessary nutrients as relying on only a few types of food may lead to deficiencies. Option C, individual foods, also may not provide a complete range of nutrients necessary for overall health. Option D, a variety of food supplements, is not the best source of nutrients as whole foods are generally more beneficial due to their natural nutrient composition and bioavailability.

2. Exchange Lists for Meal Planning was originally intended as a meal-planning tool for people who have:

• A. cancer.
• B. diabetes.
• C. hypertension.
• D. heart disease.

Correct answer: B

Rationale: The correct answer is B: diabetes. Exchange Lists for Meal Planning were originally created to assist individuals with diabetes in managing their diet by providing a structured approach to balanced food exchanges. This system helps individuals regulate their blood sugar levels and maintain overall health. Choices A, C, and D are incorrect because Exchange Lists for Meal Planning were not primarily developed for individuals with cancer, hypertension, or heart disease.

3. Which monosaccharide only occurs naturally in foods in combination with another sugar as a disaccharide?

• A. Fructose.
• B. Galactose.
• C. Sucrose.
• D. Maltose.

Correct answer: B

Rationale: The correct answer is B, galactose. Galactose naturally occurs in foods only when it is combined with glucose to form lactose, a disaccharide found in milk. Fructose is a monosaccharide found in fruits and honey. Sucrose is a disaccharide composed of glucose and fructose, commonly known as table sugar. Maltose is a disaccharide formed by the combination of two glucose molecules.

4. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

5. What is one useful outcome of keeping a record of everything you eat and drink for a day?

• A. Precise estimates of portion sizes.
• B. Determination of appropriate energy intake.
• C. Estimation of supplement needs.
• D. Increased awareness of personal food patterns.

Correct answer: D

Rationale: The correct answer is D: Increased awareness of personal food patterns. Keeping a food record is beneficial as it helps individuals become more mindful of their eating habits and food choices. This awareness can lead to identifying patterns, triggers, and areas for improvement in one's diet. Choices A, B, and C are incorrect because the primary benefit of keeping a food record is not about precise estimates of portion sizes, determining energy intake, or estimating supplement needs, but rather about developing a deeper understanding of personal food patterns.

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