Nursing Elites

1. The major focus of nutritional recommendations in this century has shifted to:

• A. prevention and control of chronic diseases.
• B. improved sanitation and public health.
• C. prevention and control of infectious diseases.
• D. development of healthful foods using food technology.

Correct answer: A

Rationale: The correct answer is A: prevention and control of chronic diseases. In this century, nutritional recommendations have increasingly emphasized the importance of preventing and managing chronic diseases like obesity, diabetes, cardiovascular diseases, and cancer. Lifestyle factors such as diet play a significant role in the development of these conditions. Option B, improved sanitation and public health, although important for overall health, is not the primary focus of nutritional recommendations. Option C, prevention and control of infectious diseases, is also crucial but does not reflect the current major focus of nutritional recommendations. Option D, development of healthful foods using food technology, is a valid area of interest but is not the primary shift in focus observed in nutritional recommendations.

2. What is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action known as?

• A. gastric nerve plexus
• B. biliary nerve plexus
• C. intramural nerve plexus
• D. intestinal nerve plexus

Correct answer: C

Rationale: The correct answer is C, intramural nerve plexus. The intramural nerve plexus is the interrelated network of nerves within the gastrointestinal wall that regulates its muscular action. The gastric nerve plexus (choice A) specifically pertains to the network of nerves in the stomach, not the entire gastrointestinal wall. The biliary nerve plexus (choice B) is associated with nerve supply in the liver, gallbladder, and bile ducts, not the gastrointestinal wall. The intestinal nerve plexus (choice D) is a general term that may refer to various nerve networks within the intestines but does not specifically address the entire gastrointestinal wall.

3. Cholecystokinin (CCK) is produced in the:

• A. duodenum.
• B. stomach.
• C. pancreas.
• D. liver.

Correct answer: A

Rationale: Cholecystokinin (CCK) is produced in the duodenum, not the stomach, pancreas, or liver. It is released in response to the presence of food in the duodenum, where it plays a crucial role in regulating digestive processes by stimulating the release of bile from the gallbladder and enzymes from the pancreas. Therefore, the correct answer is the duodenum (Choice A). Choices B, C, and D are incorrect because CCK is not produced in the stomach, pancreas, or liver.

4. What are the rhythmic contractions that propel food through the intestinal tract called?

• A. Segmentation
• B. Peristalsis
• C. Cardiospasm
• D. Pendular movements

Correct answer: B

Rationale: Peristalsis is the correct answer because it refers to the rhythmic contractions that propel food through the intestinal tract by pushing it along the digestive system. Segmentation, on the other hand, refers to the mixing movements in the intestines rather than the forward movement of food. Cardiospasm is a condition characterized by difficulty swallowing due to the inability of the esophagus to relax, and pendular movements are a type of motility found in the small intestine but do not specifically refer to the propulsion of food.

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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