Nursing Elites

1. The primary responsibility for nutrition care of people in the community belongs to the:

• A. community physician.
• B. public health nurse.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: C

Rationale: Public health nutritionists work within communities to ensure that populations have access to nutritional resources. They focus on promoting good nutrition, developing programs, and educating the public about healthy eating habits. While community physicians, public health nurses, and registered dietitians may also play roles in promoting nutrition in the community, the primary responsibility for nutrition care typically falls under the purview of public health nutritionists.

2. A vegetarian diet that includes dairy foods and eggs is known as:

• A. lactovegetarian.
• B. vegan.
• C. semi-vegetarian.
• D. ovolactovegetarian.

Correct answer: D

Rationale: The correct term for a vegetarian diet that includes both dairy foods and eggs is 'ovolactovegetarian.' This term specifically indicates the inclusion of eggs ('ovo') and dairy ('lacto') in the diet. Choice A, 'lactovegetarian,' is incorrect because it only includes dairy products without eggs. Choice B, 'vegan,' is incorrect as it excludes all animal products, including dairy and eggs. Choice C, 'semi-vegetarian,' is incorrect as it is a term used for individuals who occasionally eat meat, poultry, or fish but primarily follow a plant-based diet.

3. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

4. What is the mechanism that is essential for the absorption of monosaccharides?

• A. Phosphorylation
• B. Active transport
• C. Passive diffusion
• D. Facilitated diffusion

Correct answer: B

Rationale: Active transport is the mechanism essential for the absorption of monosaccharides in the intestine. This process requires energy to move molecules against their concentration gradient, allowing for the absorption of monosaccharides efficiently. Phosphorylation, the process of adding a phosphate group to a molecule, is not directly involved in the absorption of monosaccharides. Passive diffusion, a process that does not require energy, is not the primary mechanism for absorbing monosaccharides due to their large size. Facilitated diffusion, a type of passive transport that involves carrier proteins, is not the primary mechanism for monosaccharide absorption, as monosaccharides require active transport for efficient absorption.

5. The process of breaking down body protein into amino acids for energy is known as:

• A. Deamination.
• B. Transamination.
• C. Transcription.
• D. Catabolism.

Correct answer: D

Rationale: The correct answer is D: Catabolism. Catabolism involves the breakdown of body proteins into amino acids to be used as energy when there is an inadequate dietary intake. Choices A and B, deamination and transamination, involve the removal and transfer of amino groups, respectively, but not the breakdown of body proteins. Choice C, transcription, is a process in genetics where DNA is used to create mRNA, not related to breaking down body proteins.

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