Nursing Elites

1. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

2. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

3. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

4. Which component of fat can be used to make glucose through gluconeogenesis?

• A. Glycogen
• B. Fatty acids
• C. Glycerol
• D. Monoglyceride

Correct answer: C

Rationale: The correct answer is 'Glycerol.' Glycerol, a component of fat, can be converted into glucose through gluconeogenesis. Glycogen (Choice A) is a polysaccharide stored in animals, not a component of fat. Fatty acids (Choice B) are used primarily for energy production through beta-oxidation, not for gluconeogenesis. Monoglyceride (Choice D) is a molecule formed during fat digestion, but it is not the component of fat that can be used to make glucose.

5. A major focus of the 2010 Dietary Guidelines is:

• A. generally healthy segments of the population
• B. the unhealthy American public
• C. vulnerable population segments
• D. ethnically diverse eating styles

Correct answer: B

Rationale: The correct answer is B: the unhealthy American public. The 2010 Dietary Guidelines primarily aimed to address the unhealthy eating habits prevalent in the American population. Choice A is incorrect as the focus was not solely on generally healthy segments of the population. Choice C is incorrect as the guidelines were not specifically tailored only for vulnerable population segments. Choice D is incorrect as the guidelines were more concerned with promoting healthy eating habits rather than ethnically diverse eating styles.

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