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 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.

3. What is the primary function of protein in the body?

• A. Provide energy.
• B. Regulate metabolic processes.
• C. Control muscle contractions.
• D. Build tissue.

Correct answer: D

Rationale: The primary function of protein in the body is to build and repair tissues. Proteins are crucial for growth, maintenance, and repair of body tissues, including muscles, organs, and skin. While proteins can be a source of energy, their primary role is not to supply energy. Regulating metabolic processes and controlling muscle contractions are functions typically attributed to other nutrients and compounds in the body, such as vitamins and minerals.

4. Protein is constantly being exchanged between which two components?

• A. tissue and plasma.
• B. the liver and the small intestine.
• C. blood and lymph.
• D. the heart and lungs.

Correct answer: A

Rationale: The correct answer is 'tissue and plasma.' Protein turnover involves the continuous exchange of proteins between body tissues and the bloodstream (plasma) as part of normal metabolic processes. This process ensures a balance in protein levels throughout the body. Choices B, C, and D are incorrect as they do not represent the primary sites for protein turnover in the body.

5. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

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

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

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