Nursing Elites

1. In addition to calcium, the major minerals needed to build and maintain bone tissue include:

• A. potassium
• B. iron
• C. phosphorus
• D. fluoride

Correct answer: C

Rationale: The correct answer is C: phosphorus. Phosphorus, along with calcium, is essential for bone health and maintenance. Potassium (choice A) is important for muscle function, iron (choice B) is crucial for red blood cell production, and fluoride (choice D) helps prevent tooth decay but is not a major mineral needed for bone tissue.

2. What is one function of essential fatty acids?

• A. improve skin integrity.
• B. control lipid digestion.
• C. reduce blood clotting time.
• D. form chylomicrons.

Correct answer: A

Rationale: Essential fatty acids play a crucial role in improving skin integrity by supporting the structure and function of cell membranes. This helps in maintaining healthy skin and promoting overall well-being. The other choices are incorrect because essential fatty acids do not directly control lipid digestion, reduce blood clotting time, or form chylomicrons.

3. Where does the absorption of most nutrients occur?

• A. Large intestine.
• B. Small intestine.
• C. Stomach.
• D. Mouth.

Correct answer: B

Rationale: The absorption of most nutrients occurs in the small intestine. This is where digested food is broken down further and absorbed into the bloodstream through the intestinal walls. The large intestine primarily absorbs water and electrolytes, while the stomach mainly aids in digestion by breaking down food with gastric juices. The mouth is responsible for the initial mechanical breakdown of food through chewing and the enzymatic action of saliva, but absorption does not occur there.

4. Signs of malnutrition can appear when:

• A. nutrient reserves are depleted.
• B. nutrient intake exceeds daily needs.
• C. energy intake is restricted.
• D. caloric expenditure increases.

Correct answer: A

Rationale: The correct answer is A: 'nutrient reserves are depleted.' Signs of malnutrition manifest when the body's reserves of essential nutrients are exhausted and can no longer sustain health. Choice B is incorrect because excessive nutrient intake exceeding daily needs does not lead to malnutrition but may cause other health issues. Choice C is incorrect as restricting energy intake may lead to weight loss but not necessarily malnutrition. Choice D is also incorrect as increasing caloric expenditure does not directly cause malnutrition.

5. 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.

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