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. How many kilocalories (kcal) are provided by a food containing 30 grams of carbohydrate?

• A. 90
• B. 120
• C. 180
• D. 270

Correct answer: B

Rationale: The correct answer is B: 120. Carbohydrates provide 4 kcal per gram, so 30 grams of carbohydrates will provide 120 kcal. This is calculated by multiplying the grams of carbohydrate (30) by the kcal per gram (4). Choices A, C, and D are incorrect because they do not reflect the correct calculation based on the energy content of carbohydrates.

3. 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.

4. Why are bacteria found in the colon important?

• A. synthesize important vitamins.
• B. complete the process of absorption.
• C. synthesize some minerals.
• D. finish the process of digestion.

Correct answer: A

Rationale: Bacteria found in the colon are important because they synthesize important vitamins, such as vitamin K. This aids in the body's overall health and functioning. Choice B is incorrect because absorption primarily occurs in the small intestine, not the colon. Choice C is incorrect as the synthesis of minerals is not a primary function of colon bacteria. Choice D is incorrect as the digestion process mainly occurs in the stomach and small intestine.

5. One characteristic of an essential fatty acid is that it:

• A. comes from a plant source.
• B. comes from an animal source.
• C. is not manufactured by the body.
• D. is manufactured by the body.

Correct answer: C

Rationale: The correct answer is C because essential fatty acids are not manufactured by the body and must be obtained through the diet. Choice A is incorrect because essential fatty acids can come from plant sources as well. Choice B is incorrect as essential fatty acids are primarily derived from plant sources. Choice D is incorrect because essential fatty acids cannot be produced by the body. Therefore, the only accurate statement is that essential fatty acids are not manufactured by the body.

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