Nursing Elites

1. 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.

2. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

3. Which of the following provides the best source of nutrients?

• A. specific food combinations.
• B. a variety of foods.
• C. individual foods.
• D. a variety of food supplements.

Correct answer: B

Rationale: A variety of foods is the best source of nutrients because it ensures a balanced intake of all essential nutrients required by the body. Option A, specific food combinations, may not provide all necessary nutrients as relying on only a few types of food may lead to deficiencies. Option C, individual foods, also may not provide a complete range of nutrients necessary for overall health. Option D, a variety of food supplements, is not the best source of nutrients as whole foods are generally more beneficial due to their natural nutrient composition and bioavailability.

4. 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.

5. What role do the amino acids methionine, tyrosine, and tryptophan play?

• A. Forming neurotransmitters.
• B. Blocking excess protein breakdown.
• C. Increasing production of insulin and thyroxine.
• D. Decreasing energy expenditure.

Correct answer: A

Rationale: The correct answer is A: Forming neurotransmitters. Methionine, tyrosine, and tryptophan are important amino acids involved in the production of neurotransmitters in the body. Neurotransmitters are chemical messengers that transmit signals across nerve cells, influencing various functions such as mood, memory, and muscle control. Choices B, C, and D are incorrect because these amino acids do not primarily play a role in blocking protein breakdown, increasing insulin and thyroxine production, or decreasing energy expenditure.

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