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Foundations of Nursing Practice
2nd Edition

Multiple choice answers

Chapter 4


1.    What is an EAR for half the population?
a)    Estimated Adult at Rest?
b)    Exact Adult requirement?
c)    Estimated Average Requirement?~
d)    Energy Average Regulation?

COMA, in its 1991 report (DoH, 1991), produced ranges for different dietary components, using the following guidelines:

  • Dietary reference values (DRVs) is a general term that must be used, as it is a more precisely focused and evidence-based system than recommended daily allowances (RDAs), which produced a single figure for each nutrient, covering every age group.
  • Reference nutrient intake (RNI) is the amount of a nutrient that is sufficient for up to 97 per cent of the population.
  • Estimated average requirements (EAR) is the estimated average requirement of each nutrient sufficient to meet the needs of half the population.
  • Lower reference nutrient intake (LRNI) is the amount of nutrient needed for people with low needs. If people consistently consume less than their LRNI, they may be at risk of deficiency.

2. Palm and coconut oils are
a)    trans-fatty acids
b)    saturated fats ~
c)    polyunsaturated fats
d)    mono-unsaturated fats

Answer to Q2


    Chart 4.1

  • Examples of types of fat and their sources
  • Saturated: red meat, dairy products, lard, suet, biscuits, palm and coconut oils
  • Polyunsaturated:
    - Omega-3: oily fish: mackerel, halibut, pilchards, sardines, herrings, trout, salmon; walnuts
    - Omega-6: polyunsaturated margarine; corn, sunflower and soya bean oils
  • Mono-unsaturated: olive oil, rapeseed oil, blended vegetable oil, avocados, nuts
  • Trans-fatty acids: hard margarine, biscuits, cakes

3. An essential amino acid
a)    can be supplied by metabolism
b)    needs to be consumed in large amounts
c)    can be synthesised in the body
d)    cannot be synthesised in the body~

Answer to Q3

Protein is made from 20 different amino acids, which are classified into:

  • Essential, which cannot be synthesised in the body
  • Semi-essential, which can be supplied by the metabolism of certain amino acids providing they are consumed in adequate amounts
  • Non-essential, which can be synthesised from carbon and other precursors in the body.


4. Fruit juice is a source of which pair of these?
a)    intrinsic sugars, monosaccharides
b)    extrinsic sugars, disaccharides
c)    extrinsic sugars, monosaccharides~
d)    intrinsic sugars, disaccharides

Answer to Q4:
Sugars may be monosaccharides (for example, glucose, fructose and galactose) or disaccharides (sucrose, lactose and maltose) and can be divided into:

  • Intrinsic sugars, which are contained within plant cell walls
  • Extrinsic sugars, which are free in solution in the food, as in fruit juice, added sugar and honey in foods and lactose in milk.


5. What is the relationship of kilojoules to kilocalories?
a)        1 kcal =4.184kJ    1kJ=0.239 kcal~
b)        1 kcal =5.279kJ    1kJ=0.392 kcal
c)        1 kcal =3.786kJ    1kJ=0.743 kcal
d)        1 kcal =2.456kJ    1kJ=0.587 kcal

Answer to Q5:
One calorie is the amount of heat needed to raise the temperature of one gram of water by 1OC. This is not a practical level when studying human nutrition so kilocalories (kcal) are used, each kilocalorie being 1000 calories, the amount needed to raise one kilogram of water by 1OC. For international use, joules are used to measure energy output. These are also very small units so kilojoules (kJ; 1000 joules) and megajoules (MJ; 1 000 000 joules) are used instead.

Conversion: 1 kcal = 4.186 kJ; 1 kJ = 0.239 kcal