, TESTBANK FOR Nutrition Counseling and Education Skills Eighth Edition
Beto
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
Chapter 1 “Nutrition Assessment”
Multiple Choice
1. Nutrition screening differs from nutrition assessment in that:
A. Nutrition screening identifies patients who may have a nutrition diagnosis while nutrition
assessment categorizes patients with a medical diagnosis
B. Nutrition screening identifies patients at nutrition risk while nutrition assessment determines
a patient’s nutritional problems
C. Nutrition screening classifies malnutrition while nutrition assessment determines a patient’s
nutritional plan
D. Nutrition screening identifies patients who may benefit from nutrition assessment while
nutrition assessment classifies a medical risk as high or moderate
<Answer: B>
<Subject: Chapter 1>
<A-Head: Nutrition Screening>
<Complexity: Difficult>
2. Which of the following is the most useful method of determining intake of patients in a
hospital environment?
A. Usual diet recall
B. Food frequency questionnaires
C. Food disappearance data
D. Family interview
<Answer: A>
<Subject: Chapter 1>
<A-Head: Food/Nutrition-Related Diet History>
<Complexity: Easy>
3. A 68-year-old woman comes to your office for the first time. She has a BMI of 33 kg/m2. Her
nutrition-focused physical exam is normal. To classify her as obese, what further information do
you need?
A. Additional anthropometrics
B. No further information; BMI is sufficient
C. Waist circumference
D. DEXA scan
<Answer: B>
<Subject: Chapter 1>
<A-Head: Calculating BMI>
<Complexity: Moderate>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
4. A 43-year-old patient is critically ill and unconscious. You need an estimate of his height to
calculate medication dosage and nutritional needs. Which of the below is NOT an example of
anthropometric measurements that could be used to estimate height?
A. Knee height
B. Total arm span
C. Half arm span
D. Skinfold thickness
<Answer: D>
<Subject: Chapter 1>
<A-Head: Alternate Measures to Assess Height>
<Complexity: Easy>
5. The nutrition-focused physical exam is a system-based evaluation and examination of bodily
regions including all of the following EXCEPT:
A. Skin
B. Nails
C. Liver
D. Eyes
<Answer: C>
<Subject: Chapter 1>
<A-Head: Nutrition-Focused Physical Findings>
<Complexity: Easy>
6. In the setting of illness, which might be the most useful to assess baseline nutritional status?
A. Serum albumin and prealbumin
B. Skin evaluation for wounds
C. Presence of temporal muscle wasting
D. Weight after fluid resuscitation
<Answer: C>
<Subject: Chapter 1>
<A-Head: Neck and Upper Body, Musculoskeletal and Lower Extremities>
<Complexity: Difficult>
7. A nutrition screening tool that identifies individuals as “high nutrition risk” who are actually at
high nutrition risk can be described as having:
A. High sensitivity
B. High specificity
C. High reliability
D. High validity
<Answer: A>
<Subject: Chapter 1>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<A-Head: Selecting a Screening Method>
<Complexity: Moderate>
8. Waist circumference measurement contributes to a nutrition assessment because:
A. Waist circumference helps to determine BMI
B. Waist circumference is necessary for a malnutrition diagnosis
C. Waist circumference is associated with cardiometabolic risk
D. Waist circumference classifies obesity
<Answer: C>
<Subject: Chapter 1>
<A-Head: Waist Circumference>
<Complexity: Moderate>
9. Clinical characteristics that the RD can obtain and document to support the diagnosis of
malnutrition in adults based on current guidelines include which of the following?
A. Weight loss, albumin, insufficient energy intake
B. Weight loss, albumin, reduced hand grip strength
C. Albumin, insufficient energy intake, reduced hand grip strength
D. Weight loss, insufficient energy intake, reduced hand grip strength
<Answer: D>
<Subject: Chapter 1>
<A-Head: Identifying Malnutrition>
<Complexity: Moderate>
10. The expected relationship between body mass index and body fat may be confounded in the
setting of:
A. Thinness
B. Obesity
C. Weight loss
D. Edema
<Answer: D>
<Subject: Chapter 1>
<A-Head: Calculating BMI>
<Complexity: Difficult>
11. The most common component of the nutrition-focused physical exam used by RDs is:
A. Visual inspection
B. Palpation
C. Percussion
D. Auscultation
<Answer: A>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Techniques of NFPE>
<Complexity: Easy>
12. One difference between the Malnutrition Screening Tool (MST) and the Malnutrition
Universal Screening Tool (MUST) is:
A. The MST assesses unintentional weight loss and the MUST does not
B. The MST assesses BMI and the MUST does not
C. The MST assesses the presence of acute disease and the MUST does not
D. The MST assesses change in appetite while the MUST does not
<Answer: D>
<Subject: Chapter 1>
<A-Head: Nutrition Screening Tools>
<Complexity: Difficult>
13. Dry weight is:
A. Weight when thirsty
B. Weight after 10% of excess body fluid has been removed
C. Weight at which the patient has hypertension or hypotension
D. Weight prior to fluid retention
<Answer: D>
<Subject: Chapter 1>
<A-Head: Calculating Dry Weight for Chronic Fluid Overload>
<Complexity: Moderate>
14. The technology used most commonly in the clinical setting to assess body composition is:
A. Magnetic resonance imaging
B. Computed tomography
C. Bioelectrical impedance analysis
D. Dual energy X-ray absorptiometry
<Answer: C>
<Subject: Chapter 1>
<A-Head: Imaging Technologies>
<Complexity: Easy>
15. In the NFPE, an assessment of overall appearance evaluates all of the following except:
A. Level of consciousness
B. Body habitus
C. Past medical history
D. Facial expression
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Answer: C>
<Subject: Chapter 1>
<A-Head: Components of NFPE>
<Complexity: Easy>
16. Measurements of functional status include assessment of all of the following except:
A. Hand grip strength
B. Timed gait
C. Stair steps
D. Memory test
<Answer: D>
<Subject: Chapter 1>
<A-Head: Functional Assessment>
<Complexity: Easy>
True/False
1. Self-reported height is the most commonly used height surrogate in the clinical setting.
<Answer: True>
<Subject: Chapter 1>
<A-Head: Alternate Measures to Assess Height>
<Complexity: Easy>
2. Since ideal body weight (IBW) was validated in the acutely ill adult population, percent IBW
is an appropriate component in determining nutritional status.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Applications of IBW>
<Complexity: Moderate>
3. Conditions that require special assessment of body weight measurements include amputations,
obesity, and chronic fluid retention.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Body Weight Modifications for Special Circumstances>
<Complexity: Moderate>
4. The oral cavity is an important region to evaluate during an NFPE since the high turnover of
cells allows for early detection of nutrient deficiencies.
<Answer: True>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Components of the NFPE>
<Complexity: Moderate>
5. Observation of food intake through calorie counts obtained in the inpatient hospital setting is
highly correlated with usual intake.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Dietary Recall Methods/Methods of Obtaining Intake Data>
<Complexity: Moderate>
6. A change in skin turgor is one way to assess hydration status.
<Answer: True>
<Subject: Chapter 1>
<A-Head: Dietary Recall Methods/Methods of Obtaining Intake Data>
<Complexity: Easy>
Short answer
1. You have been asked to develop a nutrition screening tool for your hospital, which is a high
acuity trauma facility. You are considering the following screening tools: NRS-2002, MUST,
SNAQ© and MST. Which tool is best suited for your hospital and why? Be sure to include the
rationale for your decision as well as the limitations of your tool.
<Answer:
Can justify SNAQ, NRS-2002, MUST
Screening
NRS-2002 MUST SNAQ© MST
Tool
Developed for
use during
Comprehensive Comprehensive admission to
Developed for Presence of an acute care facility
Pro use in acute care acute illness that Assesses need
settings may affect dietary for supplemental
intake or enteral
nutrition
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
Relates Abbreviated
nutritional status to Developed
Developed for Abbreviated based on general
Con existing disease
use in the medical and
state (most patients
community setting surgical
have acute not
chronic disease) inpatients>
<Subject: Chapter 1>
<A-Head: Nutrition Screening Tools>
<Complexity: Difficult>
2. Discuss risk factors for malnutrition.
<Subject: Chapter 1>
<A-Head: The Purpose of Nutrition Assessment>
<Complexity: Difficult>
3. Describe the six components (ABCDEF) of the nutrition assessment.
<Answer: A – Anthropometry and Body Composition - standard measures of height, weight, and
body composition
B – Biochemical - use of laboratory tests of patients’ blood, urine, feces, and tissue samples
C – Clinical - nutrition-focused past medical history and clinical diagnoses, as well as a
nutrition-focused physical exam
D – Dietary - information regarding food and nutrient intake
E – Energy - estimation of energy requirements and comparison to current intake
F –Functional Status - Assessing for declines in function measured via muscle strength and/or
physical performance>
<Subject: Chapter 1>
<A-Head: The Purpose of Nutrition Assessment>
<Complexity: Moderate>
4. A patient has a height of 5′9″ and a weight of 126 lbs. Six months ago, he weighed 150 lbs.
a. Calculate the patient’s current BMI, percent usual body weight, and percent weight loss.
<Answer: BMI 18.3; 84% UBW; 16% weight loss>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
, Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Assessing Weight>
<Complexity: Moderate>
5. Identify factors that might be included in a nutrition-focused past medical history.
<Answer:
a. Demographic data including age, sex, occupation, family history, education level
b. Chief complaint including history of present illness, recent diet and/or weight
changes, UBW, appetite changes, GI symptoms
c. Past medical/surgical history including previous acute or chronic illnesses, allergies, eating
disorders, psychosocial health, and/or cognitive disabilities
d. Medication history including medications with nutrition interactions, and herbal and dietary
supplements
e. Family medical history such as history of cardiovascular disease, diabetes mellitus, cancer
f. Social history including socioeconomic status, social and medical support, relevant cultural
and religious beliefs, and/or living situation>
<Subject: Chapter 1>
<A-Head: Client History>
<Complexity: Difficult>
6. Contrast the cardiometabolic risk associated with android versus gynoid body type.
<Answer: Abdominal obesity is associated with significantly greater health risks than fat
deposited below the abdomen. For those with an android (“apple”) body shape, increased waist
measurement has been shown to be an independent risk factor for type 2 diabetes mellitus,
hypertension, and cardiovascular disease—even for individuals who are of normal weight by
BMI standards. This risk has not been demonstrated for those with a gynoid (“pear”) shape,
indicating fat deposits below the waist.>
<Subject: Chapter 1>
<A-Head: Waist Circumference>
<Complexity: Easy>
7. Describe the consequences of malnutrition.
<Answer:
Inferior outcomes
Contributor to increased morbidity and mortality
Increased lengths of stay and rates of readmission
Decreased function and quality of life
Higher healthcare costs
Development of pressure injuries
Increased rates of infection, impaired wound healing, surgical complications
Increased ventilatory requirements>
.
<Subject: Chapter 1>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
Beto
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
Chapter 1 “Nutrition Assessment”
Multiple Choice
1. Nutrition screening differs from nutrition assessment in that:
A. Nutrition screening identifies patients who may have a nutrition diagnosis while nutrition
assessment categorizes patients with a medical diagnosis
B. Nutrition screening identifies patients at nutrition risk while nutrition assessment determines
a patient’s nutritional problems
C. Nutrition screening classifies malnutrition while nutrition assessment determines a patient’s
nutritional plan
D. Nutrition screening identifies patients who may benefit from nutrition assessment while
nutrition assessment classifies a medical risk as high or moderate
<Answer: B>
<Subject: Chapter 1>
<A-Head: Nutrition Screening>
<Complexity: Difficult>
2. Which of the following is the most useful method of determining intake of patients in a
hospital environment?
A. Usual diet recall
B. Food frequency questionnaires
C. Food disappearance data
D. Family interview
<Answer: A>
<Subject: Chapter 1>
<A-Head: Food/Nutrition-Related Diet History>
<Complexity: Easy>
3. A 68-year-old woman comes to your office for the first time. She has a BMI of 33 kg/m2. Her
nutrition-focused physical exam is normal. To classify her as obese, what further information do
you need?
A. Additional anthropometrics
B. No further information; BMI is sufficient
C. Waist circumference
D. DEXA scan
<Answer: B>
<Subject: Chapter 1>
<A-Head: Calculating BMI>
<Complexity: Moderate>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
4. A 43-year-old patient is critically ill and unconscious. You need an estimate of his height to
calculate medication dosage and nutritional needs. Which of the below is NOT an example of
anthropometric measurements that could be used to estimate height?
A. Knee height
B. Total arm span
C. Half arm span
D. Skinfold thickness
<Answer: D>
<Subject: Chapter 1>
<A-Head: Alternate Measures to Assess Height>
<Complexity: Easy>
5. The nutrition-focused physical exam is a system-based evaluation and examination of bodily
regions including all of the following EXCEPT:
A. Skin
B. Nails
C. Liver
D. Eyes
<Answer: C>
<Subject: Chapter 1>
<A-Head: Nutrition-Focused Physical Findings>
<Complexity: Easy>
6. In the setting of illness, which might be the most useful to assess baseline nutritional status?
A. Serum albumin and prealbumin
B. Skin evaluation for wounds
C. Presence of temporal muscle wasting
D. Weight after fluid resuscitation
<Answer: C>
<Subject: Chapter 1>
<A-Head: Neck and Upper Body, Musculoskeletal and Lower Extremities>
<Complexity: Difficult>
7. A nutrition screening tool that identifies individuals as “high nutrition risk” who are actually at
high nutrition risk can be described as having:
A. High sensitivity
B. High specificity
C. High reliability
D. High validity
<Answer: A>
<Subject: Chapter 1>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<A-Head: Selecting a Screening Method>
<Complexity: Moderate>
8. Waist circumference measurement contributes to a nutrition assessment because:
A. Waist circumference helps to determine BMI
B. Waist circumference is necessary for a malnutrition diagnosis
C. Waist circumference is associated with cardiometabolic risk
D. Waist circumference classifies obesity
<Answer: C>
<Subject: Chapter 1>
<A-Head: Waist Circumference>
<Complexity: Moderate>
9. Clinical characteristics that the RD can obtain and document to support the diagnosis of
malnutrition in adults based on current guidelines include which of the following?
A. Weight loss, albumin, insufficient energy intake
B. Weight loss, albumin, reduced hand grip strength
C. Albumin, insufficient energy intake, reduced hand grip strength
D. Weight loss, insufficient energy intake, reduced hand grip strength
<Answer: D>
<Subject: Chapter 1>
<A-Head: Identifying Malnutrition>
<Complexity: Moderate>
10. The expected relationship between body mass index and body fat may be confounded in the
setting of:
A. Thinness
B. Obesity
C. Weight loss
D. Edema
<Answer: D>
<Subject: Chapter 1>
<A-Head: Calculating BMI>
<Complexity: Difficult>
11. The most common component of the nutrition-focused physical exam used by RDs is:
A. Visual inspection
B. Palpation
C. Percussion
D. Auscultation
<Answer: A>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Techniques of NFPE>
<Complexity: Easy>
12. One difference between the Malnutrition Screening Tool (MST) and the Malnutrition
Universal Screening Tool (MUST) is:
A. The MST assesses unintentional weight loss and the MUST does not
B. The MST assesses BMI and the MUST does not
C. The MST assesses the presence of acute disease and the MUST does not
D. The MST assesses change in appetite while the MUST does not
<Answer: D>
<Subject: Chapter 1>
<A-Head: Nutrition Screening Tools>
<Complexity: Difficult>
13. Dry weight is:
A. Weight when thirsty
B. Weight after 10% of excess body fluid has been removed
C. Weight at which the patient has hypertension or hypotension
D. Weight prior to fluid retention
<Answer: D>
<Subject: Chapter 1>
<A-Head: Calculating Dry Weight for Chronic Fluid Overload>
<Complexity: Moderate>
14. The technology used most commonly in the clinical setting to assess body composition is:
A. Magnetic resonance imaging
B. Computed tomography
C. Bioelectrical impedance analysis
D. Dual energy X-ray absorptiometry
<Answer: C>
<Subject: Chapter 1>
<A-Head: Imaging Technologies>
<Complexity: Easy>
15. In the NFPE, an assessment of overall appearance evaluates all of the following except:
A. Level of consciousness
B. Body habitus
C. Past medical history
D. Facial expression
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Answer: C>
<Subject: Chapter 1>
<A-Head: Components of NFPE>
<Complexity: Easy>
16. Measurements of functional status include assessment of all of the following except:
A. Hand grip strength
B. Timed gait
C. Stair steps
D. Memory test
<Answer: D>
<Subject: Chapter 1>
<A-Head: Functional Assessment>
<Complexity: Easy>
True/False
1. Self-reported height is the most commonly used height surrogate in the clinical setting.
<Answer: True>
<Subject: Chapter 1>
<A-Head: Alternate Measures to Assess Height>
<Complexity: Easy>
2. Since ideal body weight (IBW) was validated in the acutely ill adult population, percent IBW
is an appropriate component in determining nutritional status.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Applications of IBW>
<Complexity: Moderate>
3. Conditions that require special assessment of body weight measurements include amputations,
obesity, and chronic fluid retention.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Body Weight Modifications for Special Circumstances>
<Complexity: Moderate>
4. The oral cavity is an important region to evaluate during an NFPE since the high turnover of
cells allows for early detection of nutrient deficiencies.
<Answer: True>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Components of the NFPE>
<Complexity: Moderate>
5. Observation of food intake through calorie counts obtained in the inpatient hospital setting is
highly correlated with usual intake.
<Answer: False>
<Subject: Chapter 1>
<A-Head: Dietary Recall Methods/Methods of Obtaining Intake Data>
<Complexity: Moderate>
6. A change in skin turgor is one way to assess hydration status.
<Answer: True>
<Subject: Chapter 1>
<A-Head: Dietary Recall Methods/Methods of Obtaining Intake Data>
<Complexity: Easy>
Short answer
1. You have been asked to develop a nutrition screening tool for your hospital, which is a high
acuity trauma facility. You are considering the following screening tools: NRS-2002, MUST,
SNAQ© and MST. Which tool is best suited for your hospital and why? Be sure to include the
rationale for your decision as well as the limitations of your tool.
<Answer:
Can justify SNAQ, NRS-2002, MUST
Screening
NRS-2002 MUST SNAQ© MST
Tool
Developed for
use during
Comprehensive Comprehensive admission to
Developed for Presence of an acute care facility
Pro use in acute care acute illness that Assesses need
settings may affect dietary for supplemental
intake or enteral
nutrition
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
Relates Abbreviated
nutritional status to Developed
Developed for Abbreviated based on general
Con existing disease
use in the medical and
state (most patients
community setting surgical
have acute not
chronic disease) inpatients>
<Subject: Chapter 1>
<A-Head: Nutrition Screening Tools>
<Complexity: Difficult>
2. Discuss risk factors for malnutrition.
<Subject: Chapter 1>
<A-Head: The Purpose of Nutrition Assessment>
<Complexity: Difficult>
3. Describe the six components (ABCDEF) of the nutrition assessment.
<Answer: A – Anthropometry and Body Composition - standard measures of height, weight, and
body composition
B – Biochemical - use of laboratory tests of patients’ blood, urine, feces, and tissue samples
C – Clinical - nutrition-focused past medical history and clinical diagnoses, as well as a
nutrition-focused physical exam
D – Dietary - information regarding food and nutrient intake
E – Energy - estimation of energy requirements and comparison to current intake
F –Functional Status - Assessing for declines in function measured via muscle strength and/or
physical performance>
<Subject: Chapter 1>
<A-Head: The Purpose of Nutrition Assessment>
<Complexity: Moderate>
4. A patient has a height of 5′9″ and a weight of 126 lbs. Six months ago, he weighed 150 lbs.
a. Calculate the patient’s current BMI, percent usual body weight, and percent weight loss.
<Answer: BMI 18.3; 84% UBW; 16% weight loss>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
, Advanced Medical Nutrition Therapy, First Edition
Kelly Kane and Kathy Prelack
Chapter 1 Test Bank
<Subject: Chapter 1>
<A-Head: Assessing Weight>
<Complexity: Moderate>
5. Identify factors that might be included in a nutrition-focused past medical history.
<Answer:
a. Demographic data including age, sex, occupation, family history, education level
b. Chief complaint including history of present illness, recent diet and/or weight
changes, UBW, appetite changes, GI symptoms
c. Past medical/surgical history including previous acute or chronic illnesses, allergies, eating
disorders, psychosocial health, and/or cognitive disabilities
d. Medication history including medications with nutrition interactions, and herbal and dietary
supplements
e. Family medical history such as history of cardiovascular disease, diabetes mellitus, cancer
f. Social history including socioeconomic status, social and medical support, relevant cultural
and religious beliefs, and/or living situation>
<Subject: Chapter 1>
<A-Head: Client History>
<Complexity: Difficult>
6. Contrast the cardiometabolic risk associated with android versus gynoid body type.
<Answer: Abdominal obesity is associated with significantly greater health risks than fat
deposited below the abdomen. For those with an android (“apple”) body shape, increased waist
measurement has been shown to be an independent risk factor for type 2 diabetes mellitus,
hypertension, and cardiovascular disease—even for individuals who are of normal weight by
BMI standards. This risk has not been demonstrated for those with a gynoid (“pear”) shape,
indicating fat deposits below the waist.>
<Subject: Chapter 1>
<A-Head: Waist Circumference>
<Complexity: Easy>
7. Describe the consequences of malnutrition.
<Answer:
Inferior outcomes
Contributor to increased morbidity and mortality
Increased lengths of stay and rates of readmission
Decreased function and quality of life
Higher healthcare costs
Development of pressure injuries
Increased rates of infection, impaired wound healing, surgical complications
Increased ventilatory requirements>
.
<Subject: Chapter 1>
Copyright © 2019 Jones & Bartlett Learning, LLC, an Ascend Learning Company
