WGU C787 OA Test

WGU C787 OA Test When nutrition advocates become concerned that recommendations did not do enough to address prevention of chronic illnesses related diet, what policy changes were made? Correct answer- RDA's expanded into several DRI categories What is true about Daily Reference Intakes (DRIs)? Correct answer- Food labeling must include info about them. They differ depending on age and gender. What is always found on a nutrition label in the US? Correct answer- Serving size A healthful diet contains nutrient intake near what amount? Correct answer- Recommended Daily Allowance (RDA) Use when preparing family/ personal meals What is an appropriate use of AMDR when evaluating the appropriateness of a snack food? Correct answer- (AMDR: Acceptable macronutrient dietary range) 50% of calories from fat is too much fat What is meant by Tolerable Upper Intake Level? Correct answer- (TUI) The highest level of daily consumption that current data has shown to cause no side effects in humans, ensures people do not take harmful amounts (supplements) How is the estimated average requirement commonly used (EAR)? Correct answer- To guide recommendations and menu planning for communities, in combination with upper intake levels What is true of the recommendations, as represented by their setting place graphic? Correct answer- Half of the plate should be fruits and vegetables What is a nutritional benefit of fruits and vegetables? Correct answer- They provide nutrients that reduce the risk of some types of cancer What is false regarding fruits and vegetables in the diet? Correct answer- Fruits and vegetables are rich in vitamin B12 What strategy might be avoided due to expense for patients looking to eat more healthfully on a budget? Correct answer- Buying frozen meals Which statement is true about planning a balanced meal? Correct answer- Skim milk has roughly the same amount of calcium and protein as whole milk What is true about dietary recommendations for whole grain intake? Correct answer- half of all grain products consumed should be whole grain products Fritz is hosting a brunch and prepares for each of his friends: - omelet with cheese - toasted English muffin - 1 t all-fruit preserves - 1/2 large grapefruit - 1 c whole milk How can his menu be improved to follow the Dietary Guidelines for Americans? Correct answer- - use egg whites for omelets - replace cheese with vegetables in the omelets - replace english. muffin with whole wheat english muffin - replace whole milk with fat free milk What is true of recommendations concerning trans fat and added sugar intake? Correct answer- Trans fat and added sugar intake should be minimized, there is no DRI value what is recommended daily amount of protein intake? Correct answer- 60g/ day Which list contains all examples of proteins? Correct answer- garbanzo beans, chick peas, egg, chicken breast, yogurt, cheese, ground beef, peanut butter, tofu What is the best choice for a combination of plant-based foods to maximize healthy protein in a vegetarian diet? Correct answer- legumes + whole grains There is a current initiative for more transparent labeling of sugars on nutrition facts labels. in the coming years, which of these might be more obviously labeled sugars? Correct answer- anything ending in -ose honey which carbohydrate will cause a quicker return to hunger? Correct answer- one with aa high glycemic index which is a reason why seafood can be considered part of a healthful diet? Correct answer- some seafood is high I healthy omega 3 oils what are generally considered sources of health fat? Correct answer- fish, nuts, olive oil what is not a common source of high levels of sodium? Correct answer- spices and herbs which foods are relatively rich in iron? Correct answer- - dark leafy greens - legumes - red meat - nuts what is the best vegetarian source of iron from the options provided? Correct answer- beans Which of these are protective against heart disease? Correct answer- - fiber - HDL cholesterol which are linked to increase heart disease? Correct answer- - LDL cholesterol - trans fat - saturated fat Reducing risk of heart disease/ stroke: LDL levels Correct answer- 120 mg/dL Reducing risk of heart disease/ stroke: Limit cholesterol to Correct answer- 30 mg/ day Reducing risk of heart disease/ stroke: Saturated fat Correct answer- 7% calories/ day Reducing risk of heart disease/ stroke: daily activity Correct answer- 30+ min Reducing risk of heart disease/ stroke: Sodium levels Correct answer- 1600mg/ day Reducing risk of heart disease/ stroke: Increase intake of Correct answer- insoluble fiber Reducing risk of heart disease/ stroke: limit alcohol to Correct answer- 1-2 drinks/ day what is an appropriate dietary intervention to address a patient's low albumin level? Correct answer- high protein diet select foods that would be inappropriate for a patient with kidney disease Correct answer- - fried eggs - hot dog - steak what is the dash diet designed to address Correct answer- hypertension which factors are important in controlling hypertension? Correct answer- - sodium below 1600 mg/ day - daily exercise, such as a half-hour walk - health weight BMI 25 Because obesity affects many org systems and hormones, impairing body functions: Correct answer- it is now considered a disease what BMI is considered obese, requiring counseling about a weight loss dietary plan? Correct answer- BMI 30 what is the BMI calculation for a patient that measures 5' 4'' in height and 175 pounds in weight ? Correct answer- 30 BMI calculation Correct answer- weight (lbs) / height (in)^2 * 703 what describe a diet least likely to result in obesity? Correct answer- a diet with a variety of fruits, whole grains, and vegetables identify which heart disease risk factors are modifiable. Correct answer- - sedentary lifestyle - BMI 32 - diet high in trans fats which statement is true? Correct answer- obese children and teenagers are at increased risk of coronary heart disease you are working in a family medicine clinic with a 22-year-old patient. you note a BMI of 17 what counsel would you give the patient? Correct answer- at this BMI, you are at increased risk of infertility, osteoporosis, and premature. death. let's find a solution what health risks clearly increase with BMI Correct answer- - heart disease - DM - Premature death - osteoarthritis - sleep apnea what is true regarding genetic influence on body weight? Correct answer- body weights of parents are oft predictive of body weights of children even when they do not raise them. to maintain weight in the long term patients should Correct answer- balance energy expenditure with energy intake, eat jus enough calories for activity level You can only DRAFT five pieces of advice for weight loss, which do you choose Correct answer- - reduce process foods - increase activity - when you want food, ask yourself if you are actually hungry - eat 5 small meals to maintain energy throughout the day - limit sugary drinks` which person is most likely to lose weight and keep it off? Correct answer- one who sticks to their diet long term which is true of weight loss Correct answer- 10 % reduction in total body weight has consistently been shown to improve health and decrease risk ex) what would a 180 pound person. have to lose to show health benefits? Correct answer- 18 pound to weigh 162 pounds which is likely not an appropriate sustainable weigh loss goal Correct answer- to lose 20 pounds in a month and be envied by friends motivational interviewing Correct answer- - health behaviors have rewards separate from pounds lost - don't focus on failure - don't focus on negative images/ unfairness - don't sugarcoat or be dismissive what is true of water intake and weight loss Correct answer- there is evidence to support that drinking 48 oz of water or more supports weight loss which foods are likely appropriate for consistent inclusion on weight reduction dietary plan Correct answer- - baked fish - broiled skinless chicken breast - steamed green vegetables which are thought to be societal factors in the obesity epidemc Correct answer- - more desk based jobs - increasing size of food portions at restaurants and home - increased consumption of processed foods obesity. messages to adolescents Correct answer- - constant focus on. food: bad - focus of praise on athletic achievers: bad - food as a reward: bad - consumption of media messages: mostly bad what is inappropriate advice to a family of a 14 year old with anorexia Correct answer- serve separate meals to different family members what is true of physical activity, in conjunction with diet, to support weight loss Correct answer- patient should strive for 90 minutes of moderate physical activity at least 3 times a week what is a legal supplement bodybuilders take in an effort to increase muscles mass and increase nitrogen retention Correct answer- protein powder what are anthropometrics? Correct answer- weight management assessment stools including weight, height, ,and waist size how do you calculate physical activity level (PAL) Correct answer- total energy expenditure/ basal metabolic rate you are working in the family medicine clinic and are working with a patient with a BMI of 52 and a sedentary lifestyle. he is wondering about bariatric surgery. which pieces of advice are appropriate Correct answer- increase your physical activity now, but do it gradually, to reduce strain on your heart and increase your likelihood of keeping with it - even after surgery you will need to continue to exercise - after surgery, you may lose weight rapidly - you will need to take specific vitamin supplements after surgery What is true of nutrition for infants? Correct answer- human milk contains immune factors that infant formula does not why is juice not recommended for infants? Correct answer- - contributes to dental decay - lacks fiber and may contribute to diarrhea - it is highly caloric source of fluid Which behavior may contribute to risk of dental caries in infancy? Correct answer- Sharing utensils what parent behaviors may put a child at risk of having a poor relationship with food? Correct answer- - never involve children in meal planning - avoid offering children choices How does the CDC define overweight in childhood? Correct answer- BMI for age over the 85th percentile When teaching kindergartners 5 to 6 years old about use my plate, what would an appropriate educational strategy be? Correct answer- teach them a rhyme with the concepts When teaching 8 to 10-year-olds about healthy meal planning, what would an appropriate educational strategy be? Correct answer- have them write out a description of a healthy menu with different food groups you are working in a pediatric practice and have an appointment with an obese nine-year-old boy and his parents. What are some pieces of advice you might give this family? Correct answer- - High levels of family stress can contribute to poor eating habits -limit portion sizes and avoid frequent restaurant meals -encourage the child to help choose and prepare meals -encourage physical active play and not just desk based study - provide in model choices of healthy plant-based snacks and colored fruits and vegetables at meals What are some strategies to avoid when teaching high school students about nutrition? Correct answer- - Focus on how good nutrition will make them pretty - explain ways to skip a replace meals A healthy 17-year-old girl is reading a nutrition label and sees that a product contains 13% DV of calcium per serving. How many servings of this product with this girl need to have that day to get the recommended amount of calcium from the product alone? Correct answer- 10 servings A nurse is evaluating a 16-year-old boy with short stature, ( stunted linear growth), a poor bone development, and developmental cognitive delays. What might be a dietary cause of this boys condition Correct answer- Malnutrition what nutrient do young adolescents have an increased need for, relative to adults? Correct answer- thiamine What is appropriate guys to get a newly pregnant mother? Correct answer- alcohol should be avoided during all trimesters of pregnancy what is a possible effect of alcohol consumption during pregnancy on the fetus? Correct answer- permanent developmental disability What nutrient reduces the risk of neural tube defect's Correct answer- folate/ folic acid what are some good dietary sources of folate? Correct answer- lentils, spinach, oats how can a pregnant mother minimize the risk of preterm delivery Correct answer- - abstain from tobacco and drugs prior to conception and theough pregnancy - discontinue the use of all alcohol - maintain a healthy weight - maintain a healthy diet to help prevent gestational diabetes what is false about breastfeeding? Correct answer- it is a reliable form of birth control Why are adults over 70 years of age more vulnerable to in adequacy of one or more dietary nutrients? Correct answer- different gastrointestinal physiology interferes with absorption What are some potential benefits of probiotics and prebiotic's for an older adult? Correct answer- -decrease total cholesterol - control of irritable bowel syndrome- yogurt/ cultured products - support immune system functioning - rebuild bone density How about you advise the patient about adapting to older adult hood? Correct answer- To avoid obesity remain active and realize your overall caloric needs may decrease A patient is considering adding a dietary supplement and wants to know more. What should they do first? Correct answer- discuss it with their healthcare provider to which patient, represented by a quote, a meeting with the nurse, should the nurse recommend a dietary supplement Correct answer- " the doctor said my lab showed that I have iron deficiency anemia " the phrase not intended to diagnose, treat, cure or prevent any disease... Correct answer- is required to appear in the label of all supplements which vitamins can be flushed out in the urine Stream if they are in moderate access? Correct answer- vitamin b and c (water soluble) Match the supplement with what it aims to improve: ergogenic aid Correct answer- athletic performance nootropic aid Correct answer- cognition probiotic Correct answer- digestive problems galactagogue Correct answer- breast milk production Supplemental not contain an active ingredient. What else may they contain? Correct answer- extra ingredients that are unlisted and are similar to fillers in prescription drugs How should you counsel a patient about providing information about the supplements I take to the healthcare team? Correct answer- Supplements can interact with medicine and make the medicines affect too strong. This can cause a life-threatening event thiamine deficiency Correct answer- beriberi iodine deficiency Correct answer- Brain damage, intellectual impairment, goiter vitamin a deficiency Correct answer- blindness in young children Vitamin D deficiency Correct answer- rickets Why do you many women take calcium supplements? Correct answer- To reduce the risk of osteoporosis vitamin K Correct answer- should be avoided while on warfarin What is unavailable and plant foods, and therefore may need to be consumed as a supplement to a vegetarian diet Correct answer- vitamin B 12 What nutrients are available and plant foods, but may require special consideration and a vegetarian diet. Correct answer- - iron - vitamin d - protein: can be the hardest macronutrient on a vegetarian diet - calcium: must be in a bioavailable form A limited ability to acquire nutritionally adequate food and socially acceptable ways is called Correct answer- Food insecurity what is true Of food waste and overpopulation Correct answer- they are contributing factors to global hunger what are natural causes of famine Correct answer- pests, drought, flood What does the economic research service do? Correct answer- assist in providing research and analysis and food security issues in developing countries Food deserts are often characterized by their lack of Correct answer- Availability and accessibility of healthfully foods What a characteristics of food deserts? Correct answer- - fast foods more available - markets in the area do not have fresh produce what are some public strategies to reduce food deserts? Correct answer- - implement farmers market - supporting public policy to reduce cost of fresh foods Financial limitations to adequate nutrition our main focus of which diagnostic tool? Correct answer- food security survey module A situation where a person who consumes any calories, but without adequate nutrients, can be considered Correct answer- Under nutrient, which also includes the chronically hungry What is an appropriate use of the child food security survey module Correct answer- determine if a child is experiencing hunger at home What does household food security status referred to Correct answer- an outcome easure to examine the publics ability to secure adequate food What is a term that means all people have access at all times to sufficient food for an active and healthy life Correct answer- food security what is true of the food security survey module Correct answer- It measures efficiency of food and very low food security requires intervention low Food security is characterized by Correct answer- reduce quality, variety, or desirability of diet What was one of fact of the national nutrition monitoring and related research act of 1990 Correct answer- development of standardize questionnaires for measuring household food security status The uneasy or painful sensation caused by lack of food is Correct answer- hunger Which factor might be a cause of patients frequent emergency room visits for congestive heart Correct answer- Patient often goes without medication because they cannot afford them until they get paid What problems are factors can be associated with food insecurity Correct answer- - poor nutrition trouble obtaining food obesity lower cognitive and academic performances poorest health status what does the supplemental nutrition assistance program do (SNAP) Correct answer- Help low income families who have trouble affording food acquire food Which is the most appropriate referral to have home meals delivered by meals on wheels Correct answer- Male age 82 limited income be on my 17 mobility issues and cannot drive Which is the most appropriate referral to the women, infants, and children program Correct answer- Female age 22 speaks limited English six months pregnant low income difficulty obtaining prenatal care What is not a primary consideration when addressing nutritional needs for a homeless patient Correct answer- Is the food fair trade certified What is a major barrier to nutritional education and a strategy for overcoming that barrier Correct answer- Illiteracy screening for problems with written materials and providing verbal or picture based instruction When working with a patient who speaks limited English what should be avoided Correct answer- using text only to teach Using only traditional American foods What program teachers older doubts how to shop plan and prepare nutritious meals as well as conducting hypertension assessments Correct answer- Elderly and nutrition program What is one way that program seek to provide socialization to older adults Correct answer- Providing meals in group settings senior farmers market nutrition program Correct answer- Allows older adults to acquire fruits and vegetables Supplemental nutrition assistance program Correct answer- Helps low income families acquire food Special supplementary nutrition program Correct answer- Recognize his medical and dietary risks to women and children Which is an important consideration of the meals on wheels program Correct answer- That the meals are appealing to the patients taste What is food poisoning Correct answer- can be caused by either primary infection by microbe or production of toxins by microbe skin what is true of botulism Correct answer- it is thought to be the most lethal bioterrorism agent Which infections are most commonly disseminated by ingestion Correct answer- cholera shingeosis what is food system security Correct answer- A system to focus on locating the source of a bioterrorism incident and notifying effective facilities What foods have been common sources of food contamination in recent years? Correct answer- bean sprouts spinach milk (frozen berries) Which home cooks have put themselves at increased risk of spreading microbial foodborne illness Correct answer- Fred who didn't wash the spinach for the salad Francine who under cooked her chicken Philip who put a handful of raw sprouts on his thai noodles Franc who defrosted a steak steak on the counter flow who stores her cooked and raw vegetables together campylobacter Correct answer- under cooked poultry E. coli Correct answer- Foods contaminated with fecal matter mycotoxins Correct answer- molds glycol alkaloids Correct answer- potatoes exposed to light Ciguatoxin Correct answer- Fish such as grouper monosodium glutamate Correct answer- Flavor enhancer which can cause chest pain, Adema, facial numbness, and headache enteritis And diarrhea are commonly caused by Correct answer- e coli and salmonella Why should pregnant woman eat cheese only if it has been pasteurized Correct answer- Listeria in unpasteurized cheese increases the risk of spontaneous abortion and congenital infection of the newborn Foods that require freezing, preservation techniques or immediate use are called Correct answer- perishable foods true or false: Pasteurized milk can be stored at room temperature Correct answer- false although pasteurizing milk increases it Shelflife and reduces the number of micro organisms only ultra pasteurized milk can be stored at room temperature True or false contaminated drinking water should be boiled for at least five minutes Correct answer- True it will be not be hot enough out of the tab freezing and salt treating is not reliable True or false irradiated food becomes radio active Correct answer- false irradiating food helps to control E. coli and salmonella but does not drastically affect taste and texture and does not make food radioactive. However it's use is not common True or false dented cans should be discarded Correct answer- True dented cans maybe compromise and may harbor contamination True or false chicken should be cooked or frozen with them four days of purchase Correct answer- False poultry should be cooked or frozen within two days of purchase What is a term for a chemical agent that gives rise to obesity Correct answer- obesogen- bisephenol A is an example what does the USDA organic seal indicate Correct answer- that a food is 100% organic according to current standards that food is not genetically engineered and no synthetic fungicides or insect that sides were used A bottle of pasta sauce said made with organic tomatoes onions and basil what can you infer from this Correct answer- The sauce contains at least 70% certified organic content