Eatright prep question with 100% Correct answers
Eatright prep question with 100% Correct answers Q. What is the best approach to working with a client with these circumstances: needs to reduce blood cholesterol levels, knowledgeable about diets for hyperlipidemia, able to devise healthy meal plans, has moderate readiness to independently follow the recommended diet plan. a. Continue to provide dietary instructions to the client and closely monitor compliance. b. Help the client gain confidence through listening, advising, and coaching. c. Listen to the client. Encourage and support the skills the client has developed. d. Turn over responsibility for nutrition care to the client. - Answer- c. Listen to the client. Encourage and support the skills the client has developed. The patient is knowledgeable with moderate readiness, so the RDN needs to find out what the client knows by listening to, encouraging, and supporting the client to help him be fully ready to execute the diet to reduce blood cholesterol. Q. which of the following is recommended to manage nausea? a. Avoid any product made with ginger b. Drink fruit juice throughout the day c. Eat small meals throughout the day d. Eat foods containing capsaicin - Answer- c. Eat small meals throughout the day Eating small meals throughout the day is recommended for individuals experiencing nausea. Ginger products can help alleviate nausea symptoms. Spicy foods and sugar- containing foods can exacerbate nausea so capsaicin-containing foods and fruit juice are not recommended. Q. Which category of the NFPE will be most relevant when evaluating a client with suspected PCOS? a. Edema b. Hair c. Muscles d. Digestive system - Answer- b. Hair Symptoms of polycystic ovarian syndrome, or PCOS, include the following: Infrequent menstrual periods, no menstrual periods and/or irregular bleeding Infertility due to lack of ovulation Increased hair growth on the face, chest, stomach, back, thumbs or toes Acne, oily skin and dandruff Weight gain, especially around the mid-section Insulin resistance or type 2 diabetes High cholesterol and/or blood pressure Thinning hair on head Pelvic pain Depression and anxiety due to appearance and/or infertility Endometrial cancer Because of the potential for increased hair growth on the face and body and thinning hair on the head, hair would be a more relevant assessment parameter when performing a nutrition-focused physical examination on a client/patient with suspected PCOS. Q. What component of serum cholesterol do plant stanols/sterols lower? a. Total cholesterol b. High-density lipoprotein (HDL) c. Triglycerides d. Low-density lipoprotein (LDL) - Answer- d. Low-density lipoprotein (LDL) Plant stanols are often used in place of statin therapy for lowering LDL, especially for those patients who are unable to tolerate statins. Q. Based on this statement, determine which stage of change a client is in: "I know what I need to do to lose weight, but I just can't do it." a. Precontemplation b. Contemplation c. Preparation d. Action - Answer- b. Contemplation The classic indicator for a patient in the contemplation stage of change is a "yes, but" statement. The majority of RDNs' clients are in the contemplation stage when they come to their first appointment. Q. If a client exploring readiness for change rates confidence as a "4" and importance as a "10," which of the following questions/comments would lead to the most productive conversation about change? a. "Why aren't you more motivated?" b. "What can I do to help you?" c. "What would need to happen in order for your confidence to increase to a '6'?" d. "It's encouraging that the importance rating is so high." - Answer- c. "What would need to happen in order for your confidence to increase to a '6'?" Moving the talk about readiness for change forward is an important component in motivational interviewing. Option A is a poor question to ask as one rarely uses "why" with change talk. Option B isn't specific enough with regard to the behavior. Option D is an affirmation and probably won't move the discussion forward. Option C is the best question to ask as it invites an evocative response. Q. According to the Nutrition Care Process, what does a "discontinued diagnosis" signify? a. The original diagnosis has been removed from the eNCPT b. The patient is no longer receiving care at the facility c. The diagnosis is no longer applicable based on assessment data d. A new intervention is needed because a patient's medication has been discontinued - Answer- c. The diagnosis is no longer applicable based on assessment data Use of nutrition diagnosis status labels is encouraged by the Academy of Nutrition and Dietetics. In the Nutrition Care Process, "discontinued diagnosis" is applicable when the nutrition diagnosis no longer exists because the client's condition or situation has changed and the current assessment data no longer support the nutrition diagnosis. Q. What condition must be met to begin measuring and plotting stature-for-age in children aged 24 months? a. They are at least 34" tall b. They can sit up c. They weigh at least 20 pounds d. They can stand unassisted - Answer- d. They can stand unassisted Beginning at age 24 months, children who can stand unassisted and follow directions should be measured for stature and plotted using the stature-for-age chart for children. If a child age 24 to 36 months is unable to stand unassisted and follow directions, length can be used in place of stature. Q. After defining the nutrition problem, which of the following is the correct sequence of steps a community nutritionist should follow in assessing the needs of the community? a. Set the parameters of the assessment, collect data, analyze and interpret the data, share the findings, and set priorities. b. Set priorities, collect data, set the parameters of the assessment, analyze and interpret the data, and share the findings. c. Choose a plan of action, collect data, set the parameters of the assessment, share the findings, and analyze and interpret the dat
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