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A client says to a dietitian, "I realize I am overweight, but this is not
the time for me to change my diet." The RD should respond by asking:
A. "How will your life improve as you make these changes?"
B. "What do you know about the relationship between weight and
stress?"
C. "What are the advantages and disadvantages of focusing on change
now?"
D. "What obstacles are you facing that are keeping you from reaching
your goals?" --- correct precise answers ---C. "What are the
advantages and disadvantages of focusing on change now?"
Why this is the only answer that addresses her statement the next
closest one is D but this client isn't talking about the obstacles or
difficulty with changing she is talking about right now and that it is
not the time to change.
,A 75 year old man is to undergo a partial colectomy for treatment of
adenocarcinoma of the colon. He is 167.6 cm tall, and he has weighed
65 kg for several years. His diet consists primarily of convenience
foods. Nutritional assessment reveals a serum albumin level of 3.5
mg/dl and a total lymphocyte count of 2,000/mm3. The most likely
assessment of the nutritional status of this patient is:
A. Kwashiorkor, mild risk
B. Marasmus, moderate risk
C. Marasmus-Kwashiorkor mix, mild risk
D. Adequate nutritional status, increased risk --- correct precise
answers ---D. Adequate nutritional status, increased risk
A nutritional assessment of a man with HIV reveals the lab results
shown below:
Height: 5'10"
Weight: 115#
Hematocrit: 35%
MCV: 102
BUN: 11 mg/dl
Serum albumin: 2.8 g/dl
,CD4: 280
Total lymphocytes: 1200/mm3
The primary concern of the dietitian should be:
A. weight
B. anemia
C. renal failure
D. protein deficiency --- correct precise answers ---A. weight
What is the correct diagnosis for a client who frequently eats in
restaurants and has the following laboratory finding: blood pressure:
135/86 mmHG, fasting BG: 130 mg/dl, total cholesterol: 256 mg/dl,
LDL: 192 mg/dl, and HDL: 34 mg/dl?
A. Limited access to food
B. Excessive oral food/beverage intake
C. Impaired ability to prepare food/meals
D. Altered nutrition-related laboratory values --- correct precise
answers ---D. Altered nutrition-related laboratory values
, only one you could used based on the info provided. There is no
information about how the patient eats or his access to food.
A female client with newly diagnosed diabetes is 5'5" and weighs
212#. Exam and lab values reveal the following:
BP of 145/95 mmHg
Fasting BG: 150 mg/dl
Avg 2-hour postprandial glucose: <200 mg/dL
Cholesterol: 250 mg/dL
What is the RDs most appropriate first intervention?
A. Counsel the client on the DASH diet
B. Advise the client to reduce kcal intake
C. Educate the client on carbohydrate counting
D. Calculate a meal plan with very low CHO --- correct precise
answers ---C. Educate the client on carbohydrate counting
With diabetes the first thing is to control CHO. Even if she reduced her
kilocalories her BG could still be out of control due to high CHO