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, TESTBANK FOR Nutrition Assessment First Edition Munoz

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,Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 99781284127706, add to Ahead, Title tags



Chapter: Chapter 01 - Quiz



Multiple Choice



1. Child obesity is linked with a high chance of which of the following?
A) Adult obesity, premature death, and adult disability
B) Adult obesity, premature death, and smoking
C) Adult obesity, smoking, and adult disability
D) Adult obesity and adult disability
Ans: A
Complexity: Easy
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



2. The category of heart disease includes:
A) coronary artery disease, heart attack, and angina.
B) heart attack, angina, and coronary venous disease.
C) coronary artery disease and heart attack.
D) angina and coronary venous disease.
Ans: A
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



3. Coronary artery disease (CAD) affects blood flow to the:
A) brain.
B) heart.
C) extremities.
D) abdomen.
Ans: B
Complexity: Moderate

,Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



4. Coronary artery disease (CAD) can cause which of the following?
A) A stroke
B) A seizure
C) A heart attack
D) Gastroparesis
Ans: C
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Complexity: Moderate
Subject: Chapter 1
Title: Nutritional Assessment



5. When smoking cessation is added to actions taken to prevent cardiovascular disease, what percentage
of vascular events is prevented as a result?
A) 25%
B) 50%
C) 75%
D) 85%
Ans: C
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



6. Smoking increases the risk of cancer in which of the following body organs and/or regions?
A) Bladder, kidney, pancreas, cervix, blood, and nasal cavity
B) Gastrointestinal tract, bladder, kidney, pancreas, cervix, and nasal cavity
C) Gastrointestinal tract, bladder, pancreas, cervix, blood, and nasal cavity
D) Gastrointestinal tract, bladder, kidney, pancreas, cervix, and blood
Ans: D
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



7. Epidemiology depends heavily on which of the following sources?
A) Medical records
B) Surveys
C) Observational data
D) Observational data and medical records
Ans: C
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment

,True/False



1. True or False? A diet history is used to determine the usual intake of a specific individual.
Ans: True
Complexity: Easy
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



2. True or False? The Nutrition Care Process (NCP) is a screening tool that multiple team members can
use for patient screening.
Ans: False
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



3. True or False? The data collected and analyzed during the nutrition assessment are used to generate
the Problem, Etiology, Signs/Symptoms (PES) statement.
Ans: True
Complexity: Easy
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



4. True or False? The monitoring/evaluation step of the Nutrition Care Process (NCP) ensures that the
individual understands and complies with the plan.
Ans: True
Complexity: Easy
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



5. True or False? When performing a food diary or 24-hour recall, foods eaten anywhere (home,
worksites, schools, or restaurants) are included.
Ans: True
Complexity: Easy
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment

,6. True or False? Heart disease is the leading cause of death worldwide.
Ans: True
Complexity: Easy
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



7. True or False? A study states that the National Health and Nutrition Examination Survey (NHANES)
data reported by the majority of NHANES participants are not physiologically reasonable.
Ans: True
Complexity: Moderate
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



Short Answer



1. A Problem, Etiology, Signs/Symptoms (PES) statement is also known as a ___ statement.
Ans: diagnosis
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



2. The fourth step of the Nutrition Care Process (NCP) is nutrition monitoring and ___.
Ans: evaluation
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



3. ___ concerns itself with the causes of diseases in populations and how they develop and spread.
Ans: Epidemiology
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



Essay



1. A number of healthcare organizations use their own proprietary malnutrition guidelines instead of using
standardized malnutrition guidelines. Discuss the potential consequences from a facility’s standpoint.

,Ans: Although requiring institutions to perform nutrition screening offered a framework for early
identification of malnutrition, there has been considerable variance in the nutrition screening tools used
and the procedures required to follow and implement the rest of the nutrition care plan. For example,
some institutions continue to use albumin, which has been documented to be a poor diagnostic indicator
for malnutrition.
Complexity: Difficult
Ahead: Nutrition and Health
Subject: Chapter 1
Title: Nutritional Assessment



2. Why is albumin a poor diagnostic indicator for malnutrition?
Ans: It fluctuates in the presence of inflammation that could be induced by external factors such as
trauma, surgery, or inflammatory diseases.
Complexity: Difficult
Ahead: Nutrition and Health
Subject: Chapter 1
Title: Nutritional Assessment



3. A healthcare worker gives a nutrition-screening tool to an attendee of a corporate wellness fair. The
tool indicates that this attendee is at risk for a chronic disease. What potential next steps should the
healthcare worker enact?
Ans: Refer the attendee to their primary care physician for extensive evaluation to determine whether a
chronic disease is present. Refer to a RDN who will offer recommendations for making dietary and
lifestyle changes to the individual that may help to ward off the onset of the disease or will help the
individual manage the newly diagnosed disease.
Complexity: Moderate
Ahead: Nutritional-Screening and Nutritional-Assessment Tools
Subject: Chapter 1
Title: Nutritional Assessment



4. What is the primary goal of nutrition-screening tools used in the clinical or long-term care setting?
Ans: To identify malnutrition risk so that a full nutritional assessment can be performed and appropriate
interventions put in place if needed.
Complexity: Moderate
Ahead: Nutritional-Screening and Nutritional-Assessment Tools
Subject: Chapter 1
Title: Nutritional Assessment



5. What type of data can researchers from a wide range of health disciplines utilize for their specific
health-related disciplines?
Ans: They all use anthropometric data to examine health status and healthcare utilization trends in
American adults.
Complexity: Moderate
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment

,6. Discuss why biochemical markers are not reliable as a standalone assessment for identifying
malnutrition.
Ans: They can be influenced by non-nutritional factors such as medications, hydration status, disease
state, and processes such as stress.
Complexity: Difficult
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



7. Discuss the difference between the statistical databases containing food-supply information and the
information gathered by such tools as food diaries and 24-hour recalls.
Ans: The databases show what is purchased but not necessarily eaten, while the others show exactly
what was eaten.
Complexity: Difficult
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



8. What did the National Health and Nutrition Examination Survey (NHANES) validation study infer?
Ans: It suggests that data reported by the majority of participants were not physiologically reasonable. So,
the ability to estimate population trends in caloric intake to support the development of public policy
relevant to diet and health relationships from the US nutrition surveillance system can be limited.
Complexity: Difficult
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



9. Explain which common deficiencies can be identified via biochemical or laboratory methods.
Ans: Blood-forming nutrients such as iron, folacin, and vitamins B6 and B12; water soluble vitamins such
as thiamine, riboflavin, niacin, and vitamin C; all of the fat-soluble vitamins (A, D, E, and K); minerals such
as iron, iodine, and trace elements; levels of blood lipids, including cholesterol and triglycerides; glucose;
and enzymes linked to heart disease
Complexity: Difficult
Ahead: Standard Methods of Evaluation of Nutritional Status
Subject: Chapter 1
Title: Nutritional Assessment



10. Name the four steps in the Nutrition Care Process (NCP), in order.
Ans: Nutrition assessment, diagnosis, intervention, monitoring, and evaluation
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



11. Describe the external factors that influence the Nutrition Care Process (NCP).

,Ans: The RDN’s skill, ability, and knowledge; application of evidence-based practice; application of the
code of ethics
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



12. Describe the benefit of having the Nutrition Care Process Terminology (NCPT).
Ans: The unique language developed to identify nutrition interventions helps outline specific planned
actions intended to change a nutrition-related behavior, environmental condition, or aspect of health
status for an individual or a group.
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



13. Describe the planning step of the Nutrition Care Process (NCP) intervention phase.
Ans: Selecting and prioritizing the nutrition diagnosis, collaborating with other caregivers, involving the
patient and his or her representative, and reviewing evidence-based practice guidelines. With the patient
at the center of the care, the nutrition and dietetics professional should work toward the expected
outcome for the nutrition diagnosis, outline nutrition interventions, identify the frequency of the treatment,
and identify the resources needed.
Complexity: Difficult
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



14, Describe the implementation step of the Nutrition Care Process (NCP) intervention stage.
Ans: Communicating and carrying out the care plan developed for the individual. Plan implementation
involves monitoring the plan for acceptance (by the individual) and effectiveness. If the expected outcome
for the individual is not being obtained, the interventions must be changed.
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



15. Describe the monitoring and evaluation step of the Nutrition Care Process (NCP).
Ans: The individual’s outcomes that are relevant to the nutrition diagnosis and interventions are monitored
and measured. Evaluating outcomes requires that the nutrition care provider evaluate the change
between the outcomes obtained to the individual’s status at the beginning of the care process.
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



16. What is the purpose of the fourth step of the Nutrition Care Process (NCP)?

, Ans: To measure the progress made by the individual to obtain the predetermined outcome
Complexity: Moderate
Ahead: The Nutrition Care Process
Subject: Chapter 1
Title: Nutritional Assessment



17. When evaluating a person’s clinical food intake, when is it important to discuss foods eaten outside
the home, in addition to those eaten inside the home?
Ans: Diet reflects the variety of foods and beverages eaten over time in the home and in settings such as
work sites, schools, and restaurants; therefore, it is important to gather all diet information when gathering
food diaries
Complexity: Moderate
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



18. What is the relationship between impaired glucose tolerance (IGT) and diabetes?
Ans: Impaired glucose tolerance increases the risk for developing DM.
Complexity: Difficult
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



19. Discuss how lifestyle factors affect the onset and management of diabetes.
Ans: Healthy eating patterns, engaging in regular physical activity, and taking prescribed medications to
lower blood glucose levels all affect the onset and management of diabetes. Another critical part of
diabetes management is reducing cardiovascular disease risk factors such as high blood pressure, high
lipid levels, and the use of tobacco.
Complexity: Difficult
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



20. Discuss how childhood obesity has far-reaching impacts into adulthood.
Ans: Childhood obesity is linked to a higher chance of adult obesity, premature death, and adult disability.
Aside from health risks in their future, obese children suffer from breathing problems and have higher
risks for fractures, hypertension, cardiovascular disease, insulin resistance, and attendant psychological
consequences.
Complexity: Difficult
Ahead: Emerging Opportunities for Nutritional Assessment and Evaluation
Subject: Chapter 1
Title: Nutritional Assessment



21. Discuss the behavioral factors that can influence cardiovascular disease.
Ans: Use of tobacco, being obese and overweight, engaging in unhealthy eating patterns, having a
physically inactive lifestyle, and consuming alcohol in more than recommended amounts

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