Indicate whether the statement is true or false.
1. Taste preferences cannot be modified in reference to dietary changes.
a. True
b. False
ANSWER: False
2. One of the functions of cultural values is to guide actions and decisions.
a. True
b. False
ANSWER: True
3. Choice architecture refers to manipulation of small yet relevant behavioral stimuli that can favorably influence
food choices without taking away their ability to choose.
a. True
b. False
ANSWER: True
4. The two phases of counseling relationship are building a relationship and facilitating positive action.
a. True
b. False
ANSWER: True
5. A weight maintenance program that includes behavior therapy and physical activity is never required beyond the
initial weight loss phase.
a. True
b. False
ANSWER: False
Indicate the answer choice that best completes the statement or answers the question.
6. A city council is planning to redesign urban spaces to promote healthier lifestyles. To align with the World Health
Organization’s approach to public health, which of the following best reflects the WHO motto?
a. Make the healthy choice the affordable choice.
b. Make the healthy choice the tasty choice.
c. Make the healthy choice the easy choice.
d. Make every choice a healthy one.
ANSWER: c
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7. How can the principle of food variety be applied to encourage healthier eating habits?
a. Limiting food options at meals increases vegetable intake
b. Offering a variety of vegetables on the plate can encourage vegetable consumption
c. A buffet-style meal helps control portion sizes and prevent overeating
d. Providing only one type of vegetable ensures more consistent nutrition
ANSWER: b
8. What is a common challenge for novice nutrition counselors when choosing between the roles of expert and
empathizer?
a. The expert role always ensures long-term lifestyle changes
b. The empathizer provides sufficient direction but lacks emotional support
c. Combining the two roles can contribute to an effective intervention
d. Combining both roles leads to confusion and client dissatisfaction
ANSWER: c
9. Oliver is half Italian, and was born and raised in California. Oliver found out his blood pressure was slightly
elevated and was referred to a nutrition counselor. What assumptions can the nutrition counselor make about
Oliver?
a. Oliver likely eats pizza and pasta because he is half Italian; this type of cuisine is generally high in sodium,
which is likely raising his blood pressure.
b. Oliver likely eats burritos and tacos because he is from California; this type of cuisine is generally high in
sodium, which is likely raising his blood pressure.
c. Oliver likely has a family history of high blood pressure.
d. Oliver may totally, partially, or not at all embrace the standards of the Italian or American culture he
appears to represent.
ANSWER: d
10. Your client tells you that eating muffins for breakfast is a habit for him because his wife always buys a dozen
muffins and leaves them on the counter by the coffeepot. He typically eats what is left after his wife and kids
eat. What advice could you offer your client to help him improve his eating habits?
a. Ask wife and children not to eat muffins each morning.
b. Only buy half a dozen muffins and leave them on the counter by the coffeepot.
c. Put a large bowl of fruit on the counter by the coffeepot each morning.
d. Leave a serving of fruit by the coffeepot each morning.
ANSWER: a
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11. Based on research findings, how can the typical dietary patterns observed in individuals experiencing depression
be interpreted to understand the relationship between mood and food choices?
a. Increased intake of antioxidant-rich foods like berries and greens
b. Higher consumption of chocolate and lower intake of fruits and vegetables
c. Preference for lean proteins and complex carbohydrates
d. Strict adherence to low-fat, plant-based diets
ANSWER: b
12. In a counseling session, a client describes an unusual behavior: eating an entire cake covered in French dressing.
The counselor responds with both verbal expressions of surprise and matching nonverbal cues. What does this
scenario best illustrate?
a. Cultural bias in counselor–client interaction
b. Incongruence between verbal and nonverbal communication
c. The counselor’s lack of empathy toward the client’s experiences
d. Congruence, where verbal and nonverbal responses are aligned
ANSWER: d
13. Given that American culture highly values individualism, independence, and privacy, which of the following
societal trends is most likely influenced by these cultural values?
a. Strong reliance on extended family in decision-making
b. Emphasis on collective well-being over personal success
c. Preference for self-reliance, freedom, and biomedical medicine
d. Shared community living and open access to personal information
ANSWER: c
14. Which underlying factor best explains the cultural shift toward increased consumption of takeout and ready-made
foods, based on changes in modern lifestyle patterns?
a. Time constraints leading to preference for quick, easy-to-prepare meals
b. Greater awareness of nutritional content in home-cooked meals
c. Increased emphasis on traditional cooking methods
d. Decrease in food costs due to ready-made options
ANSWER: a
15. Why is it essential for counselors to examine their personal prejudices during the counseling process?
a. To help build tolerance and maintain professional behavior
b. To ensure their personal values influence client decisions
c. To confront the client about their physical appearance
d. To determine which clients need stricter guidance
ANSWER: a
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16. Your client, Nancy, is Hindu and does not eat beef for religious reason. You are a nutrition counselor from
Pennsylvania, and your family owns a cattle ranch. How can you work toward being culturally sensitive?
a. Ignore the fact that Nancy does not eat beef, and recommend she include small amounts in her diet
b. Ask Nancy what other protein sources she consumes
c. Discuss the health benefits of including small amounts of red meat in the diet
d. Ask Nancy specifically why she avoids beef for religious reasons
ANSWER: b
17. A community dietitian is developing a program to reduce childhood obesity. She includes interactive school
workshops designed to facilitate voluntary adoption of food choices and nutrition-related behaviors conducive to
health and well-being, and works with local vendors to provide nutritious snacks in school canteens. Which
concept is the dietitian applying in her strategy?
a. Nutrition assessment
b. Nutrition education
c. Nutrition counseling
d. Nutrition supplementation
ANSWER: b
18. A nutrition counselor is working with a client who has recently migrated and is showing changes in dietary habits
and cultural identity. Which type of change should the counselor recognize as influencing the client’s perception
of self and others?
a. Residence
b. Departure
c. Secularism
d. Vacation
ANSWER: a
19. Which statement is true regarding nutrition knowledge and food behaviors?
a. Disseminating nutrition information alone is effective at changing food behaviors among most individuals.
b. Individuals who have higher levels of knowledge lose the same amount of weight compared to individuals
with lower levels of knowledge.
c. Individuals who have higher levels of knowledge lose less weight compared to individuals with lower levels
of knowledge.
d. Individuals who have higher levels of knowledge are more likely to have better quality diets.
ANSWER: d
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