Nutrition Education and Counseling Chapter Exam Questions
Course Introduction
This course explores the principles and practices of nutrition education and counseling, emphasizing the development of effective communication skills and strategies for promoting healthy dietary behaviors. Students will examine theories of behavior change, cultural and socioeconomic influences on food choices, and methods for tailoring nutrition messages to diverse populations. The course integrates practical applications, including assessment techniques, counseling approaches, and the creation of educational materials for individuals and communities, preparing students to support positive nutritional outcomes across various settings.
Recommended Textbook
Community Nutrition in Action An Entrepreneurial Approach 6th Edition by Marie A. Boyle
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20 Chapters
1448 Verified Questions
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Page 2
Chapter 1: Opportunities in Community Nutrition
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71 Verified Questions
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Sample Questions
Q1) What is the main difference between an entrepreneur and an intrapreneur?
Answer: An intrapreneur seeks to better the existing state of affairs within his or her organization through creative problem solving,whereas entrepreneurs tend to work for themselves in private practice.
Q2) A dietitian is involved in screening women to determine if they are at risk for osteoporosis.This is an example of _____ prevention.
A) primary
B) essential
C) tertiary
D) secondary
Answer: D
Q3) Which of the following could be responsibilities of a community nutritionist?
A) Develop programs to identify the nutrition problems within the community.
B) Obtain screening data on target groups.
C) Locate information on community resources.
D) Refer clients to other health professionals in the community.
E) All of these could be responsibilities of a community nutritionist.
Answer: E
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3
Chapter 2: Assessing Community Resources
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Sample Questions
Q1) What socioeconomic characteristics would be helpful to collect?
Answer: Answers will vary,but could include the following: Income level;percentage receiving public assistance;education level;literacy rate;employment status.
Q2) Which of the following would not be an appropriate purpose for a community needs assessment?
A) Determine whether existing resources and programs meet the community's nutritional needs.
B) Identify groups within the community who are at risk nutritionally.
C) Tailor a program to a specific population.
D) Evaluate the level of power held by the community government officials.
Answer: D
Q3) Define health outcome.What might be some possible health outcomes noted in a needs assessment?
Answer: A health outcome refers to the effect of an intervention on the health and well-being of an individual or population.Examples of possible health outcomes include weight loss,a drop in blood pressure,a decrease in blood cholesterol levels,an increase in physical activity,and a decrease in the number of smokers.
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4
Chapter 3: Assessing the Target Populations ?Nutritional Status
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Sample Questions
Q1) Using the social-ecological framework,illustrate the key factors that influence food intake.
Answer: See Figure 3-1 on page 74.
Q2) Differentiate between sensitivity and specificity,using an example to illustrate the differences.
Answer: Sensitivity is the proportion of subjects with the disease or condition who have a positive test result.A sensitive test rarely misses people with the disease or condition,and it is often used in screening situations to detect a disease or condition in people who appear to be asymptomatic.Specificity is the proportion of subjects without the disease or condition who have a negative test.Specific tests are used to confirm a diagnosis.The oral glucose test is a highly specific test for diagnosing diabetes mellitus,whereas a blood draw to check cholesterol is more sensitive.
Q3) What primary social group has the most influence on health and nutritional status and why?
Answer: The family exerts the most influence over an individual's health as it is the first social group to which an individual belongs.
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Page 5
Chapter 4: Program Planning for Success
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Sample Questions
Q1) A company's policy to promote heart-healthy,high-fiber foods by offering them frequently in the company's cafeteria is an example of an intervention intended to
A) build awareness
B) change lifestyles
C) create a supportive environment
D) maintain behavior change
Q2) Level III intervention strategies help to create a supportive environment.
A)True
B)False
Q3) _____ evaluation is used to determine the extent to which a program or intervention resulted in the desired immediate changes in the client.
A) Impact
B) Outcome
C) Process
D) Structure
Q4) How might a community nutritionist utilize the nutrition care process (NCP)?
Q5) Write a tag line for the program.
Q6) List the four steps of the nutrition care process.
Q7) Describe the challenges that multiculturalism presents to the evaluator.
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Chapter 5: Principles of Epidemiology
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Sample Questions
Q1) _____ bias may occur if study participants were self-selected or not randomly assigned.
A) Confounding
B) Measurement
C) Sample
D) Selection
Q2) Figures pertaining to life events,such as births,deaths,and marriages,are known as A) cohorts.
B) vital statistics.
C) risk factors.
D) statistical inferences.
Q3) The _____ method of assessing intake is time consuming,and the results may not be accurate if subjects modify their eating habits during the time of the study.
A) twenty-four hour recall
B) food record
C) food frequency
D) diet history
Q4) List the steps of the scientific method in order.
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Chapter 6: The Art and Science of Policy Making
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Sample Questions
Q1) Which of the following should be avoided when issuing a press release to the media?
A) Writing the release in first person
B) Keeping the content of the release brief
C) Making a strong opening statement
D) Sending a fact sheet to accompany the release
Q2) What is the overlying purpose of public policy?
Q3) Before money can be released to a program,an appropriation bill must be passed.
A)True
B)False
Q4) Which is not an entitlement?
A) Social Security benefits
B) Medicare benefits
C) Agricultural subsidies
D) Funding for elderly nutrition programs
Q5) The federal fiscal year runs from
A) January 1 to December 31.
B) July 1 to June 30.
C) September 1 to August 31.
D) October 1 to September 30.
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Chapter 7: A National Nutrition Agenda for the Publics
Health
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Sample Questions
Q1) Define public health surveillance and its purpose.
Q2) The NNMRRP includes more than 50 surveillance activities that monitor and evaluate the health and nutritional status of Americans.
A)True
B)False
Q3) A community nutritionist will need to break down the policy into applicable food choices for the public.
A)True
B)False
Q4) What do the nutrition survey results suggest about the nutritional status of Americans?
Q5) The NHANES series
A) uses a sample that is not representative of the civilian, noninstitutionalized population.
B) uses a sample that has not had a good response rate.
C) influenced the development of the CDC Growth Charts in 2000.
D) is poorly designed and is in need of revision.
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Q6) What are the five areas of the NNMRRP surveys? Provide an example of their interrelatedness.
Chapter 8: Addressing the Obesity Epidemic: An Issue for Public Health Policy
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Sample Questions
Q1) The built environment could be regulated to enhance physical activity and increase access to fresh,nutritious food through _____ zoning.
A) mixed-use
B) subsidized
C) residential
D) creative
Q2) Discuss public health intervention strategies for the treatment of obesity and overweight among adults.
Q3) Mexican-Americans have a higher prevalence rate for metabolic syndrome than whites.
A)True
B)False
Q4) The USDA oversees deceptive marketing of foods and food-related products.
A)True
B)False
Q5) A BMI of 30 translates into about 30 extra pounds for an adult.
A)True
B)False
Q6) Define overweight and obesity for adults.
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Chapter 9: Health Care Systems and Policy
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Sample Questions
Q1) List and describe several current health care cost containment measures.
Q2) Health disparities persist among different populations,including racial and ethnic minorities.
A)True
B)False
Q3) Community nutritionists can argue for reimbursable nutrition services by highlighting the benefits,which include all of following except that nutrition services
A) are relatively inexpensive benefits.
B) have a preventive component.
C) benefits attract subscribers with chronic diseases.
D) are easily documented.
Q4) The uninsured most often include
A) the elderly.
B) self-employed business men and women.
C) those with end-stage renal disease.
D) the disabled.
Q5) Differentiate between traditional systems of health care and managed forms of health care.
Q6) What might be some of the possible positive outcomes of this protocol?
Page 11
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Chapter 10: Food Insecurity and the Food Assistance Programs
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Sample Questions
Q1) Which of the following is the number one contributor to homelessness?
A) Addiction to alcohol or drugs
B) Unemployment
C) Mental illness
D) Physical disability
Q2) Food vouchers for supplemental foods provided as part of the WIC program are designed to provide all of the following specific nutrients except A) riboflavin.
B) vitamin C.
C) calcium.
D) iron.
Q3) The most compelling single reason for hunger is
A) mental illness.
B) health problems of old age.
C) alcoholism.
D) poverty.
Q4) How would Sally's choices at the grocery affect her children's nutritional intake over time?
Q5) What is the Thrifty Food Plan?
Q6) Discuss the background and goals of the Community Food Security Initiative. Page 12
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Chapter 11: Mothers and Infants: Nutrition
Assessment,Services,and
Programs
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Sample Questions
Q1) By _____ months of age,most infants have tripled their birthweight.
A) 6
B) 10
C) 12
D) 16
Q2) The percentage of mothers breastfeeding their infants is
A) decreasing.
B) increasing.
C) staying the same.
Q3) What additional issues need to be addressed with a pregnant teenager?
Q4) Which of the following groups of women tend to gain less than the recommended level of weight during pregnancy?
A) African-American women
B) Older moms
C) Hispanic young women
D) Moms with other children
Q5) Discuss the status of fulfillment of the Healthy People 2020 goals in regards to pregnancy and infant nutrition.
Q6) Describe current infant feeding recommendations.
Q7) What are the weight gain recommendations for pregnant women based on BMI? Page 14
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Page 15
Chapter 12: Children and Adolescents: Nutrition
Issues,Services,and Programs
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Sample Questions
Q1) Overweight in children is defined as having a BMI
A) below the 50 percentile on the CDC growth chart.
B) at or above the 85 percentile on the CDC growth chart.
C) at or above the 95 percentile on the CDC growth chart.
D) BMI is not used to define overweight in children.
Q2) As children grown into teens,their diets improve.
A)True
B)False
Q3) The Healthy Eating Index is used as an indicator of diet quality as it provides an overall picture of the variety and quantity of foods people choose to eat.
A)True
B)False
Q4) More students participate in the School Breakfast Program than the National School Lunch Program.
A)True
B)False
Q5) Describe one marketing strategy you would undertake to enhance program participation.
Q6) What role does the Food Distribution Program play in the NSLP?
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Chapter 13: Healthy Aging: Nutrition
Assessment,Services,and
Programs
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Sample Questions
Q1) Which of the following is not a nutritional risk factor(s)considered diagnostic for the need for assistance among older adults?
A) Depression or loneliness
B) Low income
C) Shopping difficulties
D) Widowhood
Q2) Nationwide about half of all seniors live in rural areas.
A)True
B)False
Q3) Reduced stomach acidity impairs the absorption of each of the following except A) iron.
B) vitamin B .
C) calcium.
D) magnesium.
Q4) In 2009,no state met the Healthy People 2010 targets for fruit or vegetable consumption.
A)True
B)False
Q6) List the national goals for health promotion for adults. Page 17
Q5) Why do Okinawans enjoy one of the longest life spans of anyone on earth?
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Page 18
Chapter 14: World Hunger and Food Insecurity: Challenges and Opportunities
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Sample Questions
Q1) More than _____ percent of chronically hungry people are women.
A) 35
B) 50
C) 60
D) 69
Q2) Individuals can help change the world through their personal choices.
A)True
B)False
Q3) Poverty is the root of overpopulation.
A)True
B)False
Q4) Nearly _____ percent of the world's population experience some form of malnutrition.
A) 15
B) 20
C) 25
D) 30
Q5) Urbanization has been a factor in the worldwide decline in breastfeeding.
A)True
B)False
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Chapter 15: Understanding and Achieving Behavior Change
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Sample Questions
Q1) Behavior change theories provide evidence-based methods that are not empirically tested.
A)True
B)False
Q2) Which of the following statements is false regarding the stages of change model?
A) It has five distinct stages of varying degrees of readiness to change.
B) People progress through the changes in a linear fashion.
C) This model can be applied at both the individual and community levels.
D) An individual's stage for a specific behavior can quickly be determined.
Q3) What is reciprocal determinism?
Q4) The health belief model
A) is of limited value for primary prevention activities.
B) is applicable only to a select, limited number of health behaviors.
C) cannot be utilized until a program is in its implementation phase.
D) is only applicable for programs designed for individuals and not communities.
Q5) The belief that one can make a behavior change is known as
A) behavioral capacity.
B) expectations.
C) self-efficacy.
D) a subjective norm.
Page 20
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Chapter 16: Gaining Cultural Competence in Community Nutrition
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Sample Questions
Q1) What is acculturation? Why is it of importance when providing nutrition education?
Q2) Fasting is required from sunup to sundown during the month of Ramadan for A) Roman Catholics. B) Hindus.
C) Mormons.
D) Muslims.
Q3) Differentiate between worldviews and values.Provide a personal example to illustrate the difference.
Q4) All of the following are interdependent constructs of the cultural competency model developed by Campinha-Bacote except A) cultural awareness. B) cultural skill.
C) cultural knowledge. D) cultural incapacity.
Q5) Making eye contact is a sign of respect for A) Hispanics.
B) European Americans.
C) Asians.
D) Native Americans.
Page 21
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Chapter 17: Principles of Nutrition Education
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Sample Questions
Q1) Conducting a focus group testing of program instructional materials is an example of
A) developing a marketing plan.
B) formative evaluation.
C) summative evaluation.
D) None of these
Q2) What are some recommendations for teaching adult learners?
Q3) For adults,learning is an intentional,purposeful activity.
A)True
B)False
Q4) List three purposes of key nutrition messages.
Q5) What is the first component of writing a nutrition lesson?
A) Identify the major concept you are communicating.
B) Determine teaching strategies that will be used.
C) Write well-stated objectives.
D) Order doesn't matter as all are important components.
Q6) List three provisions that will enhance learner-centered educational experiences for adults.
Q7) What is health literacy?
Q8) Write a nutrition message based on the objectives you wrote in #8.
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Chapter 18: Marketing Nutrition and Health Promotion
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Sample Questions
Q1) Packaging,features,and services are examples of which "P" of the marketing mix?
A) Place
B) Price
C) Product
D) Promotion
Q2) Positioning is the fifth "P" of social marketing.
A)True
B)False
Q3) Advertising and promotion refer to the same thing.
A)True
B)False
Q4) The term "product" can refer to a nutrition education program or service.
A)True
B)False
Q5) Which of the following is the second step in developing a marketing plan?
A) Determine the needs and wants of the target population
B) Conduct a situational analysis
C) Specify the benefits of the services to the target population
D) Develop a marketing strategy
Q6) Define market niche.What is the underlying philosophy of the market niche?
Page 23
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Chapter 19: Managing Community Nutrition Programs
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Sample Questions
Q1) Describe the four functions of management.
Q2) Budgeting is closely linked to
A) controlling and organizing.
B) leading and planning.
C) planning and controlling.
D) organizing and leading.
Q3) Data are unanalyzed facts and figures and are more useful than information.
A)True
B)False
Q4) Which of the components of a job description is depicted in the following statement?
"The purpose of this position is to develop,implement,and evaluate weight-loss efforts of eligible clients."
A) Job duties
B) Job specifications
C) Job title
D) Job summary
Q5) What are the three things that managers must do to ensure success in delegation?
Q6) What is the importance of Title VII of the Civil Rights Act of 1964 regarding the staffing function of management?
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Chapter 20: Building Grantsmanship Skills
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Sample Questions
Q1) Briefly explain two ideas that you might expand into a full grant proposal.
Q2) Describe the most common reasons why grant proposals are not funded.
Q3) Many grant sponsors place more emphasis on which part of the proposal than on other parts?
A) Letter of intent
B) Needs assessment
C) Project description
D) Transmittal letter
Q4) List several questions that can help grant seekers decide whether to compete for a grant from a particular grant sponsor,and explain how these questions are relevant.
Q5) What will be the unique feature of your grant?
Q6) Selecting a grant sponsor _____ writing the proposal is recommended.
A) after
B) before
C) while
Q7) Successful grant writers tend to be well read and current with the happenings in their interest areas.
A)True
B)False
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