Professional Accountability and Nutrition Interventions for Childhood Obesity, Exams of Medicine

Download Professional Accountability and Nutrition Interventions for Childhood Obesity and more Exams Medicine in PDF only on Docsity! RD Exam: Topics From Domain 1 Questions And Answers. Which entity oversees the National School Lunch program? - \USDA's Food and Nutrition Services The Standards of Professional ________ for dietetics professionals describes in general terms a competent level of behavior in a professional role - \Performance The Standards of Professional Performance for dietetics practitioners includes which of the following? Professional accountability Nutritional intervention Nutrition monitoring and evaluation Nutrition diagnosis - \Professional Accountability Which set of dietary intake values is an estimate of average requirements when evidence is not available to establish an RDA? - \Adequate Intake The third step in developing one's professional portfolio to maintain status as an RDN or NDTR include ______ - \Developing a learning plan that shows how the professional will meet established goals (The steps in developing a professional development portfolio are to (1) reflect on professional practice to establish professional goals, (2) conduct a learning needs assessment to identify what you know now and what you need to learn to reach goals, (3) develop a learning plan that shows how goals will be met, (4) implement learning plan, and (5) evaluate learning plan outcomes.) According to CDR's Essential Practice Competencies, graduates of accredited dietetics programs are required to have knowledge in eight content areas, including physical and biological sciences, social sciences, research, and: - \Communications Which federal agency is charged with tracking outbreaks of foodborne illness? - \CDC Which bacteria is anaerobic and poses a threat to the safety of home-canned foods? - \Clostridium botulinum 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? -Set the parameters of the assessment, collect data, analyze and interpret the data, share the findings, and set priorities. -Set priorities, collect data, set the parameters of the assessment, analyze and interpret the data, and share the findings. -Choose a plan of action, collect data, set the parameters of the assessment, share the findings, and analyze and interpret the data. -Collect data, analyze and interpret the data, set the parameters, share the findings, and set the priorities. - \Set the parameters of the assessment, collect data, analyze and interpret the data, share the findings, and set priorities All of the following statements about patient-centered medical homes are true, EXCEPT: -the cost for chronic care is reduced. -electronic medical records are essential. -patients are responsible for access to care. -the team of providers changes as the health care needs differ. - \Patients are responsible for access to care All of the following statements about the intensive behavioral therapy benefit for obese Medicare Part B beneficiaries are true, EXCEPT: -coverage for the benefit is granted only in the primary care setting. -in order to qualify, the beneficiary's BMI must be >30. -Continued treatment for obesity is contingent on weight loss assessed at the seventh month of treatment. -RDNs may provide the service and bill Medicare using a unique physician identification number. - \RDNs may provide the service and bill Medicare using a unique physician identification number Stacey has been asked to complete a formative evaluation of her community nutrition program designed to encourage more first-time mothers to breastfeed. To do this she should: -determine the percentage of first-time mothers who breastfeed as a result of seeing a motivational DVD during prenatal checkups. -calculate the increase in the number of first-time mothers who breastfeed after viewing a motivational DVD during prenatal checkups. -choose a DVD that includes young mothers from varied ethnic backgrounds. -pilot-test the motivational DVD she plans to use. - \Norovirus What federal agency has food safety responsibilities? - \Environmental Protection Agency Which of the following is NOT an element of the chronic care model (CCM)? -Self-management support -The community -Clinical information systems -Motivation - \Motivation Chin has written the following objective for her community nutrition program: "Women who are at least 60 years of age will perform at least 30 minutes of weight-bearing exercise three or more times per week." Which of the required components is missing from Chin's objective? - \Measure of success Evidence-based medicine (EBM) involves grading evidence to support clinical guidelines and guide practice recommendations. Which of the following statements is valid regarding the Academy of Nutrition and Dietetics' system? -Grade I indicates strong evidence to support a recommendation. -Grade I indicates minimal evidence to support a recommendation. -Grade I indicates expert opinion to support a recommendation. -Grade I indicates fair evidence to support a recommendation. - \Grade I indicates strong evidence to support a recommendation Dietetics professionals may apply basic educational principles to program design. Which of the following is the best example of the application of consonance? -Even though the basics of a heart-healthy meal plan are being explained in a group setting, each participant is given the opportunity to have personal questions answered. -The successes that clients have had when following a reduced-sodium meal pattern are rewarded by the dietetics professional who gives away samples of salt-free seasoning packets. -The dietetics professional explains and demonstrates proper procedures for portioning hot entrees for the tray line. -The professional provides clients newly diagnosed with type 2 diabetes mellitus a way of monitoring the progress they are making with regard to controlling blood sugar levels. - \The dietetics professional explains and demonstrates proper procedures for portioning hot entrees for the tray line. (Consonance is the fit between the program and the expected outcomes based on the objectives.) The objectives of a patient-centered counseling for dietary change are to increase awareness of diet-related risks, provide nutrition knowledge, enhance skills to promote long-term changes in intake, and _____. - \Increase confidence for making dietary changes To include formative evaluation in an instruction of breastfeeding techniques, the dietetics professional should _____. -ask participants several times during the class to share something that they have learned -determine the number of participants who breastfeed after attending the class -ask participants what else should have been included at the conclusion of class -determine what the participants remember from the class 3 to 6 months after attending - \Ask participants several times during the class to share something that they have learned If the tool that the dietitian is using to measure food intake is reliable, it means that the tool ______. - \Provides consistent and accurate results each time it is used Which of the following is the best example of an objective? -Upon completing the class, students will understand how to count the grams of carbohydrate contained in at least five foods. -After participating in the online discussion, the students will list three of the benefits experienced by mothers who breastfeed. -At the end of the demonstration, students will know how to identify the grams of trans fat contained in prepared foods. -After touring the supermarket, students will gain knowledge of how the placement of products on shelves encourages impulse buying. - \After participating in the online discussion, the students will list three of the benefits experienced by mothers who breastfeed The usual purpose of summative evaluation is to _____. - \Improve the program's delivery and effectiveness The purpose of registration for dietitians and dietetic technicians is to _____. - \Protect the nutritional health, safety, and welfare of the public Many professions have a scope of practice. What is the definition of a "scope of practice"? - \the practitioner's range of roles, activities, and regulations within which nutrition and dietetics practitioners perform The Academy has published Standards of Practice (SOP) in Nutrition Care and Standards of Professional Performance (SOPP) for registered dietitian nutritionists and nutrition and dietetic technicians, registered. What is the difference between these two sets of standards? - \The SOP in Nutrition Care are based on the four steps of the Nutrition Care Process and the SOPP are based on the six domains of professionalism For credentialed RDNs and NDTRs, what is the basic difference between a statutory scope of practice and an individual scope of practice? - \A statutory scope of practice is defined at the state level and an individual scope of practice is flexible and defined by the individual's professional practice The best way to address the mortality rate associated with low-birthweight and preterm infants is by: - \Improving the birthweight of newborn infants If the community nutritionist is concerned that the new educational activities provided for SNAP recipients have been ineffective in increasing the amount of fresh vegetables consumed, the best approach would be to conduct which type of evaluation? - \Impact The Academy of Nutrition and Dietetics defines tertiary prevention related to pediatric overweight interventions as: -overweight prevention efforts that include identifying and intervention efforts targeting children who are at risk for overweight. -education and prevention programs targeting children and adolescents before they are -overweight. -interventions targeting overweight children designed to slow down or reverse the increase in BMI. -None of the above. - \interventions targeting overweight children designed to slow down or reverse the increase in BMI What is the condition in which individuals lack adequate physical, social, or economic access to food? - \Food insecurity What federal agency has established and used the Foodborne Diseases Active Surveillance Network, or FoodNet, to estimate the number of foodborne illnesses, to monitor trends in incidence of specific foodborne illnesses over time, to attribute illnesses to specific foods and settings, and disseminates this information? - \Centers for Disease Control and Prevention \Primary prevention Which agency sets the mandated guidelines for meals in long-term-care facilities that receive Medicare and Medicaid funding? - \Centers for Medicaid and Medicare Services Which of the following statements about patient-centered medical homes (PCMH) is true? -The cost for chronic care remains constant -Traditional medical records are essential. -Patients are responsible for access to care. -The team of providers changes as the health care needs differ. - \The team of providers changes as the health care needs differ Encouraging pregnant mothers to attend a seminar on the benefits of breastfeeding and offering supportive counseling post-partum to continue breastfeeding are examples of - \health promotion The 2007 Expert Committee Recommendations for the Prevention, Assessment, Treatment, and Recommendations for Pediatric Childhood and Adolescent Obesity defines BMI greater than the 95th percentile as: - \Obese The Emergency Food Assistance Program and the Disaster Feeding Program are examples of food distribution programs. Which of the following statements best describes the similarities of the two programs? -Both programs may serve children, adolescent, and other age groups and provide commodity foods to local food distribution and service agencies. -Both programs serve children and adolescents and provide commodity foods to local food distribution and service agencies -Both programs serve low-income populations and supplemental food supplies are either distributed to individual households or as meals served in congregate dining centers. -Both programs may serve children, adolescent, and other age groups and food supplies are either distributed to individual households or as meals served in congregate dining centers. - \Both programs may serve children, adolescent, and other age groups and provide commodity foods to local food distribution and service agencies What organization created standards for cultural competence that resulted in the 2014 publication of a monograph to inspire hospitals to integrate cultural competence as well as other patient- and family-centered care concepts? - \Joint Commission on Accreditation of Healthcare Organizations A worksite weight management program is being planned for use with small groups of employees. A long-term goal is to reduce health care claims. During a pilot series, participants are asked to rate and comment on the relevance of the visuals, handouts, and activities. Results will be used in revising the program before widespread implementation. This is an example of - \formative evaluation Which of the following is a secondary characteristic of culture? -occupation -age -gender -socioeconomic status - \Socioeconomic status According to the Joint Commission, which of the following is fundamental to cost- effective performance improvement? -Safety -Professional expertise -Technology -Employee motivation - \Safety The Standards of Practice are structured to include the Standards, Rationales, Examples of Outcomes, and _____. - \Indicators Studies suggest that the most serious and prevalent long-term consequences of childhood overweight is: -dyslipidemia and glucose intolerance. -obesity and morbidity in adulthood. -lowered self-esteem and increased depression as an adolescent. -excessive body weight and hormonal imbalance before puberty leading to growth plate injuries. - \obesity and morbidity in adulthood The term for the study of the distribution and determinants of disease frequency is: - \Epidemiology According to the Academy of Nutrition and Dietetics, each registered dietitian nutritionist is expected to promote public access and referral to credentialed dietetics practitioners for quality food and nutrition programs and services by -participating in public service or other mass media efforts to educate the citizenry. -monitoring support of food and nutrition programs and services for populations with special needs. -participating in interdisciplinary teams efforts and referring patients in a manner consistent with HIPAA rules for use and disclosure. -monitoring the effectiveness of referral systems and modifying them as needed to achieve desirable outcomes. - \monitoring the effectiveness of referral systems and modifying them as needed to achieve desirable outcomes Which of the following verbs if the best choice when writing a performance objective? Know Appreciate Recommend Understand - \Recommend Which of the following has been listed as an essential element in the provision of culturally competent community nutrition programming? -Standardizing service delivery on the basis of an understanding of cultural diversity -Having institutionalized cultural knowledge -Minimizing the unplanned interactions of people from different cultures -Having the capacity to avoid self-assessing the cultural diversity of others - \Having institutionalized cultural knowledge (Infusing cultural competence at every level includes providing competent community nutrition programs and involves having institutionalized cultural knowledge. Standardizing delivery of service, avoiding self-assessment, and minimizing interactions may be exclusive to some groups and do not contribute to being culturally competent. These are more likely to overlook some cultural differences that may exist in a diverse community population.) All of the following statements about patient-centered medical homes are true, EXCEPT: -the cost for chronic care is reduced. -electronic medical records are essential. -patients are responsible for access to care. -the team of providers changes as the health care needs differ. - \Patients are responsible for access to care Rosa wants to plan a community nutrition program to encourage children ages 11-15 to consume healthier afterschool snacks. She has reviewed the results of the community needs assessment, defined program goals and objectives, and developed a program plan. Next, she would: - Clinical setting services for primary prevention? - \Prevent onset of condition Clinical setting services for tertiary prevention? - \Stabilization of disease Prevent long term consequences What type of prevention and intervention level? Stool testing to detect colorectal cancer early - \Secondary Individual What type of prevention and intervention level? Implementation of health services organizational models that improve access to high quality care - \Tertiary Population What type of prevention and intervention level? Nutrition and exercise counseling for metabolic syndrome - \Primary Individual A broad statement based on an identified need that states the subject of the plan, addresses the problem - \Program goal Basic format of the program goal - \To/ action verb/ condition, attitude or behavior to be changed/ for which group and where Describes the intermediate steps that must be reached to accomplish the broad goals of the desired outcome. - \Objectives Has to do with the impact of a planned program - \Outcomes What is the format for a behavioral objective? - \Person to be instructed/ action verb that describe behavior/ direct object of the verb in quantity/ time frame What are the types of design evaluation? - \What are the types of design evaluation? Formative Process Outcome (Short-Term/Long-Term) Impact The FDA, Food Safety and Inspection Service, and CDC jointly publish this reference document for regulatory agencies responsible for overseeing food safety in retail outlets: -Food Code -Food Law -FoodNet -Food Regulations - \Food Code Public health policy is generally created by - \Legislators Which federal department is responsible for administering and regulating the National Organic Program (NOP)? - \USDA A group that is organized for the purpose of raising and spending money to elect or defeat political candidates is called a(n) political action committee. health advocacy organization. alliance. lobbying group. - \Political action committee Information regarding the prevalence of nutrition-related health problems can be found in: Healthy People 2011 NHANES III Nationwide Food Consumption Survey Nutrition Screening Initiative - \NHANES III Lack of proper handwashing is commonly associated with: botulism campylobacter E. coli shigella - \Shigella (the major cause of shigellosis is infected food handlers who practice poor personal hygiene) The official health department of each state examines health related behaviors linked with the leading causes of death by conducting telephone interviews. The results are compiled as: - \BRFSS (Behavioral Risk Factor Surveillance System is a population-based survey conducted by the official health department of each state linked with the leading causes of death) The computerized interactive method for collecting 24 hour recalls used in gov't sponsored nutritional studies is: - \USDA automated Multiple-Pass Method Which of the following is a cost-benefit analysis? -For every $200 spent on nutrition counseling of prenatal participants, an average of 1.2 fewer days hospitalization is required. -A prenatal program spends $200 per participant on nutrition counseling, which results in reduced medical costs of $800. -For every $200 spent on nutrition counseling of prenatal participants, the average weight of babies increases by 18%. -A prenatal program spends $200 per participant on nutrition counseling, another spends $75 dollars per participant on group counseling. - \A prenatal program spends $200 per participant on nutrition counseling, which results in reduced medical costs of $800. (cost-benefit analysis examines program outcomes in terms of money saved for reduced cost) A survey that helps us determine the amount of beef eaten in a given period is: HANES I Ten-State Nutrition Survey HANES II Nationwide Food Consumption Survey - \Nationwide Food Consumption Survey Programs and services that are provided to anyone who qualifies is termed: