When working with a client who has been complaining of low back pain that has been getting worse, what is the most appropriate recommendation?
A. Refer
... [Show More] her to a certified personal trainer.
B. Tell her to use a heating pad when the pain gets bad.
C. Refer her to a chiropractor.
D. Recommend use of over-the-counter anti-inflammatory medications. - ANSWER-C. Refer her to a chiropractor.
With which client would it be most appropriate for the Nutrition Coach to work?
A. Elite clients competing in a national Ironman
B. Clients who want testing for vitamin deficiency
C. Clients with inconsistent weight loss and gain
D. Clients trying an elimination diet to identify food sensitivities - ANSWER-C. Clients with inconsistent weight loss and gain
According to the scope of practice for a Nutrition Coach, which is an example of an appropriate resource for determining daily caloric intake?
A. ADA calculations based on age, gender, and activity level
B. Body type and cultural preferences
C. Dietary Guidelines for Americans
D. The Nutrition Coach cannot assist with daily caloric intake. - ANSWER-C. Dietary Guidelines for Americans
During a regular meeting, a client is complaining of irregular gastrointestinal issues, ranging from diarrhea to constipation. What is the best course of action?
A. Closely monitor his situation and re-evaluate during the next meeting.
B. Evaluate his prescription medications to look for similar side effects.
C. Advise him to eat more vegetables and drink more water.
D. Advise him to make an appointment with his personal physician. - ANSWER-D. Advise him to make an appointment with his personal physician.
A new client has just moved into the area. She states that she occasionally suffers from anxiety and panic attacks and needs to renew her prescription medications. To which healthcare professional should she be referred?
A. Podiatrist
B. Physiologist
C. Physiotherapist
D. Psychiatrist - ANSWER-D. Psychiatrist
One of the roles of a Nutrition Coach is to help facilitate weight loss. Which of the following would be most appropriate to recommend for the overweight client?
A. Limit carbohydrates to 35% of the diet.
B. Give up bread and avoid gluten.
C. Refer to a certified personal trainer for a resistance training program.
D. Drink a protein shake instead of eating lunch. - ANSWER-C. Refer to a certified personal trainer for a resistance training program.
Where should client files be kept to ensure client confidentiality?
A. In an electronic version only
B. With the client
C. In the manager's office
D. In a locked and secure location - ANSWER-D. In a locked and secure location
A Nutrition Coach has been working with an overweight client for 6 weeks. During the most recent weight-in, they discover that she has lost 27 pounds. What is the best course of action for the Nutrition Coach?
A. Congratulate her for a job well done.
B. Informally question her about common eating disorder traits/habits.
C. Add an additional 300-500 calories to her daily intake.
D. Suggest she limit her exercise to twice per week. - ANSWER-B. Informally question her about common eating disorder traits/habits.
According to the SCOFF eating disorder assessment, what is the minimum number of positive answers which might indicate an eating disorder?
A. 1
B. 2
C. 3
D. 5 - ANSWER-B. 2
A Nutrition Coach is sitting down with a new client for her initial evaluation. She noted on her Health History Questionnaire that she has never been able to maintain permanent weight loss and confides that she has made herself throw up after eating large meals. What is the best course of action?
A. Refer her to a clinical psychologist.
B. Tell her she has bulimia and refer her to a Certified Eating Disorder Specialist.
C. Tell her she may have anorexia and refer her to a Certified Eating Disorder Specialist.
D. Move forward with the client sessions but monitor her closely for any more self-induced vomiting. - ANSWER-A. Refer her to a clinical psychologist
With which client would it be most appropriate for the Nutrition Coach to work?
A. Overweight client who wants to train for a 10K
B. Client who wants nutrition therapy for cancer prevention
C. Pre-pubescent teenager who is overweight
D. Client who wants accountability during a 9-week extreme calorie-restricted diet - ANSWER-A. Overweight client who wants to train for a 10K
Which of the following can a Nutrition Coach provide?
A. Nutritional advice and behavioral modification
B. Nutritional advice and behavioral counseling
C. Nutritional advice and behavioral prognosis
D. Nutritional advice and behavioral prescriptions - ANSWER-A. Nutritional advice and behavioral modification
To ensure the client is retaining any shared information, it is important that the content presented is perceived to be important and what other quality?
A. Easy to understand
B. Based on prior experience
C. Delivered slowly
D. Reviewed several times - ANSWER-B. Based on prior experience
Any research article on diet and nutrition should be scrutinized for which of the following?
A. Reliability and validity
B. References and values
C. Resources and volume
D. Recall and verbiage - ANSWER-A. Reliability and validity
To ensure the client is retaining any shared information, it is important that the content presented is highly relevant and what other quality?
A. Pertinent
B. Practical
C. Brief
D. Visual - ANSWER-B. Practical
Which statement best describes the healthcare continuum?
A. The health status of a client from sickness to wellness
B. The many disciplines that make up the healthcare system
C. The number of physician specialists that are in the healthcare system
D. The type of alternative health practices that are legitimately recognized - ANSWER-B. The many disciplines that make up the healthcare system
A new client is 6-weeks post-partum. She states that she has very little energy and feels sadness most of the time. What is the most appropriate course of action?
A. Call 911.
B. Contact her spouse to discuss options.
C. Refer her to a clinical psychiatrist.
D. Closely monitor her situation. - ANSWER-C. Refer her to a clinical psychiatrist.
Which statement is within the scope of practice for a Nutrition Coach?
A. Design a 5-day meal plan for a healthy client.
B. Recommend the client discuss supplement usage and dosing with their pharmacist or physician.
C. Recommend a diet that contains up to 50% protein.
D. Provide general advice on a 3-day detox plan. - ANSWER-B. Recommend the client discuss supplement usage and dosing with their pharmacist or physician.
Common assessments performed by a Nutrition Coach include height, weight, body composition, and what other test?
A. Blood pressure
B. Anthropometric measurements
C. Hydrostatic weighing
D. SCOFF test - ANSWER-B. Anthropometric measurements
Where might a Nutrition Coach find reputable information on recent dietary guidelines?
A. Popular magazines
B. Government-funded agencies
C. Private, for-profit supplement companies
D. Celebrity blogs - ANSWER-B. Government-funded agencies
Clients often confide in the Nutrition Coach. Which client conversation would be grounds for a referral to a licensed healthcare professional?
A. Slow weight loss of 1/2 pound per week (0.22 kg)
B. Late-night ice cream binging
C. Chronic fatigue
D. Occasional sleeplessness - ANSWER-C. Chronic fatigue
A client confides that she is taking laxatives to help her lose weight. What is the best course of action?
A. Refer her to a Registered Dietitian.
B. Tell her to eat more fiber as that will help.
C. Refer her to a Certified Eating Disorder Specialist.
D. Tell her that regular use of laxatives are bad for her digestive tract. - ANSWER-C. Refer her to a Certified Eating Disorder Specialist.
It is not uncommon for clients to confide in the Nutrition Coach. Which client conversation would be grounds for a referral to a licensed healthcare professional?
A. Daily panic attacks
B. Stress-eating from recent divorce
C. Occasional constipation
D. Self-proclaimed "sugar addict" - ANSWER-A. Daily panic attacks
A client has several relatives who have recently been diagnosed with cancer. She has been reading many books about natural health and is interested in taking herbal supplements that will help prevent cancer. What is the best course of action?
A. Visit a health food store together.
B. Refer her to a pharmacist or her physician.
C. Tell her to save her money and stay away from herbal remedies.
D. Tell her to follow the guidelines of the books she read. - ANSWER-B. Refer her to a pharmacist or her physician.
A Nutrition Coach is sitting down with a new client for her initial evaluation. She noted on her Health History Questionnaire that she has diabetes and she has trouble keeping her blood glucose controlled. What is the best course of action?
A. Advise her to cut back on her simple carbohydrates at each meal.
B. Inform her that when she loses 10% of her body weight, her blood glucose will be easier to manage.
C. Refer her to a Registered Dietitian.
D. Refer her to a Certified Diabetes Educator. - ANSWER-D. Refer her to a Certified Diabetes Educator.
Scientists perform a diet study in which they assign half the people to a continuous dieting group and the other half to an intermittent fasting group. Which term best describes this study design?
A. Observational
B. Crossover
C. Parallel
D. Factorial - ANSWER-C. Parallel
Which of the following is an example of descriptive research?
A. Cohort study
B. Survey
C. Randomized controlled trial
D. Meta-analysis - ANSWER-B. Survey
Scientists perform a study comparing 1000 women with breast cancer to 1000 women without breast cancer. They gather information on the women's diets and look to see if the women diagnosed with breast cancer had more fat in their diet compared to the women who did not get cancer. Which term best describes this study?
A. Cross-sectional study
B. Case-control study
C. Cohort study
D. Survey - ANSWER-B. Case-control study
Which term best describes formulation of a hypothesis, collecting data to test the hypothesis, and changing or discarding the hypothesis when the data does not support it?
A. Evidence-based practice
B. Primary research
C. Science
D. Scientific method - ANSWER-D. Scientific method
Fructose has been shown in studies to have adverse effects on blood triglycerides when consumed in excess of calorie needs. However, moderate doses of fructose have been shown to have no effect. Which of the following items best describes the conclusion that should be drawn from this data?
A. There is no reason to ever restrict fructose intake.
B. Fructose should be limited in the diet as much as possible.
C. Fructose intake poses no risk to triglycerides when consumed within energy needs, but caution is warranted if calorie intake is high.
D. There is insufficient evidence to draw conclusions as to the impact of fructose intake on triglycerides. - ANSWER-C. Fructose intake poses no risk to triglycerides when consumed within energy needs, but caution is warranted if calorie intake is high.
Which term refers to a proposed explanation for a set of observations?
A. Randomized controlled trial
B. Theory
C. Hypothesis
D. Prediction - ANSWER-C. Hypothesis
Scientists perform a study tracking 10,000 people over a 10-year period. They look at their sugar intake at the beginning of the study and then see who develops diabetes over the study duration. Which term best describes this study?
A. Survey
B. Cross-sectional study
C. Case-control study
D. Cohort study - ANSWER-D. Cohort study
Scientists gather 20 studies looking at the relationship between protein intake and lean body mass, and then they statistically analyze them together as a group. What type of study is this?
A. Narrative review
B. Observational research
C. Randomized controlled trials
D. Meta-analysis - ANSWER-D. Meta-analysis
Scientists randomly assign subjects to a low or high carbohydrate group and then look at changes in body weight over 3 months. Which item represents the independent variable in this study?
A. Length of study (3 months)
B. Body weight
C. Diet type
D. Subjects - ANSWER-C. Diet type
A scientist proposes that sugar is inherently fattening, independent of its calorie content. If that proposal is true, then that would mean that high-sugar diets should increase fat gain independent of their calorie content. What term describes this potential consequence?
A. Theory
B. Hypothesis
C. Prediction
D. Conclusion - ANSWER-C. Prediction
Which observational study design allows scientists to hypothesize a potential causal association?
A. Case study
B. Cross-sectional study
C. Case-control study
D. Cohort study - ANSWER-D. Cohort study [Show Less]