Community Nutrition

Which set of parameters is considered to be part of background conditions? A. Cultural characteristics B. Environmental characteristics C. Lifestyle factor D. Working conditions

A. Cultural characteristics

The use of the BMI calculation may be inaccurate for _____. A. those with large muscle mass B. children C. those who live in developing countries D. those who are underweight

A. those with large muscles mass

_______ are those with a vested interest in addressing the nutrition status of a target population. A. Key informants B. Community leaders C. Stakeholders D. Public officials

C. Stakeholders

In which workplace setting might you find both a community dietician and a public health nutritionist? A. fitness centers B. Daycare centers C. Hospitals D. State health department

D. State health department

A(n) _____ evaluation is used to determine the adequacy and effectiveness of the internal resources needed to deliver the program. A. Process B. Impact C. Fiscal D. Structure

D. Structure

What type of objectives are measurable activities related to budgeting, staffing, and management of program activities? A. Process B. Activity C. Instruction D. Structure

D. Structure

By 2030, approximately ____ percent of the population will be over 65 years of age. A. 21% B. 13% C. 17% D. 26%

A. 21%

The priority- setting process begins with _______. A. A review of report summary B. data collection C. objective writing D. hypothesis formation

A. A review of report summary

Which phrase would not be part of an assessment objective? A. "state info" B. "assess practices" C. "identify attitudes" D. "determine services"

A. "state information"

If all current U.S. obese youth become obese adults, it will cost society nearly ______. A. $1 trillion B. $1 billion C. $50 million D. $50 billion

A. $1 trillion

In 2013, approximately ____ percent of the U.S. population was uninsured. A. 13% B. 8% C. 20% D.17%

A. 13%

Environmental and social trends that have been identified as possible contributors to the global obesity epidemic include ______. A. Fewer opportunities for recreational physical activity B. Increased safety measures to protect walkers and cyclists C. Replacement of contaminated water with soft drinks D. Expansion of the organic food market

A. Fewer opportunities for recreational physical activity

Which is typically the most creative phase of the policy- making process? A. Formulation of alternatives B. Policy adoption C. Policy termination D. Problem definition and agenda setting

A. Formulation of alternatives

What best describes the concept of the prospective payment system? A. Hospitals are paid a fixed sum according to diagnosis related groups B. Insurance plan members pay certain amounts to preferred providers within a network. C. Insurers are given discounts to cover the costs of charity care. D. The patient pays a specific portion of his own medical care.

A. Hospitals are paid a fixed sum according to diagnosis related groups

Which element is a component of the Affordable Care Act to reform health care? A. Individuals and small businesses can buy health insurance through insurance exchanges. B. Medicaid eligibility is available for people who live at up to 55% of the national poverty level. C. Young adults can be covered by their parents' insurance until they reach age 18. D. Pre-existing conditions have been eliminated from care considerations.

A. Individuals and small businesses can buy health insurance through insurance exchanges.

A confounding factor is a "hidden" factor or characteristic that may cause an association that the researchers attribute to other factors. A. True B. False

A. True

______ is the largest influence on energy expenditure. A. Basal metabolic rate B. something else C. Something else D. Something else

A. basal metabolic rate

Which activity contributes the most to energy expenditure including adults participating in the National Human Activity Pattern Survey? A. driving a car B. doing housework C. office work D. walking

A. driving a car

____ is the amount of energy able to be metabolized per unit weight or volume of food. A. Energy density B. food weight C. energy expenditure D. nutrient density

A. energy density

Under the Children's Health Insurance Program (CHIP), states may target eligible uninsured children by ____. A. expanding their Medicaid programs B. setting maximum allowable amounts for medical assets C. increasing parameters for disability diagnoses D. offering enrollment at designated times

A. expanding their Medicaid programs

Which risk factor for heart disease cannot be changed by lifestyle modifications? A. genetics B. obesity C. high blood pressure D. physical activity

A. genetics

A health insurance contract that is made with an employer or other entity and covers several people by reference to their relationship to the entity is known as a ____. A. group contract B. point-of-service plan C. exclusive provider contract D. managed care system

A. group contract

Urban sprawl has been linked to ____. A. leisure time walking B. something else C. more physical activity D. something else

A. leisure time walking

Which type of health insurance is available as either traditional plans or group contract insurance? A. private insurance B. public health plans C. preferred provider plans D. health maintenance organizations

A. private insurance

What best describes one of the challenges to health care reform? A. providing nursing home care to those who need it B. making health care accessible only to those with disabilities C. understanding why some individuals are qualified for health care coverage D. gaining access to federal funds for health expenditures

A. providing nursing home care to those who need it

The two most notable gaps in Medicare coverage have been ____. A. skilled nursing care and prescription drug coverage B. home health care and palliative or hospice care C. rehabilitation services and in-hospital care D.primary care physician services and durable medical equipment costs

A. skilled nursing care and prescription drug coverage

Dietetics practitioners have voluntarily adopted the Code of Ethics to set forth obligations of the dietetics practitioner to the self, clients, society, and _____. A. the profession B. insurance companies C. the government D. third-party payers

A. the profession

One potential problem with taxes on less nutritious foods is _____. A. they may not appreciably alter food consumption patterns B. they target manufacturers of food rather than consumers C. they might disproportionately affect D. public opinion uniformly opposes these taxes

A. they may not appreciably alter food consumption patterns

Which region of the United States has the highest rate for obesity in adults? A. North B. Midwest C. South D. East

C. South

Which state has over 10 years of data indicating relatively stable rates of obese and overweight school-age children? A. Indiana B. Arkansas C. Tennessee D. Texas

B. Arkansas

Prospective cohort studies use existing longitudinal data to look back for a temporal relationship between exposure factors and outcome development. A. True B. False

B. False

What best describes how medical nutrition therapy can reduce health costs? A. It is easier to implement when compared to most medical treatments. B. It improves patient outcomes and reduces recovery times C. It reduces out-of-pocket costs for acute illnesses D. It has unlimited financial holdings on health coverage

B. It improves patient outcomes and reduces recovery times

_______ involves talking to public officials and legislators to persuade them to consider information you provide on an issue you believe is important. A. Policy making B. Lobbying C. PACs D. Coalition building

B. Lobbying

In terms of SMART objectives for programming planning, the "M" stands for ______. A. Money B. Measurable C. Management D. Member

B. Measurable

In the context of program planning, the question "how will we know the change has occurred?" corresponds to which SMART objective? A. Specific B. Measurable C. Achievable D. Relevant

B. Measurable

What is an environmental strategy for a worksite weight- loss program? A. A seminar about personal goal setting with mandatory attendance B. Organizational practices that change the worksite physical environment C. Something else D. Something else

B. Organizational practices that change the worksite physical environment

The last step in program planning is ______. A. Development of a management system. B. Program evaluation C. Review of a community needs assessment D. Identification of funding sources

B. Program evaluation

A study that follows a group of individuals free of the disease or condition of interest into the future is an example of a(n) _____ study. A. retrospective cohort B. prospective cohort C. retrospective cross- sectional D. Prospective cross- sectional

B. Prospective cohort

Which describes a level III system intervention? A. Small group counseling B. School policy restricting sugar intake during lunch C. Peer leadership programs D. Improved restaurant menu labeling

B. School policy restricting sugar intake during lunch

The level of health care activity is expected to grow as a result of various factors, including ____. A. growth of infant mortality rates B. continuing advances in medicine C. increased health disparities between racial and ethnic minorities D. expanded guidelines for diagnosing chronic health problems

B. continuing advances in medicine

What best describes an overarching goal of the health agenda Healthy People 2020? A. increasing per capita spending on managing functional health impairments B.creating physical environments that promote good health for all C. supporting financial incentives for chronic disease treatment D. ​assigning a treatment role to the health care model

B. creating physical environments that promote good health for all

Public policy is now attempting to direct the medical system toward ____. A. chronic disease management B. disease prevention C. complementary and alternative therapies D. illness treatment

B. disease prevention

Which environmental factor has been linked to more physical activity in children? A. urban sprawl B. friendship dynamics C. Televisions D. something else

B. friendship dynamics

When those without health insurance get sick, they often wind up using ____ when they do need care. A. home health services B. hospital emergency rooms C. primary care providers D. public health clinics

B. hospital emergency rooms

Efforts to control obesity at the public policy level in the United States are ____. A. over-funded B. in need of improvement C. sufficient D. successful

B. in need of improvement

Health maintenance organizations are designed to make money by ____. A.charging fees for each service rendered B. keeping people healthy C. avoiding public health models of care D. limiting coverage to chronic disease and disabilities

B. keeping people healthy

Self-report weight and height are considered somewhat unreliable because they are ____ measures. A. objective B. subjective C. outcome D. desirable

B. subjective

In the context of program planning, the fact that grant money is available to fund the project corresponds to which SMART objective? A. Specific B. Measurable C. Achievable D. Relevant

C. Achievable

Food ______ measure the food available for consumption from imports and domestic food production minus the food through exports, waste, or spoilage. A. records B. histories C. balance sheets D. questionnaires

C. Balance sheets

Which statement about the Youth Risk Behavior Surveillance System is most accurate? A. Data are collected by school nurses B. Data are limited to junior high and high school students C. Data are self reported D. Data provide prevalence of obesity in all school age groups

C. Data are self reported

To determine the rating of a particular health care system, one must examine three crucial variables: cost, quality, and ____. A. budgets B. property C. access D. injury

C. access

Overweight in adults is defined as a BMI ____. A. between 25 and 35 B. less than 24 C. between 25 and 29.9 D. greater than 30

C. between 25 and 29.9

Of the increased cost of healthcare for obese individuals, the largest single contributor to the health care cost is for treatment related to _____. A. diabetes B. hyperlipidemia C. cardiovascular disease D. something else

C. cardiovascular disease

The Medicare Modernization Act provides what benefit as part of optional coverage for Medicare recipients? A. inpatient hospital care B. psychiatric and mental health services C. cardiovascular disease blood screening D. long-term institutional care

C. cardiovascular disease blood screening

Approximately 48% of Americans receive their health care coverage through ____. A. Medicaid B. Medicare C. employer-sponsored insurance D. other public insurance

C. employer-sponsored insurance

The Partnership for a Healthier America organization has successfully ______. A. eradicated all food deserts in the U.S B. lobbied to tax high- sugar drinks in California C. encouraged children in all 50 states to participate in Lets Move! D. enrolled more than 28,500 businesses in the Healthier Food Initiative campaign

C. encouraged children in all 50 states to participate in Lets Move!

Obesity in adults is defined as a BMI _____. A. between 25 and 29.9 B. less than 24 C. greater than 30 D. between 25 and 35

C. greater than 30

After a bill is introduced in either body of Congress, the bill is sent _____. A. to the President B. from the House to the Senate and vice versa C. to a committee D. to the systemic agenda

C. to a committee

Food disappearance data has been available since ____. A. 1959 B. 1944 C. 1939 D. 1909

D. 1909

Excessive fat is indicated by a waist circumference of ____ for men and ____ for women. A. <30 inches, <25 inches B. >30 inches, >25 inches C. >35 inches, >40 inches D. >40 inches, >35 inches

D. >40 inches, >35 inches

What best describes how a PPO differs from an HMO? A. Only PPOs enter into agreements with health care providers B. A PPO limits coverage to only care from specialists C. A PPO requires higher deductibles than HMOs D. A member of a PPO is not required to select a primary care provider

D. A member of a PPO is not required to select a primary care provider

The ____ developed the Healthy Eating Index. A. Centers for Disease Control and Prevention B. Food and Drug Administration C. Federal Trade Commission D. Center for Nutrition Policy and Promotion

D. Center for Nutrition Policy and Promotion

In the model presented in your text, environment and socioeconomic characteristics are categorized as _______ conditions. A. living B. focal C. individual D. Community

D. Community

Which activity is not considered when setting the parameters of an assessment? A. defining the community B. determining the purpose of the needs assessment C. setting goals and objectives D. determining data collection procedures

D. Determining data collection procedures

In a(n) _______ study, systematic, quantitative methods are used to combine the results of all relevant studies to produce an overall estimate. A. Trend B. Experimental C. nonbiased D. Meta-analysis

D. Meta- analysis

In a(n) _______ trial, subjects are assigned to intervention alternatives by a method that is not random. A. observational B. cross- sectional C. trend D. nonrandomized controlled

D. Nonrandomized controlled

What best describes a benefit of a point of service (POS) plan? A. Plan members are always enrolled in a health savings account. B. Plan members receive a tax-advantaged health reimbursement arrangement. C. Plan members can use specialty services without requiring a referral. D. Plan members can get medical care from both in- and out-of-network providers

D. Plan members can get medical care from both in- and out-of-network providers

A consequence of the prospective payment system is _____. A. a restriction for dietitians to provide inpatient services B. the replacement of allied health services with nursing care C. the elimination of palliative care services D. an increased focus on outpatient as opposed to inpatient care

D. an increased focus on outpatient as opposed to inpatient care

The first step for the community nutritionist interested in addressing the obesity epidemic is to build awareness of ____. A. immediate financial costs for obesity to the taxpayer B. the societal cost of obesity reducing programs C. role the media plays in the portrayal of overweight individuals D. association of obesity with chronic disease

D. association of obesity with chronic disease

Medicaid provides assistance with medical care for ____. A.people eligible for Social Security benefits B.Medicare-covered government employees C. people with end-stage renal disease D. blind persons

D. blind persons

Multiple datasets suggest that calorie consumption has ____ in recent years, notably among children and young adults. A. increased significantly B. remained stable C. increased slightly D. decreased

D. decreased

Recent research indicates that breastfed babies are _____ likely to be overweight as compared with formula babies. A. somewhat more B. equally C. much more D. less

D. less

For the past several decades, the dominant health model has been the ____. A. activity model B. prevention model C. wellness model D. medical model

D. medical model

Recently, the WHO declared ____ one of the world's top ten health risks. A. central adiposity B. too much leisure time C. metabolic syndrome D. overweight

D. overweight

Obesity for adults is divided into _____ classes based on the degree of obesity. A. five B. four C. two D. three

D. three

The Dietary Guidelines for Americans were guided by the reality that about ______ of U.S. adults are obese or overweight. A. one- third B. half C. three- quarters D. two- thirds

D. two- thirds

Enrolled Medicare MNT providers are able to bill Medicare for MNT services provided to Medicare beneficiaries with ____ using specified codes. A. dementia B. rheumatoid arthritis C. gastro esophageal reflux D. type 1 diabetes

D. type 1 diabetes

A(n) ________ instrument accurately measures an individuals usual or customary dietary intake over a period of time. A. reliable B. dependable C. acute D. valid

D. valid

Immediate steps a community nutritionist may take to reduce obesity rates include _____. A. implementing taxation policies at the locally owned grocery store B. discouraging health care professionals from measuring and tracking BMI of their patients C. decreasing farm- to- school and farm- to- work programs D. writing to state legislators or embers of Congress regarding upcoming obesity related legislation

D. writing to state legislators or embers of Congress regarding upcoming obesity related legislation

________ is the process in which people concerned about an issue work to bring the issue to the attention of government officials. A. Agenda setting B. Formulation of alternatives C. Policy making D. Policy adoption

A. Agenda setting

For which Healthy People 2010 target was there some improvement? A. Calcium intake B. Whole grain intake C. Food security D. Obesity precalence

A. Calcium intake

The NNMRRP provides _______. A. General information on a target population data B. Standard nutritional recommendations for populations C. Resources for funding nutrition programs for at risk groups. D. Expertise in setting up and implementing needs assessments.

A. General information on a target population data

Once a bill has been sent from the Congress to the President, the president may ______. A. Sign it into law, at which point it becomes an act B. veto it, which means it cannot become a law C. Send it back with changes to conference committee D. edit it at which point it becomes a federal mandate

A. Sign it into law, at which point it becomes an act

The nation's first comprehensive nutrition survey was the _____. A. Ten- state Nutrition Survey B. CSFII C. NHANESI D. Total Diet Study

A. Ten- State Nutrition Survey

Community nutrition is a discipline that strives to improve the health, nutrition, and well- being of individuals and groups within communities. A. True B. False

A. True

Anthropometric measurements _______. A. are used to detect moderate to severe degrees of malnutrition. B. can be used to measure stored nutrient reserves. C. detect physical signs and symptoms associated with malnutrition. D. are easily collected during focus group activities.

A. are used to detect moderate to severe degrees of malnutrition.

Acceptable uses of the Dietary Reference Intakes include _____. A. establishment of standards for food assistance programs B. marketing products as "organic" C. making health claims about a supplement D. Assessment of an individual's overall health status

A. establishment of standards for food assistance programs

The term _______ refers to the condition of a population's or individual's health, including estimates of quality of life and physical and psychosocial functioning. A. health status B. nutrition status C. community needs assessment D. asset map

A. health status

The president submits a budget proposal to Congress in _____. A. late January or early February B. March or April C. mid to late June D. September to October

A. late January or early February

The effectiveness of a diet history interview may be limited because it _____. A. relies on participant memory B. requires the participants to be literate C. is time consuming D. may be culturally insensitive

A. relies on participant memory

The BRFSS includes questions about ______. A. seat belt use B. multivitamin use C. Protein consumption D. Switching to a vegetarian diet

A. seat belt use

The systematic study of a cross- section of individuals who represent the target population is a ______. A. survey B. health risk appraisal C. screening D. focus group

A. survey

In a logic model, outputs include ________. A. Workshops, counseling, and other services B. Budgets, marketing plans, and salaries C. Grants, funding streams, and cost analysis D. Technology, materials, and money

A.Workshops, counseling, and other services

Which federal agency is responsible for tracking food borne disease? A. Environment Protection Agency B. Centers for Disease Control and Prevention C. Federal Trade Commission D. Food and Nutrition Services

B. Centers for Disease Control and Prevention

An intervention evaluation determined that "for every $1 required to produce the program, there is a $4 savings in medical costs." This is an example of a(n) ______ evaluation. A. Outcomes B. Cost- benefit C. Cost- effectiveness D. Indirect cost

B. Cost benefit

Which describes a level II community intervention? A. Providing a health fair B. Creating a fitness program in school C. Providing tax incentives for companies with wellness programs D. Creating internet websites

B. Creating a fitness program in school

Which two agencies are responsible for most nutrition programs at the federal level? A. USDA and FDA B. DHHS and USDA C. DHHS and NIH D. NIH and FDA

B. DHHS and USDA

Dietary Reference Intake Value represents the amount of a nutrient that is estimated to meet the requirement for the nutrient in half of the people of a specific age and gender? A. Adequate Intake B. Estimated Average Requirement C. Recommended Dietary Allowance D. Tolerable Upper Intake level

B. Estimated Average Requirement

A disadvantage of a case- control study is the need to study large numbers of subjects. A. True B. False

B. False

Community nutritionists work only with the general public to implement dietary recommendations. A. True B. False

B. False

Healthy People 2020 is as et of goals and objectives that focuses on healthcare industry reforms. A. True B. False

B. False

The term "nutritionist" is legally defined in all states to standardize professional duties and responsibilities. A. True B. False

B. False

Within the nutrition care process and model, passing out food vouchers and meals or snacks would fall into which category of nutrition intervention? A. Nutrition counseling B. Food and/or nutrient delivery C. Coordination of nutrition care D. Nutrition education

B. Food and/or nutrient delivery

Which method of obtaining data is used to alert individuals about potentially dangerous or harmful behaviors? A. Survey B. Health risk appraisal C. Screening D. focus group

B. Health risk appraisal

A(n) _______ evaluation is used to determine whether a program or intervention accomplished its state goals. A. Process B. Impact C. Fiscal D. Structure

B. Impact

When issuing a press release to the media, it is best to _____. A. Speak "off- the- cuff" about the issue B. Keep the content on the release brief C. Begin with a vague call for action D. Require the press to do their own fact checking

B. Keep the content on the release brief

A company providing incentives for employees to join local fitness clubs is an example of a _______ intervention. A. Level 1 B. Level 2 C. Level 3 D. Level 4

B. Level 2

One of the three priority public policy areas for the Academy of Nutrition and Dietetics is _______. A. State licensure requirements B. lifecycle nutrition C. repeal of the MNT act of 1997 D. Insurance reimbursements

B. Lifecycle nutrition

Which approach to communicating with elected officials is most likely to be effective? A. writing a multi- page letter referencing global examples for a local problem B. Sending an e-mail outlining your position with factual support C. Calling their offices and insisting on speaking directly to them D. sending a letter addressed "To Whom it may Concern"

B. Sending an e-mail outlining your position with factual support

Which statement about the Dietary Guidelines for Americans is most accurate? A. They emphasize uniformity B. The include general guidelines for physical activity C. They emphasize calorie restriction D. They dictate specific foods for each meal.

B. The include general guidelines for physical activity

Which statement about the Total Diet Study is accurate? A. The survey is conducted quarterly by the Food and Drug Administration B. The study assesses various nutritional components of the U.S. food supply. C. the Selected Minerals in Food Survey

B. The study assesses various nutritional components of the U.S. food supply.

In order for the Dietary Guidelines for Americans to be implemented, they must be ______. A. Promoted and glamorized by the media B. Translated into food- specific behaviours for consumers C. Compared with the Dietary Reference Intakes D. Reduced in number so they are easier to remember

B. Translated into food- specific behaviours for consumers

The ______ houses the ______, the agency that oversees research related to nutrient needs, food trends, composition of the diet, nutrient interactions, and bioavailability of nutrients. A. Department of Health and Human Services, Center for Nutrition Policy and Promotion B. U.S. Department of Agriculture, Agricultural Research Service C. National Academy of Services, National Institute of Food and Agriculture D. Food and Drug Administration, Animal and Plant Health Inspection Service

B. U.S. Department of Agriculture, Agricultural Research Service

A decreased level of a nutrient in body fluids is best identified using _______. A. dietary B. biochemical C. behavioral D. clinical

B. biochemical

An investigation of the correlation between consumption of genetically modified corn and colon cancer incidence and mortality rates in humans is an example of a(n) _____ study. A. observational B. ecological C. experimental D. meta- analysis

B. ecological

A strength of the 24- hour recall dietary assessment is that it is _______. A. is useful for screening subjects B. is quick and easy to administer C. not dependent on memory D. not affected by seasonal variations of food

B. is quick and easy to administer

A street- level bureaucrat, such as a _______, makes daily policy decisions by interpreting government laws and regulating citizens. A. federal Congressman B. schoolteacher C. food inspector D. state Senator

B. schoolteacher

Economic data include _______. A. labor force characteristics B. unemployment statistics C. government- funded assistance programs D. household size and comp.

B. unemployment statistics

The sample studied in the HHANES included ______. A. all Mexican Americans living in the U.S. B. all Mexican Americans, Puerto Ricans, and Cubans living in the U.S. C. A sample of Mexican Americans, Puerto Ricans, and Cubans living in select areas of the U.S. D. all Mexican Americans and Puerto Ricans living in the U.S.

C. A sample of Mexican Americans, Puerto Ricans, and Cubans living in select areas of the U.S.

In a large model, expected outcomes for short- term results might include ______. A. Social changes B. Environmental impacts C. Attitude and opinion changes D. New policies

C. Attitude and opinion changes

Level I interventions are designed to ______. A. Promote lifestyle changes B. Create supportive environments C. Build awareness D. Change healthcare policy or law

C. Build awareness

Program evaluations _____. A. Take place only when issues arise. B. Are never taken to measure cost effectiveness. C. Can be used to test innovative approaches to nutrition and public health D. Are carried out only by agency staff, never outside consultants.

C. Can be used to test innovative approaches to nutrition and public health

UNICEF has decried the "silent emergency" of _______ is an ongoing issue within developed and developing countries. A. Adult malnutrition B. Contaminated health supplies C. Child malnutrition D. Obesity

C. Child malnutrition

The Food and Drug Administration is an agency of the ______. A. National Institutes of Health B. Food and Nutrition Services C. Department of Health and Human Services D. Department of Agriculture

C. Department of Health and Human Services

Which activity is a way to control costs and increase the reach of community nutritional programs? A. Developing a marketing plan B. Creating websites for advertising C. Forming partnerships with local businesses D. Hiring publicists and marketing specialsists

C. Forming partnerships with local businesses

The ________ from CDCP is an example of entrepreneurship in community needs assessment. A. Healthy People 2020 B. NHANES Survey C. Healthy Communities Program D. MEDLINE Program

C. Healthy Communities Program

The process of putting a policy into action is called _______. A. Problem setting B. Adoption C. Implementation D. Termination

C. Implementation

The finding that "women who become pregnant unexpectedly are less likely to breastfeed their infants than women whose pregnancies are planned" illustrates how ______ factors influence health and wellness. A. Motivational B. Cultural C. Lifestyle D. Social

C. Lifestyle

Which factor is not considered during a cultural assessment? A. Food rituals B. Typical greeting C.Literacy level D. Eye contact

C. Literacy level

Which survey uses clinical, anthropometric, biochemical, and dietary data to assess the nutrition status of Americans? A. American Epidemiological Survey B. Ten- State Nutrition Survey C. National Health and Nutrition Examination Surveys D. Nationwide Food Consumption Surveys

C. National Health and Nutrition Examination Surveys

Data archive services include the _____. A. Department of Agriculture B. U.S. Bureau of Census C. Odum Institute for Research in Social Science D. Department of Health and Human Services

C. Odum Institute for Research in Social Science

The stated goal of a(n) ______ evaluation might be "to determine whether the nutrition and smoking messages delivered through the intervention resulted in a behavior change in the target population." A. Process B. Impact C. Outcome D. Structure

C. Outcome

The ______ of a needs assessment set the direction for the assessment. A. objectives B. Scope C. Parameters D. Limitations

C. Parameters

During the implementation of an urban community nutrition program it was discovered that items packaged into food baskets could not be eaten by many of those receiving the donations due to religious practices. Which step in the program planning process should have noted this fact? A. Development of a management system B. Program evaluation C. Review of a community needs assessment D. Identification of funding sources

C. Review of a community needs assessment

If the target population of a study is teenagers with a high risk of pregnancy, key informants would include ______. A. Teenagers having unprotected sex B. Adults of the community C. Teens who work in peer education programs D. school administrators

C. Teens who work in peer education programs

The first step in the policy cycle is ________. A. The formulation of alternatives B. Policy implementation C. The problem definition and agenda setting D. Policy adoption

C. The problem definition and agenda setting

NHANES III testing between the ages of 1 and 19 years includes ____. A. bone density tests B. fitness testing C. a physician's exam D. tests for protein in urine

C. a physician's exam

The bill authorizing the WIC supplemental feeding program became public law 92-433. The numbers 92-433 stand for ____. A. bill number 433, approved by a margin of 92 B. Bill number 92, enacted by the 433rd Congress C. bill number 433, enacted by the 92nd Congress D. Bill number 92, approved by 433 votes

C. bill number 433, enacted by the 92nd Congress

The United STates utilizes a _____ approach with no single Federal Nutrition Office coordinating its nutrition policy efforts. A. centralized B. focused C. decentralized D. food assistance

C. decentralized

The NHANES series _____. A. uses a non representative sample of the civilian 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

C. influenced the development of the CDC Growth Charts in 2000

The overall mission of the Department of Health and Human Services is to ______. A. Reduce hunger in America and in other parts of the world B. Support the production of agriculture C. Ensure a safe, affordable, nutritious, and accessible food supply D. Protect the health of all Americans and provide essential human services

D. Protect the health of all Americans and provide essential human servic

The term ______ refers to the proportion of individuals in the sample without the disease or condition who have a negative test for it. A. Sensitivity B. Reliability C. Validity D. Specificity

D. Specificity

Learning about the social and cultural climate of the community may help a community nutritionist to _______. A. determine new government regulations B. perform quantitative data analysis C. measure vital statistics important to the community D. work within the community's value system

D. work within the community's value system

Which component is not one of the three components of a health risk appraisal as discussed in your text? A. questionnaire B. 24- hour food diary C. risk predicting calc. D. educational message

B. 24- hours food diary

The Dietary Guidelines for Americans are revised ever ___ years. A. 3 B. 5 C. 7 D. 10

B. 5

Focus groups usually consist of _______ participants. A. 2-5 B. 5-12 C. 12-22 D. 22-35

B. 5-12

For group education sessions offered on a voluntary basis and without incentives, the participation rate will likely be _______. A. Less than 5% B. 5-35% C. 35-50% D. 50-75%

B. 5-35%

A set of nationwide guidelines that specify how the nutritional needs of the population will be met is _____. A. food disappearance data B. a national nutrition policy C. a nutrition screening D. nutrition assessment

B. A national nutrition policy

The ______ has the responsibility for processing the dietary data derived from the food recalls within the What We Eat in America survey. A. National Center for Health Statistics B. Agricultural Research Service C. National Institutes of Health D. Centers for Disease Control and Prevention

B. Agricultural Research Service

A(n) ______ defines the scope of a program and sets a maximum or ceiling on how much money can be spent on it. A. Appropriation B. Authorization C. Budget overlay D. Budget authority

B. Authorization

Today's community dietitians will need to understand the characteristics of ______ to better serve the needs of the aging population. A. Generation X B. Baby boomers C. Generation Y D. traditionalists

B. Baby boomers

The NHANES III assessed dietary intakes of its participants by using ____. A. 24 hour recalls B. 3 day food records C. food frequency questionnaires D. 24- hour recalls and food frequency questionnaires

D. 24- hour recalls and food frequency questionnaires

Which verb is not used when constructing process objectives for program planning? A. Advise B. Build C. Instruct D. Budget

D. Budget

After a bill has been introduced in Congress, the bill is published in the _____. A. Federal Register B. Code of Federal Regulations C. White House Journal D. Congressional Record

D. Congressional Record

_______ is the integrated pattern of human knowledge, beliefs, and behaviors that are learned and transmitted to succeeding generations. A. Demography B. Society C. Climate D. Culture

D. Culture

Which of the following is an example of putting the Dietary Guidelines for Americans into action? A. Eat more fatty meats weekly B.Eat fewer whole grains daily C. Take a supplement to obtain vitamins and minerals D. Eat more low- fat dairy products

D. Eat more low- fat dairy products

In a logic model, ______ include media, economic, and political circumstances, and participants' demographics A. Priorities B. Assumptions C. Situations D. External factors

D. External factors

Which activity is designed to gather data about food available for consumption in the U.S.? A. Behavioral Risk Factor Surveillance System B. Diet and Health Knowledge Survey C. Weight Loss Practices Survey D. Food Supply Series surveys

D. Food Supply Series surveys

An intervention strategy addresses the question of ______. A. Why the program is being implemented B. What facilities will be utilized C. When the program will start and end D. How the program will be implemented

D. How the program will be implemented

Data collected for monitoring and surveillance purposes are used for _____. A. Planning the next year's farm crops B. Optimizing marketing strategies C. Eliminating food assistance programs that are no longer needed D. Identifying groups at high risk of nutrition- related problems

D. Identifying groups at high risk of nutrition- related problems

The proportion of persons with healthful eating patterns regarding consumption of _____ showed little progress towards the Healthy People 2010 targets. A. calcium B. Vitamin D C. Thiamin D. Iron

D. Iron

The current U.S. food guidance system is called _____. A. The Basic Four Food Groups B. the Food Guide Pyramid C. My Pyramid D. My Plate

D. My Plate

A nutrition ______ for individuals enrolled in an osteoporosis prevention class might state "an intake of 1,200 mg of Ca+ per day from food and supplement sources." A. Care plan B. Output C. Benefit D. Prescription

D. Prescription