Chapter 2: Scope of Practice Flashcards
- Which statement best describes the healthcare continuum?
The health status of a client from sickness to wellness
The type of alternative health practices that are legitimately recognized
The number of physician specialists that are in the healthcare system
The many disciplines that make up the healthcare system
The many disciplines that make up the healthcare system
2.Where should client files be kept to ensure client confidentiality?
In the manager’s office
In an electronic version only
In a locked and secure location
With the client
In a locked and secure location
- Any research article on diet and nutrition should be scrutinized for which of the following?
References and values
Recall and verbiage
Reliability and validity
Resources and volume
Reliability and validity
- Common assessments performed by a Nutrition Coach include height, weight, body composition, and what other test?
SCOFF test
Blood pressure
Hydrostatic weighing
Anthropometric measurements
Anthropometric measurements
- According to the SCOFF eating disorder assessment, what is the minimum number of positive answers which might indicate an eating disorder?
5
1
2
3
2
6.A client confides that she is taking laxatives to help her lose weight. What is the best course of action?
Refer her to a Certified Eating Disorder Specialist.
Refer her to a Registered Dietitian.
Tell her that regular use of laxatives are bad for her digestive tract.
Tell her to eat more fiber as that will help.
Refer her to a Certified Eating Disorder Specialist.
7.Which statement is within the scope of practice for a Nutrition Coach?
Provide general advice on a 3-day detox plan.
Design a 5-day meal plan for a healthy client.
Recommend the client discuss supplement usage and dosing with their pharmacist or physician.
Recommend a diet that contains up to 50% protein.
Recommend the client discuss supplement usage and dosing with their pharmacist or physician.
8.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?
Contact her spouse to discuss options.
Call 911.
Refer her to a clinical psychiatrist.
Closely monitor her situation.
- During a regular meeting, a client is complaining of irregular gastrointestinal issues, ranging from diarrhea to constipation. What is the best course of action?
Advise him to make an appointment with his personal physician.
Evaluate his prescription medications to look for similar side effects.
Advise him to eat more vegetables and drink more water.
Closely monitor his situation and re-evaluate during the next meeting.
Advise him to make an appointment with his personal physician.
- 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?
Tell her to save her money and stay away from herbal remedies.
Visit a health food store together.
Refer her to a pharmacist or her physician.
Tell her to follow the guidelines of the books she read.
Refer her to a pharmacist or her physician.
11.According to the scope of practice for a Nutrition Coach, which is an example of an appropriate resource for determining daily caloric intake?
Dietary Guidelines for Americans
ADA calculations based on age, gender, and activity level
Body type and cultural preferences
The Nutrition Coach cannot assist with daily caloric intake.
Dietary Guidelines for Americans
- To ensure the client is retaining any shared information, it is important that the content presented is highly relevant and what other quality?
Brief
Visual
Practical
Pertinent
Practical
- MISSIG QUESTION
- Which of the following can a Nutrition Coach provide?
Nutritional advice and behavioral prescriptions
Nutritional advice and behavioral prognosis
Nutritional advice and behavioral modification
Nutritional advice and behavioral counseling
Nutritional advice and behavioral modification
15.Where might a Nutrition Coach find reputable information on recent dietary guidelines?
Celebrity blogs
Government-funded agencies
Private, for-profit supplement companies
Popular magazines
Government-funded agencies
16.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?
Easy to understand
Delivered slowly
Based on prior experience
Reviewed several times
Based on prior experience
17.With which client would it be most appropriate for the Nutrition Coach to work?
Pre-diabetic
Post-heart attack
Alcoholic
Overweight
Overweight
18.With which client would it be most appropriate for the Nutrition Coach to work?
Clients with inconsistent weight loss and gain
Clients who want testing for vitamin deficiency
Elite clients competing in a national Ironman
Clients trying an elimination diet to identify food sensitivities
Clients with inconsistent weight loss and gain
19.With which client would it be most appropriate for the Nutrition Coach to work?
Client who wants nutrition therapy for cancer prevention
Overweight client who wants to train for a 10K
Pre-pubescent teenager who is overweight
Client who wants accountability during a 9-week extreme calorie-restricted diet
Overweight client who wants to train for a 10K
20.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?
Give up bread and avoid gluten.
Drink a protein shake instead of eating lunch.
Limit carbohydrates to 35% of the diet.
Refer to a certified personal trainer for a resistance training program.
Refer to a certified personal trainer for a resistance training program.
- 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?
Daily panic attacks
Occasional constipation
Self-proclaimed “sugar addict”
Stress-eating from recent divorce
Daily panic attacks
- Clients often confide in the Nutrition Coach. Which client conversation would be grounds for a referral to a licensed healthcare professional?
Slow weight loss of 1/2 pound per week (0.22 kg)
Late-night ice cream binging
Occasional sleeplessness
Chronic fatigue
Chronic fatigue
23.When working with a client who has been complaining of low back pain that has been getting worse, what is the most appropriate recommendation?
Recommend use of over-the-counter anti-inflammatory medications.
Refer her to a certified personal trainer.
Refer her to a chiropractor.
Tell her to use a heating pad when the pain gets bad.
Refer her to a chiropractor.
- 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?
Advise her to cut back on her simple carbohydrates at each meal.
Inform her that when she loses 10% of her body weight, her blood glucose will be easier to manage.
Refer her to a Certified Diabetes Educator.
Refer her to a Registered Dietitian.
Refer her to a Certified Diabetes Educator.
- 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?
Add an additional 300-500 calories to her daily intake.
Informally question her about common eating disorder traits/habits.
Suggest she limit her exercise to twice per week.
Congratulate her for a job well done.
Informally question her about common eating disorder traits/habits.
26.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?
Podiatrist
Psychiatrist
Physiologist
Physiotherapist
Psychiatrist
- 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?
Tell her she may have anorexia and refer her to a Certified Eating Disorder Specialist.
Tell her she has bulimia and refer her to a Certified Eating Disorder Specialist.
Refer her to a clinical psychologist.
Move forward with the client sessions but monitor her closely for any more self-induced vomiting.
Refer her to a clinical psychologist.
