Domain I, Topic B, Education and Communication Flashcards

1
Q

Components of an educational plan include ____ ____ and ____, a ____ _____, to develop ____ and ____, to develop a _____, and then to promote the _____.

A

Targeted setting and clientele, needs assessment, develop goals and objectives, develop a budget, promote the program

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2
Q

_______ awareness involves evaluating one’s own beliefs and attitudes and becoming comfortable with the differences found in those of clients

A

multicultural

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3
Q

______ communication can result in incorrect diagnoses and noncompliance with treatment

A

ineffective

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4
Q

______ differences until similarities are proven

A

assume

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5
Q

Emphasize _____ rather than interpretation or evaluation.

A

description

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6
Q

_____ communication styles differ based on cultural background

A

cultural

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7
Q

Rate, pitch, and volume of one’s voice can be interpreted differently based on a client’s _____.

A

culture

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8
Q

____ contact may be considered confrontational in some cultures

A

Eye

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9
Q

_____ posture is a sign of respect.

A

good

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10
Q

Spatial _______ vary among cultures

A

relationships

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11
Q

The _____ zone is considered less than 18”. Among very close friends and business handshakes.

A

intimate

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12
Q

The _____ zone is considered 18” - 4’. When giving instructions or working closely.

A

Personal

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13
Q

The _____ zone is considered 4 - 12 ‘ most business interactions

A

social

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14
Q

The ____ zone is considered greater than 12’ and is used for very formal introductions

A

public

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15
Q

Common terms should be used when speaking to clients with ______ English skills. Avoid slang, shorthand, acronyms. etc.

A

limited

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16
Q

One should always speak ____ to the client, instead of an interpreter or family member.

A

directly

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17
Q

______ is the art and science of teaching children

A

pedagogy

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18
Q

_____ involves adults and mutual partners learning. Focus is more problem centered than subject centered. Motivation is internal rather than external, self directed.

A

Andragogy

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19
Q

____ and ____ income adults are considered to be goal oriented and consider activities they can’t relate to as a waste of time

A

middle and upper

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20
Q

_____ income adults interests focus on costs and traditional food habits, oriented towards solving current problems

A

lower

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21
Q

____ poor clients are focused on short term goals

A

very

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22
Q

________ relate to their interests and consider peer pressure and attitudes towards authority

A

adolescents

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23
Q

The ______ have a decreased attention span and require audience participation to maintain their interest. Questions should be controlled to stay on topic. Prefer written material.

A

elderly

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24
Q

_____ goals must be set within the process of learning

A

educational

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25
Q

_____ must be based on previous learning and the characteristics of the group of students

A

goals

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26
Q

_______ in patient centered counseling include increased awareness of diet related risks, providing nutrition knowledge, enhancing skills to promote long term changes in intake and increasing confidence for making dietary changes

A

Objectives

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27
Q

Objectives should be SMART: S_____ M______ A______ R_____ T_____

A

Specific, Measurable, Attainable, Relevant, Time Bound

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28
Q

_______ is a fit between the program and the expected outcomes based on the objectives

A

Consonance

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29
Q

A _______ plan should: describe all aspects of instruction, include a plan for reassessment, include objectives, content, a sequence, activities, and an allotted amount of time, and provide references and a method of evaluation

A

lesson

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30
Q

_______ media include things like posters, slides, movies, computers, and programmed instruction materials. They are used to learn purely cognitive material and leave the instructor more time to develop effective psychomotor learning

A

instructional

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31
Q

______ is closely linked to planning, all expenses must be accounted for

A

budgeting

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32
Q

When developing a ______ one should consider project funding, expenditures to date, current estimated costs to complete the project, and anticipated profit or loss

A

budget

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33
Q

_______ budget reviews help control project costs

A

periodic

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34
Q

Any _____ should inform and educate consumers about the existence of a product or service

A

promotion

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35
Q

_____ tools include: advertising, sales promotion, personal promotion, and public reations

A

promotion

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36
Q

_______ includes purchased print or electronic media. A targeted message to a carefully defined audience

A

Advertising

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37
Q

_____ promotion is a short term incentive to encourage purchases

A

sales

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38
Q

_____ promotion is a formal or informal presentation, a health fair, a cooking demonstration, or a media interview.

A

Personal

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39
Q

_____ relations include organized efforts to promote a favorable image through the news or media

A

public

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40
Q

There are three domains of learning ___, ___, and ___

A

cognitive, effective, psychomotor

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41
Q

The _____ domain of learning includes the acquisition of knowledge or subject matter

A

cognitive

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42
Q

The ______ domain of learning include the acquisition of attitudes and values

A

affective

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43
Q

The __________ domain of learning includes the acquisition of muscular skills

A

psychomotor

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44
Q

Objectives for the hierarchy of learning are called _____ taxonomy

A

Bloom’s

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45
Q

______ taxonomy states that objectives at the lower level must be mastered before more complex learning can take place

A

Bloom’s

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46
Q

The _____ procedure is used to plan theory based nutrition education.

A

DESIGN

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47
Q

The DESIGN procedure acronym stands for D_____ behavior change goals, E_____ determinants of change, S______ the theory you will use, I_____ general objectives, G______ plans, and N______ evaluation plan.

A

Decide, Explore, Select, Indicate, Generate, NDevelop??????????????

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48
Q

______ modification techniques are based on a cause and effect explanation

A

behavior

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49
Q

_______ modification therapy can focus on the cues, the behavior itself, o the consequences of the behavior

A

behavior

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50
Q

An _______ is an event or environment that triggers a specific behavior or response like watching a TV commercial advertising French Fries

A

antecedent

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51
Q

Common behavior modification methods include ____ reinforcement, ______ learning, and ______

A

Positive, avoidance, extinction

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52
Q

______ reinforcement encourages repetition of a given behavior; it should be specific and immediate with meaningful attention from superiors

A

positive

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53
Q

_______ learning means learning to escape from unpleasant consequences; avoid future criticism by improving future performance

A

Avoidance

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54
Q

_______ is meant to reduce the undesired behavior; absence of reinforcement following undesired behavior; if _______ is repeated, behavior will eventually disappear

A

Extinction

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55
Q

The ________ stages of change model suggests that behavior involves series of stages

A

Transtheoretical

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56
Q

In ___ - ________ the client is unaware or not interested n making a change. “I did not know salt had an effect on y blood pressure”

A

pre - contemplation

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57
Q

In the ______ stage the client is thinking about making a change. “I was looking at the salt content in the foods I have at home.”

A

contemplation

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58
Q

In the ______ stage, the client decides to change and plans the change. “I bought a cookbook on low salt cooking.”

A

Preparation

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59
Q

In the _____ stage the client tries to make a change. “I removed the salt shaker from the kitchen table”

A

action

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60
Q

In the maintenance stage the client sustains the change for six months or longer. “I found a website that helps me plan low sodium family meals.”

A

Maintenance

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61
Q

Intervention is more effective if it is _______ to a client’s stage of change.

A

tailored

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62
Q

The ____ belief model developed to explain why people, especially high risk people, fail to participate in programs designed to detect or prevent disease

A

Health

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63
Q

A person must perceive the _____ and their _____ to the threat for the threat to be a behavior motivating factor

A

severity, susceptibility

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64
Q

The components of the Health Belief Model include perceived ______, perceived _____, perceived ______ of change, appraisal of _______, and self - ______.

A

susceptibility, impact, advantage, barriers, efficacy

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65
Q

Perceived ______ : Obesity puts me at risk for heart disease?

A

susceptibility

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66
Q

Perceived ______: Heart disease will impede my ability to work

A

impact

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67
Q

Perceived _______ of change: Greater mobility

A

advantage

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68
Q

Appraisal of _______: I don’t like to exercise.

A

Barriers

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69
Q

Self - _____: I can join the gym close to work

A

Efficacy

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70
Q

______ of Innovation: How an innovation, an idea, or a behavior spreads

A

Diffusion

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71
Q

People fall into five categories: _____, _____ _____, _____ _____, _____ _____, and _____

A

Innovators, early adopters, early majority, late majority, laggards

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72
Q

_______ adopt an idea readily and usually without input from others

A

Innovators

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73
Q

____ ______ are opinion leaders in the community and are well respected

A

Early adopters

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74
Q

____ ______ are cautious in adopting new ideas

A

Early Majority

75
Q

____ ________ are skeptical and adopt an idea only through peer pressure

A

Late Majority

76
Q

_______ are the last group of people to adopt an idea

A

Laggards

77
Q

The _____ of the Diffusion of Innovation include knowledge, persuasion, decision, and confirmation

A

components

78
Q

Motivation eases transition to new _____

A

behaviors

79
Q

Active involvement of the learner promotes the greatest ______.

A

retention

80
Q

Establish _____ with clients to assuage fears and concerns about impending changes

A

rapport

81
Q

How to instruct: _____, _____, ___, _____ - __

A

prepare, present, try, follow - up

82
Q

Discuss problems _______ rather than evaluatively, as this helps prevent the client feeling judged

A

descriptively

83
Q

Offer alternatives ______ rather than dogmatically, this is less commanding and less threatening

A

provisionally

84
Q

Be _____ rather than neutral, put yourself in the client’s shoes.

A

empathetic

85
Q

A message should meet the 5 C’s, _____, _____, _____, _____, and _____

A

Clear, complete, correct, concrete, concise

86
Q

Clarification: pose a _____ after an ambiguous client response

A

question

87
Q

Active or reflective _____: paraphrase or repeat back what was just said

A

listening

88
Q

A ________ statement acknowledges that there was a reason for a behavior, indicating that the response from the client was legitimate

A

legitimation

89
Q

____ of instruction is based on the size of the group and motivational aspects of the group’s members

A

Method

90
Q

The ______ method of teaching helps learners master higher level cognitive objectives

A

discussion

91
Q

A ____ group discussion provides some lecture and some interaction, beneficial in a clinical setting, the teacher needs to remain in control, 3 - 5 people with similar needs

A

small

92
Q

A ____ group lecture has a one way flow of information; presents a large amount of material in a short amount of time

A

large

93
Q

In a ____ process or ____ dynamic the leader must relieve social concerns of the group, tolerate silence and allow group participants to interact, guide and encourage interactions, know how and when to resume control, reinforce a multi-sided nature of the conversation, control talkative participants and encourage silent ones, halt side conversations, help group stay on topic.

A

group, group

94
Q

Interviewing requires _____ listening and verbal communication skills

A

strong

95
Q

Interviewing steps include _____, building _____, and collecting _____

A

preparation, rapport, data

96
Q

When interviewing always ask ____-______ questions

A

open - ended

97
Q

_____ - _____ questions are broad and give lots of freedom in response

A

open - ended

98
Q

_____ questions are more restrictive, limit answers, and give you control

A

closed

99
Q

_____ questions introduce new topics

A

primary

100
Q

_____ questions obtain more info on primary questions

A

secondary (follow up)

101
Q

_____ questions do not reveal your bias

A

neutral

102
Q

_____ questions reveal your bias

A

leading

103
Q

The _____ sequence of interviewing begins with broad questions and proceeds to more restrictive ones

A

funnel

104
Q

Questions that begin with “___ __ _____” elicit better responses that “Do you…?”

A

Tell me about

105
Q

“___ or __” questions are often less productive than open ended questions

A

Yes or no

106
Q

“___?” questions indicate disapproval

A

why

107
Q

When _____ an interview always summarize for the client to check for accuracy and to gauge how the client feels about what you discussed.

A

closing

108
Q

___ - ______ communication has three categories: Kinesics, Paralinguistic, and Proxemics

A

non - verbal

109
Q

_____ includes physical communication like eye contact, folded arms, or clenched fists

A

Kinesics

110
Q

_______________ includes how the client’s message is delivered, such as hesitation, stuttering, or whispering

A

Paralinguistics

111
Q

_________ is personal space behavior; if the client moves away or sits behind or next to an object

A

Proxemics

112
Q

The counselor’s _________ to the client can be evaluative, hostile, reassuring, probing, or understanding

A

responses

113
Q

_________ responses make judgement about a person’s feeling or implies how they should feel

A

Evaluative

114
Q

_______ responses are things like uncontrolled anger or frustration

A

Hostile

115
Q

__________ responses may make it difficult to solve or explore the client’s problem by suggesting the problem does not exist

A

Reassuring

116
Q

_______ responses attempt to clarify or gain more information as the client recalls details.

A

Probing

117
Q

_____________ responses are one of the best ways to respond, as they try to recreate the client’s message in your own frame of reference.

A

Understanding

118
Q

_________ __________ _______ or CBT theorizes that cognitions are thoughts or perceptions at a particular moment in time. They can influence our behavior or feelings. Cognitive change may effect a desired behavior change

A

Cognitive Behavioral Therapy

119
Q

____ - talk or ______ dialogue are things like “I have no will power, I look fat.” These are negative thoughts that inhibit behavior change,

A

self, internal

120
Q

Client ______ talk occurs when the client verbalizes their reasons that favor the targeted behavior change

A

change

121
Q

CBT is based on the assumption that behavior is _______ and can be un - _______ as the client learns new adaptive responses

A

learned, un - learned

122
Q

CBT focuses on identifying behaviors and thoughts that have a _______ impact on desired behaviors and goals and applies strategies to change those.

A

negative

123
Q

The aim of CBT is to introduce changes in the cognitive or thought process that maintain a ________ that needs to be changed

A

behavior

124
Q

MI or ____________ ___________ helps the client recognize and begin to resolve their concerns and problems. It is client centered and the goal is to increase motivation so that clients are able to express the rationale for the changes that need to be made

A

Motivational Interviewing

125
Q

There are five principles to ____________ ___________: Expressing empathy, Develop discrepancy, Avoid arguments and confrontation, Roll with resistance, and Support self - efficacy

A

Motivational Interviewing

126
Q

The MI principle _______ _______ is to show compassion and evoke the clients feelings

A

Express empathy

127
Q

The MI principle _______ ___________ is to indicate the difference between where the client is and where they want to be

A

Develop discrepancy

128
Q

The MI principle _____ _________ is to limit or prevent confrontation

A

Avoid arguments

129
Q

The MI principle ____ ____ __________ is to acknowledge a clients reluctance to change and offer new information or alternatives.

A

Roll with resistance

130
Q

The MI principle _______ ____ - ________ is to reinforce hope or optimism

A

support self - efficacy

131
Q

Client ________ means that decision are left to the client

A

autonomy

132
Q

_______ communication is more formal and authoritative, can be interpreted more accurately. Reading level should be kept to the 8th grade level for the general population and the 6th grade level for audiences of lower literacy

A

written

133
Q

The ____ Index is a procedure for determining readability and provides the grade level of reading material by counting the number of polysyllabic words

A

SMOG

134
Q

____ communication is more personal and encourages two way communication. Most critical barrier is poor listening skills

A

oral

135
Q

Communication through _____ activities extends the reach of the message to those who may be out of reach due to financial reasons. 2 - 4 key messages should serve as the focus. Relationships should be established with a few key reporters.

A

Media

136
Q

There are two types of educational outcome evaluations, _________ and _________.

A

Formative and summative

137
Q

________ evaluations are made early or during the course of education. They help pinpoint parts mastered or not mastered, allow for revision of methods to improve the process, answers “How should we do it?”, must involve the client, provides frequent feedback of results, and often involves qualitative data

A

formative

138
Q

_________ evaluations are designed at the planning stage but are conducted at the end; considered final; purpose may e grading or evaluation of progress; did we achieve what we planned? what was the impact?; example: post test; uses quantitative data

A

summative

139
Q

An ________ test is a formal evaluation not well suited for a clinic or community setting

A

objective

140
Q

A ___________ test is a formal evaluation where the client is asked to complete the task based on learning objectives

A

performance

141
Q

An ________ evaluation could be an unstructured observation of food selection and behaviors

A

informal

142
Q

_____________ of employee education and training is essential

A

documentation

143
Q

An __________ checklist should be used when training new employees; note the date and content of the training

A

orientation

144
Q

___________ ___________ is the intersection between nutrition, information, and technology.

A

Nutritional informatics

145
Q

__________ _________ includes things like electronic health records (EHR) and personal health records (PHR)

A

Nutritional Informatics

146
Q

HIPAA stands for the ______ ___________ __________ _____________ ___.

A

Health Insurance Portability and Accountability Act

147
Q

PHI stand for _________ ______ ___________.

A

Protected Health Information

148
Q

_____ ensures a patient’s right to their own health information, privacy, and confidentiality. Patients must be notified if their medical information is to be shared outside of the care process, or if protected information (address, email, income) is to be shared.

A

HIPAA

149
Q

The _______ ________ _______ ____ or PCMH focuses on the relationship between the patient and their personal physician. The physician takes responsibility for all aspects of health care for the patient and coordinates and communicates with other providers as needed. If specialty care is needed, the physician is responsible for ensuring that the transition is seamless. The RD should be considered part of the medical home treatment plan

A

Patient Centered Medical Home

150
Q

________ is the use of electronic information and technologies to support long distance clinical health care

A

Telehealth

151
Q

Home ______ services are used to check in on symptoms and measure vital signs

A

Telehealth

152
Q

______ for telehealth services varies among payers. Each payer determines the Current Procedural Terminology (CPT) codes hey will recognize for ________

A

reimbursement, reimbursement

153
Q

_______ coaching uses behavior change models and motivational interviewing (MI) It often involves some form of telehealth

A

Health

154
Q

_______ is when an RDN uses electronic information and technologies to implement the NCP with clients at a remote location within provision of their state license as applicable. Medicare Part B allows some services provided by RDNs to be offered via telehealth including MNT, diabetes self management training

A

Telenutrition

155
Q

The Academy of Nutrition and Dietetics Health ______ ______ tracks nutrition care outcomes and advances evidence based nutrition practice research

A

Informatics Infrastructure

156
Q

_____ ______ ______ (DOR) aggregates anonymous data available for outcomes research

A

Dietetics Outcomes Research

157
Q

________ is the presentation or amount of activity from Twitter, Facebook science blogs, mainstream news and other sources over time

A

Altmetrics

158
Q

____ and ________ ________ for _______ _______ FNDDS is used to analyze data from dietary surveys.

A

Food and Nutrient Database for Dietary Studies

159
Q

The ___’s Total Diet Study Database provides data on foods, minerals, and chemicals

A

FDA

160
Q

The ______ ________ _____ (NIH) provides a Dietary Supplements Database

A

National Institutes of Health

161
Q

Some major _____ and ______ management software for institutional use include Compnutrition, CBORD, Dietary Manager, ChefMax

A

Food and Nutrition

162
Q

______ policy requires interaction between the legislative, executive and judiciary branches of the government

A

Public

163
Q

The ______ branch (Congress, Senators, Representative) may introduce and enact a law and can override a veto by the executive branch.

A

Legislative

164
Q

The ________ branch (President) may veto legislation or sign it into law

A

executive

165
Q

The _______ branch may discard a law if it considers it in violation of a person’s basic rights and freedom

A

Judiciary

166
Q

______ begins as a bill or a resolution

A

Legislation

167
Q

The ____ is sent to committees which schedule public hearing where testimony is taken from the ____’s sponsors. An RDN can present views here or in the earlier planning stages,

A

Bill, bill

168
Q

The committee revises the ____ during a markup session and put into its final form. If approved, it is sent to the Rules Committee for debate

A

Bill

169
Q

A ____ needs approval from both houses (House of Representative and Senate) and the President

A

Bill

170
Q

Difference between the House and the Senate are worked out in a Joint House-Senate Conference Committee, ultimately passing a reconciliation ____

A

Bill

171
Q

An appropriations ____ must be passed to provide funding for a ____

A

Bill, bill

172
Q

A federal regulation interprets a ___ and provides details and rules that put the policy into effect. At this point the ___ is essentially enforced but is easier to change.

A

Law, law

173
Q

_______ are written by staff members of the agencies charged with enforcing the _______

A

Regulations, regulations

174
Q

The ____ _____ ________ (FTC) regulates content of food ads; enforces truth in labeling; challenges product claims when product crosses state lines

A

Federal Trade Commission

175
Q

The ____ and ___ _____________ (FDA) ensures safety of some domestic and imported food products

A

Food and Drug Administration

176
Q

The _______ ______________ __________ (FCC) licenses radio and TV

A

Federal Communications Commision

177
Q

The Federal ______ is responsible for notices of public hearings, proposed and final rules, agency decisions, is published weekly, and lists and changes in USDA food programs

A

Register

178
Q

The Congressional ______ provides information from the floor, does not have hearings but lists bills with sponsors and actions, is issued daily when congress is in session

A

Record

179
Q

The Congressional _____ provides a weekly update, identifies bills with sponsors and committees

A

Index

180
Q

_______ is an aggressive form of action; plead cause of a group

A

Advocacy

181
Q

________ are activities aimed at influencing public officials and legislators

A

Lobbying

182
Q

The _____ _________ _______________ covers NSLP, SBP, CACFP, SFSP, SMP, WIC

A

Child Nutrition Re-authorization

183
Q

The ____ ____ covers national and international nutrition education, research, and funding

A

Farm Bill

184
Q

The _____ _________ ___ funds nutrition programs in the community and those that are homebound

A

Older American Act