Chapter 2: Scope of Practice

Question 1

1. 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

Answer 1

The many disciplines that make up the healthcare system

Question 2

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

Answer 2

In a locked and secure location

Question 3

3. 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

Answer 3

Reliability and validity

Question 4

4. Common assessments performed by a Nutrition Coach include height, weight, body composition, and what other test?

SCOFF test

Blood pressure

Hydrostatic weighing

Anthropometric measurements

Answer 4

Anthropometric measurements

Question 5

5. 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

Answer 5

2

Question 6

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.

Answer 6

Refer her to a Certified Eating Disorder Specialist.

Question 7

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.

Answer 7

Recommend the client discuss supplement usage and dosing with their pharmacist or physician.

Question 8

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.

Question 9

9. 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.

Answer 9

Advise him to make an appointment with his personal physician.

Question 10

10. 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.

Answer 10

Refer her to a pharmacist or her physician.

Question 11

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.

Answer 11

Dietary Guidelines for Americans

Question 12

12. 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

Answer 12

Practical

Question 13

13. MISSIG QUESTION

Question 14

14. 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

Answer 14

Nutritional advice and behavioral modification

Question 15

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

Answer 15

Government-funded agencies

Question 16

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

Answer 16

Based on prior experience

Question 17

17.With which client would it be most appropriate for the Nutrition Coach to work?

Pre-diabetic

Post-heart attack

Alcoholic

Overweight

Answer 17

Overweight

Question 18

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

Answer 18

Clients with inconsistent weight loss and gain

Question 19

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

Answer 19

Overweight client who wants to train for a 10K

Question 20

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.

Answer 20

Refer to a certified personal trainer for a resistance training program.

Question 21

21. 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

Answer 21

Daily panic attacks

Question 22

22. 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

Answer 22

Chronic fatigue

Question 23

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.

Answer 23

Refer her to a chiropractor.

Question 24

24. 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.

Answer 24

Refer her to a Certified Diabetes Educator.

Question 25

25. 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.

Answer 25

Informally question her about common eating disorder traits/habits.

Question 26

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

Answer 26

Psychiatrist

Question 27

27. 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.

Answer 27

Refer her to a clinical psychologist.