Deck 13: Healthy Aging: Nutrition Assessment,Services,and Programs

Question 1

There is no cost to the participant for meals provided through the Older Americans Nutrition Program funding.

Answer 1

True

Question 2

The most important goal of health promotion and disease prevention for adults as they age is maintaining health and functional independence.

Answer 2

True

Question 3

Life expectancy has risen,in part,due to better prenatal and postnatal care.

Answer 3

True

Question 4

The Supplemental Nutrition Assistance Program was designed to specifically assist the older population.

Question 5

Many long-term care residents are at risk for malnutrition and dehydration.

Question 6

Malnutrition secondary to chronic diseases is fairly common in the older population.

Question 7

The Meals on Wheels Program is a part of the Older Americans Nutrition Program.

Question 8

Seniors interviewed in focus groups have shown no interest in changing their eating behaviors.

Question 9

Nationwide about half of all seniors live in rural areas.

Question 10

The life expectancy for women doesn't vary with race or ethnicity.

Question 11

Polypharmacy,which is the tendency to purchase drugs at more than 3 stores,is problematic for many older adults.

Question 12

In 2009,no state met the Healthy People 2010 targets for fruit or vegetable consumption.

Question 13

Title III nutrition programs are required to provide nutrition education to their clients quarterly.

Question 14

The older population is very heterogeneous in terms of their progression through the aging process.

Question 15

The Healthy People 2010 objectives for fruit,vegetable,and grain consumption among adults showed little or no progress.

Question 16

The number of older adults (aged 65+)in the U.S.is expected to _____ 2030.

A) increase by 50% by
B) nearly double by
C) increase by 200% or triple by
D) stay the same until

Question 17

Although used frequently as a nutrition screen for older adults,The Mini Nutritional Assessment is not validated and is biased towards Nestle products.

Question 18

For adults over 50,health promotion efforts should seek to preserve independence,productivity,and personal fulfillment.

Question 19

The maximum age at which people die has

A) increased dramatically.
B) decreased dramatically.
C) changed very little.
D) decreased slightly.

Question 20

Though optimal nutrition contributes to healthy aging,approximately one-quarter of all elderly patients suffer from malnutrition.

Question 21

The drugs most widely used by the elderly are those that treat

A) arthritis pain.
B) gastrointestinal problems.
C) respiratory diseases.
D) cardiac disorders.

Question 22

The Mini Nutrition Assessment was

A) designed to replace the use of the Nutrition Screening Initiative checklist.
B) developed by the USDA as a part of the Older Americans Act.
C) designed to address both functional ability and self-perception of health status.
D) validated for use only on older adults.

Question 23

The functional assessment component of a nutrition status assessment of the elderly measures

A) liver function.
B) cardiac output.
C) activities of daily living.
D) risk of malnutrition.

Question 24

Which of the following statements is true regarding the nutrient needs of older Americans?

A) Calorie needs tend to increase.
B) The need for vitamin C decreases.
C) Consumption of nutrient-dense foods is critical.
D) Calcium need remains steady.

Question 25

People over age 74 will comprise nearly _____ percent of the total U.S population by the year 2030.

A) 4
B) 12
C) 22
D) 50

Question 26

Reduced stomach acidity impairs the absorption of each of the following except

A) iron.
B) vitamin B₁₂.
C) calcium.
D) magnesium.

Question 27

Which of the following is not an effect of aging?

A) Altered sensory perception
B) Decreased elasticity of blood vessels with calcification
C) Degeneration of joints
D) Increased renal blood flow

Question 28

Physiological risk factors influencing the nutritional status of older adults include all of the following except

A) loneliness and depression.
B) lack of appetite and polypharmacy.
C) oral health problems and physical disability.
D) chronic disease and alcohol abuse.

Question 29

As _____ prevention,nutrition helps promote health and affects the quality of life in older adults.

A) primary
B) secondary
C) tertiary
D) essential

Question 30

As stated in the Healthy People 2010 Final Report,since 2000 the behaviors of older adults related to fruit,vegetable,and grain consumption,physical activity,and fitness have

A) declined significantly.
B) improved significantly.
C) declined slightly.
D) not changed.

Question 31

Which of the following is not characteristic of baby boomers?

A) Boomers have the power to change the marketplace.
B) Boomers are not pressed for time.
C) Boomers make decisions based on personal beliefs.
D) Boomers like nostalgia.

Question 32

Which of the following represent activities of daily living (ADLs)?

A) Bathing, dressing, and food preparation
B) Housekeeping, managing money, and shopping
C) Eating, bathing, and getting out of bed
D) Grooming, dressing, and using the phone

Question 33

Which of the following is an example of tertiary prevention?

A) Health fair
B) Grocery store tour
C) Medical nutrition therapy
D) Cholesterol screening

Question 34

Which of the following would be at the highest risk for drug-nutrient interactions?

A) Sam, the butcher who takes an aspirin a day
B) Alice, the housekeeper who is on an estrogen patch and a blood thinner
C) Mike, an architect who takes three different herbal supplements as well as a vitamin C megadose
D) Carol, the underweight, stay-at-home mom who has breast cancer and is on several chemotherapy medications and herbal supplements

Question 35

The major features of the modified MyPyramid for Older Adults include

A) fewer whole foods.
B) the addition of medications.
C) the addition of reduced-lactose alternatives to the milk group.
D) a de-emphasis on physical activity due to their frailty.

Question 36

Which of the following statements is not true of most older adults?

A) They are very heterogeneous.
B) They are fully independent.
C) They age at different rates.
D) They live in nursing homes.

Question 37

As _____ prevention,nutrition can lessen risks from chronic diseases.

A) primary
B) secondary
C) tertiary
D) essential

Question 38

_____ percent of older adults currently live in nursing homes.

A) 4.1
B) 7.5
C) 11.2
D) 17.7

Question 39

Which of the following represent instrumental activities of daily living (IADLs)?

A) Bathing, dressing, and food preparation
B) Housekeeping, managing money, and shopping
C) Eating, bathing, and walking
D) Grooming, dressing, and using the phone

Question 40

Which of the following is not a funding source for the Older Americans Nutrition Program?

A) Administration on Aging
B) Department of Health and Human Services
C) Social Security Administration
D) All are sources

Question 41

Describe three government-funded community nutrition programs that are intended to provide nutrition assistance to older adults,including their purpose,types of assistance offered to clients,and eligibility requirements.

Question 42

What is the main difference between the home-delivered meals offered by the Older Americans Nutrition Program and the Meals on Wheels Association of America program?

Question 43

The eligibility requirements for receiving meals at a congregate feeding site include

A) being over 60 years of age.
B) economic hardship.
C) medical disability.
D) nutritional risk.

Question 44

Describe four specific risk factors and four major indicators of poor nutrition status in older adults as identified by the Nutrition Screening Initiative.

Question 45

Which of the following nutrition education programs relies on the Healthy Aging Guidebook and encourages older adults to take simple steps for better health?

A) Go4Life
B) You Can! Steps to Healthier Aging
C) Eat Better & Move More
D) Eat Smart, Live Strong

Question 46

Based on the Modified MyPyramid for Older Adults and Choose My Plate guidance,write a sample diet (including serving sizes)for one day.

Question 47

Why do Okinawans enjoy one of the longest life spans of anyone on earth?

Question 48

Which of the following is not a nutritional risk factor(s)considered diagnostic for the need for assistance among older adults?

A) Depression or loneliness
B) Low income
C) Shopping difficulties
D) Widowhood

Question 49

What is the difference between life expectancy and maximum life span?

Question 50

Evaluation of the Older Americans Nutrition Program documented all of the following except

A) improved dietary intake.
B) improved socialization.
C) less food insecurity.
D) better adherence to special diets.

Question 51

Identify some of the characteristics of baby boomers and describe how they could be incorporated into a nutrition education program for this target group.

Question 52

Describe the demographic trends in aging in America and the potential impact on health care services.

Question 53

List the national goals for health promotion for adults.

Question 54

Current OANP legislation makes meals available to seniors _____ week.

A) at least 3 days a
B) at least 4 days a
C) at least 5 days a
D) every day of the

Question 55

Reasons why older adults do not participate in the Supplemental Nutrition Assistance Program include all of the following except

A) most are not eligible to participate.
B) the stigma of receiving assistance.
C) confusing paperwork.
D) lack of public information about eligibility requirements.

Question 56

Discuss the various components of a thorough nutrition assessment for older adults.

Question 57

The goals of the Older Americans Nutrition Program are to provide all of the following except

A) low-cost, nutritious meals.
B) transportation services.
C) blood cholesterol screening.
D) nutrition education and shopping assistance.

Question 58

A typical Title III meal pattern would include which of the following?

A) 3 oz meat or meat alternative
B) 2 half-cup portions of fruits and vegetables
C) 1 tsp of butter or margarine
D) a and b
E) a, b, and c

Question 59

What improvements would you recommend to enhance the ability of the Older Americans Nutrition Program to meet the needs of those who are eligible to receive its benefits?

Question 60

How do the leading causes of death among adults vary as we age?

Question 61

Use the following case scenario to answer short answer items. You have been asked to serve as a nutrition education consultant for your county's Older Americans Nutrition Program.
Based on your knowledge of the nutritional needs of the older adult,what might be the focus areas of your nutrition education efforts?

Question 62

What are some concluding statements regarding adult fruit and vegetable consumption patterns?

Question 63

What is the Mini Nutritional Assessment?

Question 64

Use the following case scenario to answer short answer items. You have been asked to serve as a nutrition education consultant for your county's Older Americans Nutrition Program.
What basic information would you need to know about your county's older adults?

Question 65

Use the following case scenario to answer short answer items. You have been asked to serve as a nutrition education consultant for your county's Older Americans Nutrition Program.
How could you specifically incorporate the Modified MyPyramid for Older Adults into a lesson?

Question 66

Use the following case scenario to answer short answer items. You have been asked to serve as a nutrition education consultant for your county's Older Americans Nutrition Program.
How might the nutrition information be shared?

Question 67

List three environmental and three socioeconomic factors that specifically influence the nutrition status of older adults.