Deck 33: Nutritional Counseling

Question 1

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
When treating the needs of a pregnant woman,a dental hygienist should do all of the following except which one?

A) Make recommendations that the obstetrician may not have reinforced.
B) Emphasize the importance of eating nutrient-dense foods.
C) Encourage meticulous oral hygiene.
D) Encourage the use of prenatal supplements as recommended by the obstetrician.

Answer 1

Make recommendations that the obstetrician may not have reinforced.

Question 2

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
Mr.Matthews is a 71-year-old African American man who visits the dental office for his 6-month prophylaxis appointment.Which of the following dietary concerns common to African Americans could contribute to his dental health risk?

A) Foods are heavily spiced.
B) No unclean foods are consumed.
C) Lactose intolerance is prevalent.
D) A lot of vegetable proteins are consumed.

Answer 2

Lactose intolerance is prevalent.

Question 3

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
What is the main disadvantage of using BMI as a measurement tool?

A) Does not account for the desire to gain or lose weight
B) Does not measure lean tissue in relation to fat
C) Is not useful in determining if client is underweight or overweight
D) Does not measure accurate weight in relation to height

Answer 3

Does not measure lean tissue in relation to fat

Question 4

What is the recommended daily allowance (RDA)of calcium in a healthy young adult's diet?

A) 500 mg
B) 800 mg
C) 1000 mg
D) 1300 mg

Question 5

Mr.Jones is a 32-year-old man who is 6-feet 1-inch tall and weighs 190 pounds.He is scheduled for extraction of impacted third molars.What are Mr.Jones' protein requirements?

A) 86 to 129 g/kg/day
B) 69 to 86 g/kg/day
C) 129 to 172 g/kg/day
D) 172 to 215 g/kg/day

Question 6

All of the following factors affect elderly adults' nutrient intake except which one?

A) Dental caries
B) Lack of dental insurance
C) Convenience foods
D) Old age

Question 7

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
Based on her BMI,Martha would be considered which of the following?

A) Healthy
B) Overweight
C) Obese
D) Underweight

Question 8

Which of the following is not recommended for nutritional counseling in the oral care setting?

A) Use plastic examples of food.
B) Provide nutritional counseling in the same area prophylaxis is performed.
C) Provide brochures about Dietary Guidelines and MyPyramid.
D) Keep a set of measuring spoons on hand to demonstrate.

Question 9

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
What is the risk level involved with Martha's BMI?

A) Acceptable range
B) Nutritional risk
C) At risk for obesity or health problems
D) Major health risk

Question 10

Development of a comprehensive meal plan to meet individual needs of dental patients can be provided only by which of the following?

A) U.S.Dietary Guidelines
B) MyPyramid
C) Registered dietitian
D) Registered dental hygienist

Question 11

Which of the following foods is considered to be a good source of vitamin A?

A) Milk
B) Carrots
C) Spinach
D) Sweet potatoes

Question 12

Which of the following nutrients is produced in the large intestine?

A) Vitamin A
B) Vitamin D
C) Vitamin E
D) Vitamin K

Question 13

The total energy output of a body at rest after a 12-hour fast in a room of comfortable temperature is a measure of the number of calories required to maintain body weight,known as which of the following?

A) Resting energy expenditure
B) Basal energy expenditure
C) Total daily energy expenditure
D) Direct calorimetry

Question 14

Cheryl is a 17-year-old girl who is an all-star long-distance runner on her high school track team.What is her recommended energy intake?

A) 1800 kcal
B) 2200 kcal
C) 2400 kcal
D) 2600 kcal

Question 15

If a liquid form of supplemental nutrition is indicated for a client after dental surgery,the client should be educated regarding which of the following?

A) High protein content
B) High sugar content
C) High fat content
D) Increased risk of gastrointestinal disturbances

Question 16

Mark is a 12-year-old boy with cystic fibrosis.Malabsorption of fat is a side effect of this condition.As a result,deficiency of the fat-soluble vitamins must be closely monitored and treated.This would be an example of which of the following?

A) Primary nutrient deficiency
B) Secondary nutrient deficiency
C) Tertiary nutrient deficiency
D) Systemic nutrient deficiency

Question 17

Elderly adults have a higher protein requirement because of which of the following?

A) Decrease in lean body mass
B) Decrease in calorie needs
C) Increase in lean body mass
D) Increase in calorie needs

Question 18

CASE STUDY
Martha visits the dental office for a new-patient screening examination.In charting the patient's medical history,the dental hygienist notes that the patient is 5-feet 4-inches tall and weighs 155 pounds.
What is the Martha's BMI?

A) 24
B) 27
C) 40
D) 25

Question 19

During the oral assessment of an elderly client,the dental hygienist notes that the client's gums are swollen,spongy,and bleeding.Which one of the following nutrients might be deficient in the client's diet?

A) Vitamin B₁₂
B) Folacin
C) Vitamin C
D) Riboflavin

Question 20

Which of the following nutrients is not necessary for adequate maintenance of bone growth and mineralization?

A) Vitamin D
B) Magnesium
C) Phosphorus
D) Calcium

Question 21

During pregnancy a woman's caloric needs increase by approximately how many calories per day?

A) No extra calories are required.
B) 150 calories
C) 350 calories
D) 550 calories

Question 22

Nutritional counseling for dental caries prevention targets which of the following?

A) Consumption of nutrient-dense foods
B) Decreased consumption of fermentable carbohydrates
C) Proper toothbrushing technique
D) Regularity of flossing

Question 23

Energy needs increase for the elderly;nutrient needs increase as well.

A) The first statement is true;the second statement is false.
B) The first statement is false;the second statement is true.
C) Both statements are false.
D) Both statements are true.

Question 24

All of the following would be recommended for a child under 2 years of age except which one?

A) Good oral hygiene care
B) Fluoridation
C) Artificial sweeteners
D) Healthy snack choices

Question 25

The focus of nutritional counseling for children in the dental setting should focus on which of the following?

A) Proper toothbrushing technique
B) Importance of adequate calorie intake
C) Caries control
D) Minimizing fat in diet