Deck 12: Providing Nutrition Services in Public Health Primary Care

Question 1

The most common nutrition-related diagnoses in primary care are hypertension, diabetes, normal pregnancy, heart disease and disorders of the lipid metabolism.

Answer 1

True

Question 2

Multiple factors hamper nutrition counseling as a part of primary care.

Answer 2

True

Question 3

The Put Prevention into Practice is a national program designed to better deliver preventative services.

Answer 3

True

Question 4

Under the Affordable Care Act nutrition services could not be included in preventative care.

Question 5

Time constraints and nutrition knowledge prevent some physicians from delivering nutrition counseling to clients.

Question 6

Reimbursement for medical nutrition therapy for RDs has few barriers.

Question 7

Disease Management Programs were created to help cut medical costs.

Question 8

In a PPO an insured person needs a referral to see a physician in their network.

Question 9

Medicare is available to Americans 55 and over.

Question 10

There are more options for the homeless to get housing than in previous years.

Question 11

Chapter 12 is focused on the delivery of primary care. Which of the following statements is MOST accurate in describing primary care?

A) Primary care is comprehensive, preventative, and personal to the patient, but not something that is continuous throughout the life span.
B) Primary care may include registered dietitian nutritionists, dentists, social workers, and physicians, though physicians are the only necessary component.
C) Primary care is collaborative, both between various healthcare practitioners and between healthcare practitioners and the patient.
D) Primary care can be administered in public and/or private outpatient clinics, emergency rooms, addiction treatment centers, and also in the comfort of the patient's home.

Question 12

In educating patients on nutrition practices, physicians or RDNs can save time and maintain effectiveness by utilizing which of the following combinations of tools and/or strategies:

A) Telenutrition and photocopied excerpts from a nutrition textbook
B) Shared medical appointments, followed by weekly individual appointments with the RDN to further target problem areas.
C) Professional journal articles so that patients can understand the research behind the recommendations and individualized appointments with the RDN.
D) Telenutrition and concise, creative messaging that highlights main messages.

Question 13

Mrs. Cooper is 66 years old and receives Medicare assistance. Because of the Affordable Care Act, Mrs. Cooper is eligible for additional preventative services at no cost. Mrs. Cooper is considered obese with a BMI of 35, but does not have kidney disease and suspects she might have diabetes, though it has never been diagnosed. Which of the following set of services are available to Mrs. Cooper at no charge?

A) Intensive group behavioral therapy for obesity and an oral health risk assessment
B) Osteoporosis screening and intensive group behavioral therapy for obesity
C) Dialysis support and alcohol misuse screening and counseling
D) Diabetes self-management training and cholesterol screening

Question 14

American Indians and Alaskan Natives are especially susceptible to developing type 2 diabetes. The Indian Health Service (IHS) provides support of interventions to help those at-risk or living with diabetes. Based on what is known about best practices in working with this population, which of the following would be MOST effective for prevention of type 2 diabetes?

A) Engaging family, including caregivers, in planning for healthy eating and fitness activities for at-risk or diagnosed youth.
B) Screening for obesity in youth, but not in those that are overweight as they are not considered high risk.
C) Advocating for breast-feeding during the entire first year of life and longer, if able, for all postpartum women.
D) Collaborating with healthcare teams and educators to develop a school-based diabetes prevention program since that is where children are most of the day.

Question 15

As was discussed in Chapter 12, homeless populations have specialized healthcare needs. All of the following needs to be considered in providing primary care to the homeless EXCEPT:

A) Provision of intensive weight loss counseling with a physical activity component.
B) Availability of mental health services
C) Providing information about Supplemental Nutrition Assistance Program (SNAP) benefits since you can participate in SNAP without a permanent address.
D) Prevention of communicable diseases, such as HIV/AIDS

Question 16

Providers of primary care include all of the below except:

A) Allopathic physicians or medical doctors (MDs) and osteopathic physicians or doctors of osteopathy (DOs)
B) Physician assistants (PAs)
C) Nurse practitioners (NPs)
D) Nutritionists/registered dietitians (RDs)
E) All are providers of primary care

Question 17

The most common nutrition-related diagnoses in 2000 were all of the following except:

A) Urinary tract infections
B) Essential hypertension
C) Routine infant or child health check
D) Type 2 diabetes mellitus
E) Normal pregnancy

Question 18

Primary care of newborns includes all of the following except:

A) Screening for PKU, sickle cell
B) Measuring head circumference periodically from birth to 2 months
C) Measuring height and weight periodically from birth to 18 years
D) Screening for anemia and lead blood levels at 1 year
E) Measuring urine specific gravity

Question 19

Physician confidence and skills in nutrition knowledge and counseling is deficient because of:

A) Physician's time constraints
B) Cost
C) All of the above
D) None of the above

Question 20

Representative public health nutrition programs in primary care settings include all of the following except:

A) YMCA
B) Community Health Centers
C) Migrant Health Program
D) Public Housing Primary Care Program

Question 21

The most common nutrition-related diagnoses in primary care are hypertension, diabetes, normal pregnancy, heart disease, and ______________________.

A) Colon cancer
B) Disorders of the lipid metabolism
C) Osteoporosis
D) Arthritis

Question 22

Multiple factors hamper _______________ as a part of primary care.

A) Radiology
B) Nutrition counseling
C) Biochemical tests
D) None of the above

Question 23

The Put Prevention into Practice is a national program designed to better deliver _________________.

A) Congregate meals
B) Home meals
C) Preventative services
D) None of the above

Question 24

Under ___________, some nutrition services were included in preventative care.

A) Affordable Care Act
B) Democratic primary
C) Clinton Act
D) None of the above

Question 25

Time constraints and nutrition knowledge prevent some physicians from delivering _____________ to clients.

A) Dermatology services
B) Nutrition services
C) Dentistry
D) None of the above

Question 26

Currently, Katherine does not have health coverage; however, because she is low income, pregnant, and works for a small business that does not provide health care coverage, which of the following two insurance options is viable for Katherine, even if a small fee is required?

A) Medicare Part B or an HMOs
B) HMOs or private insurance through the healthcare.gov marketplace
C) Medicaid or private insurance through the healthcare.gov marketplace
D) Medicare + Choice (M +C) or Medicare Part B

Question 27

The physician working with Katherine refers her to a dietitian at the health center who only works part-time. Coordinating Katherine's schedule with the dietitian's has been very difficult. Which of the following is the BEST option for Katherine so that she can learn more about how to improve her nutrition status during pregnancy?

A) An online telenutrition session with the RDN.
B) A shared medical appointment with expectant moms at the health center, offered four times weekly.
C) RDN will visit Katherine at her home at Katherine's convenience
D) Katherine can miss work to meet with the RDN because it is so important.

Question 28

Katherine learns that the new community health center in her neighborhood was funded by a grant from the government. Which government agency and division likely funded this health center?

A) Health Resources and Services Administration: Bureau of Primary Health Care
B) Centers for Disease Control and Prevention: National Center for Chronic Disease Prevention and Health Promotion.
C) United States Department of Agriculture: Food and Nutrition Service
D) Agency for Healthcare Research and Quality: Center for Quality Improvement and Patient Safety

Question 29

The Patient Care and Affordable Care Act (ACA) made it possible for adults, women, and children to receive certain nutrition-related preventative services for free. Based on what we know about Katherine's current health status and her health goals, which of the following group of services should Katherine consider receiving FIRST:

A) Obesity screening and counseling, osteoporosis screening and cholesterol screening
B) Gestational diabetes screening, breast-feeding comprehensive support and counseling, and anemia screening
C) Obesity screening and counseling, diabetes (type 2) screening for those with high blood pressure, and alcohol misuse screening and counseling
D) Alcohol misuse screening and counseling, cholesterol screening, and gestational diabetes screening

Question 30

Katherine learns that there may be additional services available to her as part of the Public Housing Primary Care (PHPC) Program. Which of the following statements is MOST accurate in describing the PHPC Program?

A) PHPC granted health centers use an integrated model to delivering primary health care, health promotion and disease prevention, but are not able to help residents with establishing eligibility for assistance.
B) PHPC grantees provide primary healthcare services, but this does not typically include dental care.
C) One goal of the PHPC is to provide training and funding for public housing residents who want to become nurses.
D) The mission of PHPC is to provide accessible, comprehensive healthcare and supportive service of which the Women, Infants, and Children (WIC) program may be one example.