Deck 35: Nutritional Counseling

Question 1

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

A) U.S. dietary guidelines
B) MyPlate
C) Registered dietitian
D) Registered dental hygienist

Answer 1

Registered dietitian

Question 2

Cheryl is a 17-year-old female 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

Answer 2

2400 kcal

Question 3

Use the following information to answer questions
Martha presents to the dental office for a new patient screening examination. In charting the patient's medical history, the dental hygienist notes that the patient is 5ft, 4 inches and weighs 155 lb.
BMI: 155 *703 ÷ 4096 = 26.60.
Based on her BMI, Martha would be considered which of the following?

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

Answer 3

Overweight

Question 4

If a liquid form of supplemental nutrition is indicated for clients after dental surgery, he or she should be educated on which of the following?

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

Question 5

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

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

Question 6

Use the following information to answer questions
Martha presents to the dental office for a new patient screening examination. In charting the patient's medical history, the dental hygienist notes that the patient is 5ft, 4 inches and weighs 155 lb.
BMI: 155 *703 ÷ 4096 = 26.60.
What is the Martha's body mass index (BMI)?

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

Question 7

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

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

Question 8

All of the following factors affect elderly adults' nutrient intake except:

A) dental caries.
B) lack of dental insurance.
C) convenience foods.
D) old age.

Question 9

During the oral assessment of a 46-year-old male client, the dental hygienist notes that the client's gums are swollen, spongy, and bleeding. Which of the following nutrients might be deficient in the client's diet?

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

Question 10

Mark is a 12-year-old male 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 11

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

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

Question 12

Mr. Matthews is a 71-year-old African American male who presents to 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
D) Consumes a lot of vegetable proteins

Question 13

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

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

Question 14

Louise is an 85-year-old female client that presents to the dental office with complaints of burning mouth? Which of the following vitamin deficiencies may be causing her to experience this oral discomfort

A) Folate
B) Pyridoxine (B₆)
C) Cyanocobalamin (B₁₂)
D) Niacin

Question 15

When treating the needs of a pregnant woman, a dental hygienist should do all of the following except:

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

Question 16

Use the following information to answer questions
Martha presents to the dental office for a new patient screening examination. In charting the patient's medical history, the dental hygienist notes that the patient is 5ft, 4 inches and weighs 155 lb.
BMI: 155 *703 ÷ 4096 = 26.60.
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) Not useful in determining if the client is underweight or overweight
D) Does not measure accurate weight in relation to height

Question 17

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 MyPlate.
D) Keep a set of measuring spoons on hand to demonstrate.

Question 18

Use the following information to answer questions
Martha presents to the dental office for a new patient screening examination. In charting the patient's medical history, the dental hygienist notes that the patient is 5ft, 4 inches and weighs 155 lb.
BMI: 155 *703 ÷ 4096 = 26.60.
What is the risk level involved with Martha's BMI?

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

Question 19

Which of the following is not a good choice for dietary counseling in the dental setting?

A) An individual who has recurrent decay
B) An individual who will be having periodontal surgery in a couple of weeks
C) An individual with a chronic disease condition
D) An older person who has newly fitted dentures

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) 0
B) 150
C) 350
D) 550

Question 22

The focus of nutritional counseling for children in the dental setting should be on:

A) proper toothbrushing technique.
B) importance of adequate calorie intake.
C) caries control.
D) minimizing fat in diet.

Question 23

Postoperative requirements increase after periodontal therapy due to increased catabolism and blood loss. Increased requirements are also recommended following scaling and root planing procedures.

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

Question 24

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

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

Question 25

Cecilia recently reported to the dentist for her 6-month recall appointment. During the dental charting, four new areas of interproximal decay were noted. The hygienist questioned Cecilia about changes in her oral hygiene or dietary patterns. Cecilia told the hygienist that she was a full time student at the local community college. She also commented that she had taken a part-time job to help her parents with college expenses. Due to her busy academic and work schedule, she does not have the opportunity to eat regular meals so she packs healthy snacks, such as baked chips, pretzels, and low-fat peanut butter on whole wheat sandwiches, to eat throughout the day. She also drinks lots of energy drinks to keep her going throughout the day. Which of the following factors could contribute to Maria's new areas of decay?

A) Frequency of intake
B) Form and consistency
C) Timing
D) Both a and c
E) Options a, b, and c

Question 26

For a client experiencing xerostomia, all of the following are recommended except:

A) use of sugar-free gums and candies.
B) chewing gum with xylitol.
C) frequent sips of flavored water.
D) moderate intake of diet sodas.

Question 27

All of the following would be recommended for a child under 2 years of age except:

A) good oral hygiene care.
B) fluoridation.
C) artificial sweeteners.
D) healthy snack choices.

Question 28

Which of the following would be wise food choices for the dental hygienist to recommend as snacks for young children because of their noncariogenicity?

A) Low-fat yogurt, apples, carrots, string cheese, and skim milk
B) Popcorn, oranges, saltine crackers, sports drinks, and dry unsweetened cereal
C) Peanut butter crackers and noncarbonated fruit drink
D) Fruit flavored tea and tortilla chips

Question 29

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 30

Nutritional counseling is recommended before oral surgery for all of the following reasons except:

A) increase resistance to infection.
B) help meet the catabolic stresses of surgery.
C) increase wound healing.
D) instruct to eat a typical diet in the first few days after surgery.