FSN 416 part 2 – Flashcards
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body mass index (BMI)
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an index of a person's weight in relation to height that correlates with total body fat content.
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central obesity
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characterized by an "apple-shaped" body with large fat stores around the abdomen: a strong risk factor for type 2 DM, CVD, and other problems.
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central adiposity
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aka android fat, "apple shaped"
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gynoid fat
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"pear shaped"
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waist circumference
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a measure used to assess abdominal fat
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metabolic syndrome
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a syndrome associated with development if type 2 DM and CVD and is defined by abdominal values of three of the following indicators: waist circumference, serum TGs, HDL-CH, BG, and BP
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obesogenic
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obesity promoting
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basal metabolic rate (BMR)
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rate at which body expends energy to support metabolism
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food security
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access by all people at all times to sufficient food for an active and healthy life.
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food insecurity
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limited or uncertain ability to acquire or consume an adequate quality of sufficient quantity of food in socially acceptable ways
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poverty
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the state of having too little money to meet minimum needs for food, clothing, and shelter
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food pantry
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usually attached to existing nonprofit agencies, a food pantry distributes bags or boxes of groceries to people experiencing food emergencies. Often require referrals or proof of need.
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entitlement program
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a government program that provides cash, commodities, or service to all qualifying low-income individuals or households ex: SNAP
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commodity supplemental food program (CSFP)
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direct food distribution program, intended to improve the health and nutritional status of low-income pregnant and breastfeeding woman, other new mothers up to one year postpartum, infants, children up to age six, and older adults at least 60 yrs of age *note participants are NOT eligible for both this and WIC
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the emergency food assistance program (TEFAP)
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provides commodity foods to state distributing agencies, typically food banks, which distribute food to public through soup kitchens and food pantries *this is NOT disaster relief
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nutrition services incentive program (NSIP)
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established by Older Americans Act in 1974 as a program for elderly, provides grant funding to states, territories, and eligible tribal organizations, used exclusively to purchase foods
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food distributor disaster assistance
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provides food to state relief agencies and organizations i.e. Red Cross, Salvation Army in times of emergency such as: natural disasters, civil disturbances, hurricanes, earthquakes, tornadoes, floods, and severe winter storms
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national school lunch program (NSLP), school breakfast program (SBP)
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schools get cash subsidies, but must meet specified national guidelines
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after school snack program
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expansion of NSLP
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special milk program (SMP)
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encourages fluid milk consumption by providing cash reimbursement or each half-pint of milk served to children in schools and child care institutions
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summer food service program for children and seamless summer option (SFSP)
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extension of NSLP to extend during summer vacation when school is out
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child and adult care food program (CACFP)
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helps public and private nonresidential child and adult day care programs to provide nutritious meals for children up to age 12, older adults, and certain people with disabilities
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special supplemental nutrition program for Women, Infants, and Children (WIC)
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provides supplemental foods to infants, children up to age five, pregnant, and breastfeeding, and non-breastfeeding postpartum women who qualify financially and are at nutritional risk, NOT an entitlement program, but a federally funded program
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WIC farmers' market nutrition program (FMNP)
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provides from farmers' markets fresh fruits and veggies to low-income, at risk women, infants, and children and expand the aware and use of farmers' markets and increase sales
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older americans act (OAA) nutrition program
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formerly known as elderly nutrition program (Title III) was intended to improve older adults nutritional status and enable them to avoid medical problems, continue living in communities of their choice and stay out of institutions. Goals are to provide low-cost, nutritious meals, opportunities for social interaction, nutrition education and shopping assistance, counseling and referral to other services, and transportation services *one of these programs is the congregate meals program *another is the home delivered meals program all persons 60 or older (and spouses of any age) are eligible regardless of income
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senior farmers' market nutrition program (SFMNP)
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low-income older adults are provided coupons (worth not less than $20 per year or more than $50 per year) that can be used to purchase fresh fruit and veggies at farmers' markets, roadside stands, and community supported agriculture programs
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feeding America
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a national network hunger-relief organization to which the majority of food banks belong
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prepared and perishable food program (PPFP)
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a nonprofit program that helps feed people in need by linking sources of unused, unserved cooked ad fresh food- such as caterers, restaurants, hotel kitchens, and cafeterias- with social service agencies that serve meals to people who would otherwise go hungry
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community food security
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the development and enhancement of sustainable, community-based strategies to ensure that all persons in a community have access to culturally acceptable, nutritionally adequate food through local nonemergency sources at all times
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food recovery
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activities such as salvaging perishable produce from grocery stores, rescuing surplus prepared food from restaurants and caterers, and collecting nonperishable food from manufacturers, supermarkets, or people's homes. The recovered items are donated to hungry people.
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gleaning
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the harvesting of excess food from farms, orchards, and packing houses to feed the hungry
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infant mortality rate (IMR)
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infant deaths under 1 year of age, expressed as the number of such deaths per 1,000 live births
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low birthweight (LBW)
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a birthweight of 5 lbs or less, used as a predictor of poor health in the newborn and as a probable indicator of poor nutritional status of the mother during and/or before pregnancy
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very low birthweight (VLBW)
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less than 3 lbs., 4 ounces
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maternal mortality rate
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women's deaths assigned to causes related to pregnancy, expressed as the number of such deaths per 100,000 live births
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failure to thrive
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inadequate weight gain of infants
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WIC foods
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not only address specific nutritional deficiencies but also focus on "foods that promote the halt of the population served, as indicated by relevant nutrition science, public health concerns, and cultural eating patterns"
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healthy eating index (HEI)
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a summary measure of the quality of one's diet. HEI provides an overall picture of how well one's diet conforms to the Dietary Guidelines for Americans.
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disability
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any restriction on or impairment in performing an activity in the manner or within the range considered normal for a human being
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polypharmacy
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the taking of three or more medications regularly; occurs in one-third of those over 65 years of age
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activities of daily living (ADLs)
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bathing, dressing, grooming, transferring from bed or chair, going to the bathroom (toiling), and feeding oneself
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instrumental activities of daily living (IADLs)
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food preparation, use of telephone, housekeeping, laundry, use of transportation, responsibility for medication, managing money, and shopping
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DETERMINE the warning signs of poor nutrition
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Disease Eating poorly Tooth loss or mouth pain Economic hardship Reduced social contact Many medicines Involuntary weight loss or gain Needs assistance in self care Elder years above age 80
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the highest identified reason for food insecurity and hunger is ______.
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Poverty
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what are the five components of food security?
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quantity, quality, suitability, social, psychological
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what is the number one contributor to homelessness?
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unemployment
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congress first established the federal government's authority to buy and distribute excess food commodities in what year?
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1930s (great depression)
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national school lunch act was established in what year?
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1946
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What five programs account for 95% of federal food assistance funds?
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WIC, SNAP, NSLP, SBP, Child and Adult Care Food Program (CACFP)
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who are food insecure in the US?
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the poor, the working poor, the young, ethnic minorities (black & hispanic), older adults, inner-city and rural dwellers, certain southern and western states, many farmers, and the homeless
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What are items that cannot be purchased by recipients using an EBT card (SNAP benefits)?
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food eaten in the store, alcohol, tobacco, ready-to-eat hot foods, vitamins or medicines, pet foods, cleaning items, or nonfood items (except seeds and garden plants)
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what does EBT stand for?
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electronic benefits transfer card
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Infant deaths under 1 year of age per 1000 live births is _____?
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Infant mortality rate (IMR)
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Can head circumference measures can help detect protein-energy malnutrition (PEM)? TRUE or FALSE
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TRUE
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The Obesity Prevention Program's goal is to lose weight over time through lifestyle changes, behavioral therapy, and clinical therapy? TRUE or FALSE
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FALSE
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what is the leading cause of post neonatal mortality in the US?
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Sudden infant death syndrome (SIDS)
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Three categories of nutrition assessment and monitoring during pregnancy are:
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preconception care, the initial prenatal visit, and subsequent prenatal visits
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Pregnancy assessments should include:
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dietary measures, clinical measures, anthropometric measures, and laboratory values
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The official poverty thresholds are simplified measures of poverty guidelines and are used for administration of federal food assistance program funds. TRUE or FALSE
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FALSE
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People living below the poverty threshold experience food insecurity and hunger greater than ___ times the national average.
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three
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A job that pays minimum wage lifts a family above the federal poverty threshold. TRUE or FALSE
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FALSE
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Currently, the benefit allotments for those participating in the Supplemental Nutrition Assistance Program are sufficient to meet the nutritional needs of the family. TRUE or FALSE
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FALSE
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The proportion of income spent on _____ by economically stressed families is used as the basis for the current poverty thresholds.
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food
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Which of the following statements is FALSE? a. Non-Hispanic black and Mexican-American children are more likely than non-Hispanic white children to be poor, food insufficient, and in poor health b. The median income of black and Hispanic households is higher than that of white households. c. National data reveal a marked disparity of hardship among racial and ethnic groups. d. All of these statements are TRUE.
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The median income of black and hispanic households is higher than that of white households.
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Which of the following programs is NOT administered by the Food and Nutrition Service of the USDA? a) Child and Adult Care Food Program b) Older Americans Act Nutrition Program c) Supplemental Nutrition Assistance Program d) Commodity Supplemental Food Program
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B) older americans act nutrition program
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The majority of SNAP recipients are: a. Children and older adults (>60y) b. Homeless & older adults (>60y) c. Children and adults (<60y) d. Single parent households
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c. Children and adults (<60 years old)
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Which of the following is NOT a key provision(s) of the Personal Responsibility and Work Opportunity Reconciliation Act? a. It established the Temporary Assistance for Needy Families Program. b. It requires states to enforce a strong child support program for collection of child support payments. c. It tightens national standards for SNAP benefits and commodity distribution. d. It provides food assistance through the distribution of food commodities.
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d. It provides food assistance through the distribution of food commodities
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Eligibility and allotments for the SNAP are based on all of the following, EXCEPT:
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age
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Children whose families participate in the Supplemental Nutrition Assistance Program are automatically eligible to receive free meals in the ___. a. Fruit & Vegetable Pilot Program b. WIC Program c. Older Americans Act Nutrition Program d. National School Lunch Program
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d. National School Lunch Program (NSLP)
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Approximately ___% of children participating in the NSLP receive their meals for free. a. 29 b. 37 c. 56 d. 69
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c. 56%
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WIC food vouchers for supplemental foods are designed to provide all of the following specific nutrients EXCEPT: a. Riboflavin b. Vitamin C c. Calcium d. Iron
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a. riboflavin
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Which of the following statements is FALSE? a. Private food assistance programs exist to supplement the federal programs. b. Meals served under the Older Americans Act Nutrition Program must provide at least 1/3 of the recommended intakes established by the Food and Nutrition Board. Incorrect c. Households with children experience greater rates of food insecurity and hunger than households without children. d. People who live with chronic hunger might have access to food, but they are lacking in nutrients. e. Typically, the northeastern states have rates for food insecurity and hunger that are higher than the national average.
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e. Typically, northeastern states have rates for food insecurity and hunger that are higher than the national average.
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Generally, food pantries and soup kitchens are funded by private organizations and concerned citizens. TRUE or FALSE
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TRUE
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The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) summarizes key aspects of:
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establishes TANF, changes eligibility standards for Supplemental Social Security Income (SSI) child disability benefits, requires states to enforce a strong child support program for collection of child support payments, restricts aliens' eligibility for welfare and other public benefits, provides resources for foster care data systems and national child welfare study, establishes a block grant to states to provide child care for working parents, alters eligibility criteria and benefits for child nutrition programs, and tightens standards for Supplemental Nutrition Assistance Program (SNAP) benefits and commodity distribution
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The infant mortality rate (IMR) in the US is one of the highest in IMRs in industrialized countries? TRUE or FALSE
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TRUE
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Improving folate intake in pregnant woman would best be categorized under which objective focus? a) incidence of developmental disability b) mortality c) risk factors
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a) incidence of developmental disability
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healthy people 2010 had little to no improvement on the objectives? TRUE or FALSE
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TRUE
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The highest rate of infant mortality within the first year of life is among adolescent mothers specifically those less than 15 yo. TRUE or FALSE
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TRUE
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Infants need more than _____ as much of many nutrients.
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twice
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one of the best indicators of the nations health is the infant mortality rate (IMR). TRUE or FALSE
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TRUE
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the leading causes of death of among infants include:
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birth defects, preterm delivery and low birthweight (LBW), sudden infant death syndrome (SIDS), and maternal complications during pregnancy
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Birth weight and gestation are the primary indicators of the infant's future health status. TRUE or FALSE
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TRUE
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24% of woman of childbearing age are consuming the recommended 400 mcg of folate/d. TRUE or FALSE
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TRUE
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adolescents and African American woman are at risk for have LBW infants. TRUE or FALSE
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TRUE
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Infants birthweight doubles during the first 4-6 months and triples by the end of the first year. TRUE or FALSE
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TRUE
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After 6 mos of age, introduction of solid foods can begin? TRUE or FALSE
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TRUE
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excessive weight-for-length (above 95th percentile) indicates obesity. TRUE or FALSE
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TRUE
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Weight-for-length (below the 5th percentile) indicates FTT. TRUE or FALSE
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TRUE
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A pre-milk substance containing antibodies and white cells from the mother's blood.
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Colostrum
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Colostrum and breast milk both contain which bacteria?
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the bifidus factor --> specifically Lactobacillus bifidus
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Breast milk also contains a powerful antibacterial agent called..
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lactoferrin
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non-hispanic black and socioeconomically disadvantages groups have the lowest breastfeeding rates. TRUE or FALSE
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TRUE
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What are the two most significant nutrition-related problems in infants?
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Iron deficiency and food allergies
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What is the most significant factor affecting an infant's susceptibility to food allergies?
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genetics
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Major food allergens are:
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eggs, milk, wheat, fish, shellfish, soy, peanuts, tree nuts
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An infant mortality rate of 5 per 1000 means that: a. 5 infants out of 1000 live births die before one year of age. b. 5 infants out of 1000 live births die before 28days (4wks) of age. c. 5 infants per 1000 total population die at birth d. 5 infants per 1000 total live and still births die within one year of delivery.
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a. 5 infants out of 1000 live births die before one year of age.
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Maternal risk factors associated with low-birthweight babies include: a. cigarette smoking b. poor nutrition c. minority status d. regular physical activity e. a & b Incorrect f. b & d g. a, b, & c
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g. a, b, & c
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Which group has one of the lowest maternal infant mortality rates in the United States? a. Non-hispanic black b. American Indian c. Asian or Pacific Islander d. Alaskan Native e. Non-hispanic white
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e. Asian or Pacific Islander
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Questions asked during a client-focused nutrition interview of a pregnant woman would include questions related to: a. presence of pica b. availability of food c. use of supplements d. usual food intake e. c & d f. b, c , & d g. all of the above (a-d)
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g. all of the above (a-d)
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_____ mothers breastfeed their infants most frequently in the U.S. a. Asian, non-Hispanic b. Black, non-Hispanic c. Hispanic d. White, non-Hispanic
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a. Asian, non-hispanic
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Which of the following is NOT a characteristic of the Expanded Food and Nutrition Education Program (EFNEP)? a. EFNEP is designed specifically for nutrition education b. EFNEP is directed at low-income families c. EFNEP is implemented by dietitians d. EFNEP is administered by the USDA extension service
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c. EFNEP is implemented by dietitians
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The amount of weight a woman should gain during pregnancy depends on her pre-pregnancy BMI and the number of children she is carrying. TRUE or FALSE
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TRUE
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Peer counseling has been shown to be an effective way to keep mothers breastfeeding. TRUE or FALSE
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TRUE
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Early and Periodic Screening, Diagnosis, and Treatment is a federal program through Medicaid that ensures health screenings, dental checks, health education and hearing and vision testing for children up to 18y of age. TRUE or FALSE
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TRUE
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children's eating habits have changed minimally over the past 30 years? TRUE or FALSE
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FALSE
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the Healthy Eating Index (HEI) is used as an indicator of diet quality bc it provides an overall picture of the variety and quantity of foods people eat. TRUE or FALSE
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TRUE
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Based on HEI data, dietary quality _____ from childhood to adolescence? a. improves b. stays the same c. declines
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c. declines
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primary energy source from children and youth come from grains. TRUE or FALSE
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TRUE
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when children ages 3-5 are offered portion sizes that are double an appropriate portion size, they consume ____ more. a. 10% b. 40% c. 25% d. 75%
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c. 25%
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the unhealthful eating patterns in adolescents is LEAST related to: a. access to healthy choices b. eating away from home c. growing independence from parents d. need for peer acceptance
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a. access to healthy choices
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% of overweight children has nearly doubled, % of overweight adolescents has nearly tripled. TRUE or FALSE
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TRUE
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childhood obesity is associated with: a. hypertriglyceridemia b. hyperinsulinemia c. high HDL-CH d. A & B e. B & C
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d. A & B, also includes decreased HDL-CH
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the prevalence of hunger in children is three times higher among racial and ethnic minorities. TRUE or FALSE
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TRUE
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SBP food requirements include:
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1 c fat-free (flavored or unflavored) milk or 1% low-fat unflavored milk AND 1 c of fruit (vegetable subs. okay) AND 1 oz grains
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BMI at or above 95th percentile is considered
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obese
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BMI at or above 85th percentile is considered
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overweight
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Children of all ages, races, and ethnic groups are shown to be at risk of inadequate intakes of Mg, Zn, vitamins A & E. TRUE or FALSE
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TRUE
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SSB are the second leading energy source for children ages 2 to 18. TRUE or FALSE
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TRUE
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Taste, appearance, hunger and price are primary factors influencing food selection. TRUE or FALSE
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TRUE
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>52% of dining out takes place at schools, followed by quick serve restaurants and vending machines. TRUE or FALSE
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TRUE
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Let's move focuses on five pillars:
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1) creating a healthy start for children 2) empowering parents and caregivers 3) providing healthy foods in schools 4) improving access to healthy, affordable foods 5) increasing physical activity
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Individualized Education Plan (IEP)
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a written statement that contains the program of special education and related services to be provided to a child with a disability
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What are five of the largest food assistance programs available for children?
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NSLP, School Breakfast Program, After school Snack Program, Special Milk Program for Children, and Summer Food Service Program for Children
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School lunches must provide no more than 30% of calories from fat, and 10% or less from saturated fat. TRUE or FALSE
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TRUE
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Requirements for school lunches also include providing 1/3 of the DRI for calories, protein, calcium, iron, vitamin A, and vitamin C. TRUE or FALSE
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TRUE
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Requirements for school breakfasts also include providing 1/3 of the DRI for calories, protein, calcium, iron, vitamin A, and vitamin C. TRUE or FALSE
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FALSE, 1/4
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open sites
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located in areas where 50% or more of children come from families who's household income is below 185% of the federal poverty guidelines
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enrolled sites
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those where 50% of the children attending the program come from families whose income is greater than 185% of the federal poverty guidelines
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two types of commodities are provided to nutrition programs
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entitlement commodities (i.e. veggies, meats, and cheeses) and bonus commodities (i.e. apricots, salmon, and fruit cups)
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Despite advances in clinical and preventive medicine, children and adolescents in the US have significant nutritional concerns. TRUE or FALSE
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TRUE
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Nearly half of family food expenditures are spent on food and beverages outside the home. TRUE or FALSE
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TRUE
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The nutritional guidelines set forth for the School Breakfast Program are the same as those for the National School Lunch Program. TRUE or FALSE
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FALSE
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HEI scores for children would increase if children consumed more: a. sugar sweetened beverages b. fruits & vegetables c. fruit-flavored beverages d. a & c e. a, b, & c
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b. fruits & veggies
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_____ children ages 8-18y have the highest total daily media exposure. a. African-American b. Asian-American c. Hispanic d. White
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a. African-American
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Overweight and obesity in children are defined as having a BMI of ____ and ____, respectively. a. 65-75th percentile and >85th percentile b. 75th-85th percentile and >95th percentile c. at or >85th percentile and at or >95th percentile d. at or >90th percentile and at or >97th percentile e. BMI is not used to define either overweight or obesity
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c. at or >85th percentile and at or >95th percentile
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Nearly 60% of overweight children have been shown to have at least one CVD risk factor. TRUE or FALSE
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TRUE
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Schools participating in the School Breakfast Program must provide: a. meals providing one-fourth of the daily recommended level of specific nutrients b. free or reduced-price meals c. hot breakfast foods d. a & b e. b & c
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d. a & b
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The Education of the Handicapped Act Amendments (1986) mandates the provision of comprehensive nutrition services in ____ with special needs. Select one: a. infants-3 year olds b. 3-5 year olds c. infants-11 year olds d. children and adolescents <19 years old
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b. 3-5 year olds
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Compare to children of other countries, children of the US have higher blood cholesterol levels. TRUE or FALSE
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TRUE
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baby boomer generation was born between the years of
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1946 and 1964
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worksite health promotion efforts are classified into four main areas:
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policies, screenings, information or activities, and facilities or services
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cardiac drugs are most widely used by older adults TRUE or FALSE
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TRUE
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primary prevention
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nutrition helps promote health and affects QOL, prevention
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secondary prevention
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lessens risks from chronic diseases
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tertiary prevention
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medical nutrition therapy slows disease progression and reduces symptoms
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non-participation in SNAP by older adults includes
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stigma of receiving assistance, confusing paperwork, and lack of public information about eligibility requirements
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home delivery program aka
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meals on wheels
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Which of the following statements is true regarding Healthy People 2010 final review data relevant to adults and older adults. Select one: a. Participation in leisure-time physical activity has increased slightly since 1997. b. Vegetable and fruit intake increased slightly in California, Oregon, Colorado, and Florida; no changes were seen in other states. c. a & c d. Adults consumed ~34% of all grains as whole grains.
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a. Participation in leisure-time physical activity has increased slightly since 1997.
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Which of the following is NOT a characteristic of baby boomers? Select one: a. they like nostalgia b. they have the power to change the marketplace c. they make decisions based on personal beliefs d. they are not pressed for time
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d. they are not pressed for time
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Which statement is NOT true of most older adults? Select one: a. all of the above are true b. they are full independent c. they live in nursing homes d. they are very heterogenous e. they age at different rates
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c. they live in nursing homes
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The "baby boom" took place between 1950 and 1968. TRUE or FALSE
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FALSE
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Okinawan elders follow a cultural habit of only eating until 80% full, which has been suggested as a factor in their longevity. TRUE or FALSE
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TRUE
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The family nutrition program (FNP) is part of SNAP-Ed and was developed to encourage adults to establish healthy eating habits and physically active lifestyles. TRUE or FALSE
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TRUE
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Malnutrition secondary to chronic diseases is fairly common in the older population. TRUE or FALSE
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TRUE
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Healthy People 2020 discourages worksite wellness programs in lieu of more community-based wellness programs. TRUE or FALSE
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FALSE
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Which of the following is an example of tertiary prevention? Select one: a. Cholesterol screening b. Grocery store tour c. Medical nutrition therapy d. Health fair
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c. MNT
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The functional assessment component of a nutrition status assessment of the elderly measures: Select one: a. risk of malnutrition b. knowledge of vit B 12 sources c. cardiac output d. liver function e. activities of daily living
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e. ADLs
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Which of the following is NOT true of the Older Americans Nutrition Program (OANP)? Select one: a. It provides home delivered meals for as little as $0.75 per meal. b. OANP is a Title III program with funding coming from the DHHS c. ~40% of OANP providers have waiting lists for home-delivered meals d. Participants receive benefits such as transportation and shopping assistance, nutrition education, and referrals
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a. It provides home delivered meals for as little as $0.75 per meal.
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Which of the following is NOT an effect of aging? Select one: a. decreased elasticity of blood vessels with calcification b. increased renal blood flow c. degeneration of joints d. altered sensory perception
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b. increased renal blood flow
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reasons why older adults do NOT participate in SNAP include all of the following EXCEPT: a) most are not eligible b) confusing paperwork c) the stigma of receiving assistance d) lack of info. about eligibility requirements
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a) most are not eligible
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a typically Title III meal pattern would include which of the following? a) a 3 oz meat or meat alternative b) two half cup portions of fruits and vegetables c) 1 tsp butter or margarine d) A and B e) A, B, and C
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e) A, B, and C
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functional capabilities include ADLs. TRUE or FALSE
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TRUE
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Mini Nutritional Assessment (MNA) validated to used to assess early malnutrition in elder adults. TRUE or FALSE
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TRUE
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malnutrition caused by poverty, medications interfering with absorption, and living alone TRUE or FALSE
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TRUE
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number of older adults (over age 65) is expected to ______ by 2030. a) double b) triple c) increase by 50% d) increase by 25%
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a) double