NUTRITION CASE STUDIES QUESTIONS
AND VERIFIED ANSWERS 2024 - 2025
Case,Study,1A:,Reducing,Disease,Risk
Maria,Gonzales,is,a,57-year-old,operating,room,nurse,who,works,full-
time,at,a,local,hospital.,She,is,65,inches,tall,and,weighs,160,pounds.,She,has,a,family,history,of,diabetes,an
d,heart,disease,,and,was,recently,diagnosed,with,high,blood,cholesterol.,Maria,has,declined,the,cholester
ol-
lowering,medication,that,her,doctor,prescribed,,explaining,that,she,would,like,to,explore,other,methods,f
or,lowering,her,cholesterol,first.,After,reading,an,article,on,the,Internet,a,few,weeks,ago,,Maria,has,been,t
aking,a,tablespoon,of,coconut,oil,every,day,in,the,hopes,that,it,will,lower,her,cholesterol.,She,admits,that,
she,has,little,time,or,energy,to,exercise.,Her,diet,history,reveals,that,she,often,skips,breakfast,or,buys,a,ba
gel,with,cream,cheese,and,flavored,coffee,on,her,way,to,work.,While,at,work,,she,drinks,at,least,one,more
,cup,of,coffee,with,cream,and,sugar,before,noon.,Lunch,is,a,salad,wi,,ANS,-
,,Case,Study,1A:,Reducing,Disease,Risk
Maria,Gonzales,is,a,57-year-old,operating,room,nurse,who,works,full-
time,at,a,local,hospital.,She,is,65,inches,tall,and,weighs,160,pounds.,She,has,a,family,history,of,diabetes,an
d,heart,disease,,and,was,recently,diagnosed,with,high,blood,cholesterol.,Maria,has,declined,the,cholester
ol-
lowering,medication,that,her,doctor,prescribed,,explaining,that,she,would,like,to,explore,other,methods,f
or,lowering,her,cholesterol,first.,After,reading,an,article,on,the,Internet,a,few,weeks,ago,,Maria,has,been,t
aking,a,tablespoon,of,coconut,oil,every,day,in,the,hopes,that,it,will,lower,her,cholesterol.,She,admits,that,
she,has,little,time,or,energy,to,exercise.,Her,diet,history,reveals,that,she,often,skips,breakfast,or,buys,a,ba
gel,with,cream,cheese,and,flavored,coffee,on,her,way,to,work.,While,at,work,,she,drinks,at,least,one,more
,cup,of,coffee,with,cream,and,sugar,before,noon.,Lunch,is,a,salad,with,crackers,and,iced,tea,with,sugar,in,t
he,hospital,cafeteria.,When,Maria,arrive,homes,,she,occasionally,drinks,one,or,two,glasses,of,wine,in,the,
evening,,especially,after,a,stressful,day.,She,lives,alone,and,relies,on,frozen,dinners,or,other,convenience,
foods,for,dinner.,An,analysis,of,her,diet,reveals,an,average,daily,intake,of,200,grams,carbohydrate,,50,gra
ms,protein,,and,80,grams,of,fat.
Consider,Maria's,typical,evening,meals,and,the,factors,that,may,influence,her,food,habits.,Which,factor,is,
likely,to,have,the,biggest,impact,on,her,choices?,,ANS,-,,convenience
Which,of,Maria's,food,habits,is,most,influenced,by,her,emotions?,,ANS,-,,Drinking,wine,in,the,evening
Which,of,Maria's,habits,involves,the,use,of,functional,food?,,ANS,-,,Consuming,coconut,oil
,Using,Table,1-
2,from,the,text,,calculate,Maria's,average,daily,kcalorie,intake,from,carbohydrates,,protein,,and,fat.,Addin
g,these,figures,together,,what,is,her,total,daily,caloric,intake?,,ANS,-,,1720
What,percentages,of,Maria's,daily,calories,are,provided,by,carbohydrates,,protein,,and,fat?,,ANS,-
,,carbohydrates:,46%;,protein:,12%;,and,fat:,42%
Compare,the,composition,of,Maria's,diet,with,the,Acceptable,Macronutrient,Distribution,Ranges,(AMDR).
,How,would,you,characterize,her,intake?,,ANS,-,,adequate,carbohydrate,,adequate,protein,,and,high,fat
Maria,explains,that,she,learned,about,the,effects,of,coconut,oil,on,the,Internet,,while,reading,an,online,ar
ticle,about,a,well-
known,movie,star,who,claims,it,helped,him,lower,his,bad,cholesterol.,What,are,these,types,of,testimonial
s,called?,,ANS,-,,anecdotes
Case,Study,1B:,Cultural,Differences,and,Nutrition
Aviva,lives,in,New,York,City,and,works,as,a,software,developer.,She,is,25,years,old,,5′5″,tall,,and,,at,160,po
unds,,she,is,overweight.,Aviva's,fast-
paced,day,typically,starts,at,6,a.m.,when,she,gets,up,for,work.,She,is,always,in,a,rush,in,the,mornings,,and,
routinely,grabs,a,quick,breakfast,of,an,instant,drink,or,a,breakfast,bar,and,a,cup,of,coffee,with,cream,as,sh
e,walks,to,the,subway.
Aviva,works,long,hours,at,her,job,and,has,a,heavy,workload,that,keeps,her,tied,to,her,desk.,Around,1,p.m.,
every,day,,she,takes,a,short,break,to,grab,lunch,at,the,deli,next,door.,She,is,in,the,habit,of,getting,the,sam
e,sandwich,every,day,,generally,a,prepackaged,corned,beef,or,pastrami,hoagie,with,the,works:,lettuce,,to
mato,,onion,,mayo,,mustard,,and,melted,cheese,,accompanied,by,a,small,bag,of,jalapeno,potato,chips.,Av
iva,usually,orders,a,32-oz.,cola,,and,when,she,is,feeling,particula,,ANS,-
,,Case,Study,1B:,Cultural,Differences,and,Nutrition
Aviva,lives,in,New,York,City,and,works,as,a,software,developer.,She,is,25,years,old,,5′5″,tall,,and,,at,160,po
unds,,she,is,overweight.,Aviva's,fast-
paced,day,typically,starts,at,6,a.m.,when,she,gets,up,for,work.,She,is,always,in,a,rush,in,the,mornings,,and,
routinely,grabs,a,quick,breakfast,of,an,instant,drink,or,a,breakfast,bar,and,a,cup,of,coffee,with,cream,as,sh
e,walks,to,the,subway.
, Aviva,works,long,hours,at,her,job,and,has,a,heavy,workload,that,keeps,her,tied,to,her,desk.,Around,1,p.m.,
every,day,,she,takes,a,short,break,to,grab,lunch,at,the,deli,next,door.,She,is,in,the,habit,of,getting,the,sam
e,sandwich,every,day,,generally,a,prepackaged,corned,beef,or,pastrami,hoagie,with,the,works:,lettuce,,to
mato,,onion,,mayo,,mustard,,and,melted,cheese,,accompanied,by,a,small,bag,of,jalapeno,potato,chips.,Av
iva,usually,orders,a,32-
oz.,cola,,and,when,she,is,feeling,particularly,stressed,by,a,difficult,work,situation,,she,picks,up,a,triple,cho
colate,chunk,cookie,to,eat,at,her,desk.,Chocolate,chip,cookies,are,Aviva's,favorite,comfort,food,and,remin
d,her,of,happy,times,on,family,movie,nights.
By,the,time,Aviva,leaves,work,,it,is,usually,8:00,p.m.,or,later.,She,walks,to,the,subway,station,one,block,fro
m,her,office,and,heads,home.,Once,home,,she,frequently,heats,up,her,favorite,frozen,dinner,,barbequed,
chicken,and,garlic,mashed,potatoes,with,a,side,of,creamed,corn.,She,finds,the,mashed,potatoes,to,be,co
mforting,after,a,long,and,tense,day,at,work.
Most,of,Aviva's,meals,are,takeout,food,or,frozen,meals,from,the,grocery,store.,She,is,generally,too,tired,t
o,cook,,and,she,likes,the,taste,of,convenient,meals.,Her,freezer,is,always,full,of,frozen,pizzas,,large-
portion,heat-and-
serve,meals,,and,frozen,burritos.,Each,evening,she,enjoys,an,hour,or,two,of,television,,and,reads,over,so
me,pap
Which,scenario,best,illustrates,the,impact,of,ethnic,and,regional,influences,on,food,choices?,,ANS,-
,,Anna's,lunchtime,meal,of,soup,,roasted,meat,,boiled,cabbage,and,dumplings
Which,scenario,best,illustrates,the,role,of,positive,associations,on,food,preferences?,,ANS,-
,,Aviva's,chocolate,chunk,cookie,with,lunch
Assume,Aviva's,breakfast,consists,of,31,grams,of,carbohydrate,,11,grams,of,protein,,and,8,grams,of,fat.,W
hat,is,her,total,kcalorie,intake?,,ANS,-,,240,kcal
Assume,Anna's,breakfast,has,51,grams,of,carbohydrate,,21,grams,of,protein,,and,14,grams,of,fat.,What,is,
her,total,kcalorie,intake?,,ANS,-,,414,kcal
While,waiting,in,line,to,pick,up,her,lunch,,Aviva,reads,a,tabloid,article,describing,how,a,famous,star,lost,w
eight,quickly,by,avoiding,high,fat,foods,between,sunset,and,sunrise,,but,eating,whatever,she,wanted,duri
ng,daylight,hours.,What,concept,does,scenario,best,illustrate?,,ANS,-,,anecdote