RD EXAM: Nutrition Care, Questions and answers, rated A+/ LATEST EXAM PREDICTIONS UPDATES, APPROVED.

RD EXAM: Nutrition Care, Questions and answers, rated A+ A registered dietitian nutritionist is working with a client to reduce blood cholesterol levels. The client is knowledgeable about a hyperlipidemia diet and is able to devise healthy meal plans, but he has moderate readiness in independently following the nutrition care plan. To be most effective in meeting the client's needs, what would be the RDN's approach? A. Continue to provide dietary instructions to the client and closely monitor compliance. B. Help the client gain confidence through listening, advising, and coaching. C. Listen to the client. Encourage and support the skills the client has developed. D. Turn over responsibility for nutrition care to the client. - -The correct answer is C. The patient is knowledgeable with moderate readiness, so the RDN needs to find out what the client knows by listening to, encouraging, and supporting the client to help him be fully ready to execute the diet to reduce blood cholesterol. What daily energy intake should result in a weight loss of 2 pounds per month if one had been consuming 2,000 kcal per day? 1,500 kcal 1,650 kcal 1,750 kcal 1,850 kcal - -The correct answer is C. 3,500 kcal/pound = 7,000 kcal deficiency needed for 2 pound weight loss over 4 weeks; 7,000/28 (4 weeks x 7 days/week) = 250 kcal. 2000-250 = 1750 kcal. Which of the following is the BEST example of an "open-ended" question? A. Why would you want to follow that meal plan? B. Do you use skim milk or whole milk? C. What are some of the challenges you've faced in your weight loss journey? D. Do you feel positive or negative about your weight loss goal? - -The correct answer is C. Open-ended questions typically start with "What" or "How" and invite the client to tell a story. Openended questions should never begin with "why," as it risks putting the client on the defensive. Imagine a client says, "I don't know if I can eat bananas or watermelon on this diabetic meal plan. I wonder if I need to be using exchanges." Which of the following is the best example of a reflective statement/question to ask this client? "You're uncertain about how to choose foods?" "You're interested in your health?" "Do you want a diabetic meal plan?" "I'm happy that you've come in today." - -The correct answer is A. Reflective statements take what is said and reword it to better inform understanding of the speaker's intent. They usually include some "feeling" words. It also helps to clarify the problem. A 56-year-old male client presents to the ambulatory clinic for a team visit. Physical exam reveals: Height: 5'9"; weight: 223 pounds; body mass index (BMI) 33; blood pressure: 168/96; heart rate 74. Pertinent laboratory results : hemoglobin A1c: 7.0%, thyroid-stimulating hormone (TSH): 2.0 mU/L, Medications: Metformin (Glucophage 1000 mg daily), Hydrochlorothiazide 25 mg, Lisinopril 20 mg. Review of symptoms: positive for daytime sleepiness, wife complains of loud snoring. Mood: affect appears to be good. Despite excellent adherence to DASH (Dietary Approaches to Stop Hypertension) meal plan, blood pressure continues to be elevated. What is the best explanation for his elevation in blood pressure and daytime somnolence? A. A drug/drug interaction of hydrochlorothiazide and Metformin B. Untreated thyroid disease C. Undiagnosed obstructive sleep apne