ACBN Dietary Assessment & Nutrition Counseling 1 — Questions and Answers
Question 1: Which dietary assessment method involves asking a client to recall all foods and beverages consumed in the past 24 hours?
- Food frequency questionnaire
- 24-hour dietary recall (Correct answer)
- Weighed food record
- Diet history interview
Correct answer: 24-hour dietary recall
The 24-hour dietary recall asks clients to report all foods and beverages consumed during the previous 24-hour period, making it one of the most widely used dietary assessment tools.
Question 2: The Diet History method, as developed by Burke, is best suited for assessing which of the following?
- Nutrient intake on a single specific day
- Current food preferences and allergies only
- Usual dietary patterns over an extended time period (Correct answer)
- Food safety practices in the home environment
Correct answer: Usual dietary patterns over an extended time period
The Diet History method assesses an individual's habitual or usual dietary patterns over an extended period, rather than intake on a single day.
Question 3: Which tool is most appropriate for epidemiological research that needs to assess how frequently specific foods are consumed over a defined period?
- 24-hour dietary recall
- Food frequency questionnaire (FFQ) (Correct answer)
- Weighed food record
- Doubly labeled water technique
Correct answer: Food frequency questionnaire (FFQ)
The Food Frequency Questionnaire (FFQ) is designed to assess how often a person consumes specific foods over a defined period, making it ideal for large epidemiological studies.
Question 4: In motivational interviewing for nutrition counseling, the acronym OARS refers to which set of core communication skills?
- Objectives, Assessment, Recommendations, Support
- Open questions, Affirmations, Reflective listening, Summaries (Correct answer)
- Outcomes, Actions, Referrals, Solutions
- Observations, Agreements, Reflection, Strategy
Correct answer: Open questions, Affirmations, Reflective listening, Summaries
OARS stands for Open questions, Affirmations, Reflective listening, and Summaries — the four foundational communication skills used in motivational interviewing.
Question 5: When using the USDA Automated Multiple-Pass Method (AMPM) for a 24-hour dietary recall, how many structured passes does the interview involve?
- Two
- Three
- Five (Correct answer)
- Seven
Correct answer: Five
The Automated Multiple-Pass Method involves five structured passes to systematically capture all foods and beverages consumed, minimizing under-reporting.
Question 6: Which stage of the Transtheoretical Model (Stages of Change) best describes a client who has no intention of changing their dietary habits in the foreseeable future?
- Contemplation
- Preparation
- Precontemplation (Correct answer)
- Action
Correct answer: Precontemplation
In the Precontemplation stage, individuals are not yet considering a behavior change and may be unaware of or resistant to recognizing a problem.
Question 7: A 3-day food record is preferred over a single-day food record primarily because it:
- Is less burdensome for clients to complete
- Captures day-to-day variation in dietary intake (Correct answer)
- Requires less analytical effort from the nutritionist
- Is more accurate for estimating single-day micronutrient intake
Correct answer: Captures day-to-day variation in dietary intake
A 3-day food record captures day-to-day variation in intake, providing a more representative estimate of usual dietary patterns than a single-day record.
ACBN Dietary Assessment & Nutrition Counseling 1
Which dietary assessment method involves asking a client to recall all foods and beverages consumed in the past 24 hours?