CDN Public Health & Community Nutrition 4 — Questions and Answers
Question 1: The National School Lunch Program (NSLP) requires participating schools to offer meals that align with:
- American Heart Association guidelines
- Dietary Guidelines for Americans (Correct answer)
- Academy of Nutrition and Dietetics recommendations
- USDA MyPlate portion sizes exclusively
Correct answer: Dietary Guidelines for Americans
NSLP meals must meet nutrition standards based on the Dietary Guidelines for Americans, as mandated by USDA.
Question 2: Which of the following nutrients is most commonly fortified in the U.S. milk supply as a public health intervention to prevent deficiency?
- Iron
- Vitamin C
- Vitamin D (Correct answer)
- Calcium
Correct answer: Vitamin D
Vitamin D is added to most U.S. milk because natural dietary sources are limited and deficiency is widespread.
Question 3: Health literacy in the context of community nutrition programs refers to:
- The ability of dietitians to read medical charts
- An individual's capacity to obtain, process, and understand basic health information (Correct answer)
- The number of nutrition education classes offered in a community
- A community's overall dietary quality score
Correct answer: An individual's capacity to obtain, process, and understand basic health information
Health literacy is an individual's ability to obtain, understand, and act on health information to make appropriate health decisions.
Question 4: A dietitian evaluating a community intervention uses the RE-AIM framework. The 'R' in RE-AIM stands for:
- Reliability
- Reach (Correct answer)
- Resources
- Replication
Correct answer: Reach
In the RE-AIM framework, 'R' stands for Reach — the proportion and representativeness of the target population that participates.
Question 5: Iodine is added to table salt in the U.S. primarily to prevent:
- Anemia
- Goiter and cretinism (Correct answer)
- Scurvy
- Rickets
Correct answer: Goiter and cretinism
Iodized salt was introduced to prevent iodine deficiency disorders including goiter and cretinism (severe developmental delay in infants).
Question 6: In community nutrition program evaluation, 'process evaluation' focuses on:
- Long-term changes in population health outcomes
- Whether the program was implemented as intended (Correct answer)
- Cost-effectiveness of the intervention
- Changes in participants' laboratory values
Correct answer: Whether the program was implemented as intended
Process evaluation assesses fidelity — whether the program was delivered as planned, including attendance, dosage, and adherence to protocol.
Question 7: A public health dietitian is designing a campaign to reduce childhood obesity rates. According to the socio-ecological model, which combination of strategies is MOST comprehensive?
- Individual counseling only
- School education programs only
- Combining individual, family, school, community, and policy-level strategies (Correct answer)
- Media campaigns targeting parents only
Correct answer: Combining individual, family, school, community, and policy-level strategies
The socio-ecological model emphasizes that behavior is influenced by multiple levels; comprehensive interventions address all levels simultaneously.
CDN Public Health & Community Nutrition 4
The National School Lunch Program (NSLP) requires participating schools to offer meals that align with: