CN Community & Public Health Nutrition 2 — Questions and Answers
Question 1: The Child and Adult Care Food Program (CACFP) provides reimbursements for meals served in which of the following settings?
- Public elementary schools only
- Licensed day care centers and family day care homes (Correct answer)
- Hospital pediatric wards
- WIC clinics
Correct answer: Licensed day care centers and family day care homes
CACFP provides federal reimbursement for nutritious meals and snacks served to eligible children and adults in day care centers, family day care homes, and other care settings.
Question 2: A public health nutritionist identifies that a neighborhood has high rates of type 2 diabetes. The MOST appropriate first step in developing an intervention is to:
- Immediately distribute low-glycemic diet handouts
- Conduct a community needs and assets assessment (Correct answer)
- Begin individual counseling sessions
- Apply for a research grant
Correct answer: Conduct a community needs and assets assessment
A community needs and assets assessment identifies existing resources, barriers, and priorities before designing any intervention, ensuring that programs are relevant and evidence-based.
Question 3: Social determinants of health that influence nutritional status include all of the following EXCEPT:
- Income level
- Education attainment
- Individual genetic mutations (Correct answer)
- Neighborhood food environment
Correct answer: Individual genetic mutations
Social determinants of health are non-medical factors in social, economic, and physical environments; individual genetic mutations are biological/clinical factors, not social determinants.
Question 4: The National School Lunch Program (NSLP) is administered at the federal level by which agency?
- FDA
- CDC
- USDA Food and Nutrition Service (Correct answer)
- HHS Office of Disease Prevention
Correct answer: USDA Food and Nutrition Service
The NSLP is a federally assisted meal program administered by the USDA's Food and Nutrition Service (FNS), providing nutritionally balanced lunches to school children.
Question 5: Cultural competence in community nutrition practice primarily means:
- Translating all educational materials into Spanish
- Providing care that respects and responds to patients' cultural beliefs and practices (Correct answer)
- Avoiding discussion of cultural food preferences
- Only working with populations from your own background
Correct answer: Providing care that respects and responds to patients' cultural beliefs and practices
Cultural competence means understanding, appreciating, and interacting effectively with people from cultures different from one's own, tailoring nutrition care to align with cultural beliefs and food practices.
Question 6: Health literacy is defined as the degree to which individuals can:
- Read standard medical textbooks
- Obtain, process, and understand basic health information to make decisions (Correct answer)
- Access the internet for nutrition information
- Pass a standardized nutrition knowledge exam
Correct answer: Obtain, process, and understand basic health information to make decisions
Health literacy refers to individuals' capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Question 7: Which intervention strategy is MOST consistent with a population-level approach to reducing obesity in a community?
- One-on-one weight loss counseling for obese adults
- Zoning policies that limit fast food density near schools (Correct answer)
- Prescribing metformin to high-risk individuals
- Providing gym memberships to qualifying employees
Correct answer: Zoning policies that limit fast food density near schools
Population-level strategies modify the environment to affect everyone in a community (e.g., zoning, food policy), rather than targeting individuals one at a time.
CN Community & Public Health Nutrition 2
The Child and Adult Care Food Program (CACFP) provides reimbursements for meals served in which of the following settings?