Nutrition Assessment & Counseling Strategies Flashcards
7 cards from real CSSD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutrition Assessment & Counseling Strategies flashcards as text
A sports dietitian uses motivational interviewing with an athlete who says, 'I know I should eat breakfast before practice, but I'm never hungry in the morning.' Which response best demonstrates a complex reflection?
Answer: 'You understand breakfast matters for performance, yet your body's signals make it feel unnecessary early in the day.'
A complex reflection paraphrases both the stated content and the implied emotion or meaning, going beyond simply repeating what was said.
When interpreting a dietary recall from an athlete who is vegetarian, which nutrient requires the MOST careful assessment for adequacy?
Answer: Vitamin B12
Vitamin B12 is found almost exclusively in animal products, making it the primary nutrient of concern for athletes following vegetarian or vegan diets.
In the Nutrition Care Process (NCP), which step immediately follows the Nutrition Diagnosis?
Answer: Nutrition Intervention
The NCP follows four steps in order: Assessment → Diagnosis → Intervention → Monitoring and Evaluation.
A track athlete reports unintentional weight loss of 4 kg over 6 weeks. After reviewing intake and expenditure, the dietitian identifies an energy deficit of approximately 600 kcal/day. Which physical assessment finding would MOST support this energy deficit estimate?
Answer: Loss of approximately 3.5 kg of fat mass confirmed by DXA
A 600 kcal/day deficit over 42 days equals ~25,200 kcal, roughly equivalent to ~3.4 kg of fat (9,500 kcal/kg fat tissue), supporting the DXA finding.
Which PES (Problem, Etiology, Signs & Symptoms) statement correctly formats a nutrition diagnosis for an athlete with low energy availability?
Answer: Inadequate energy intake (NI-1.4) related to intentional restriction of caloric intake as evidenced by EA of 22 kcal/kg FFM/day and weight loss of 3 kg in 4 weeks
A properly formatted PES statement uses an Academy-approved diagnostic term, a specific etiology, and measurable signs and symptoms.
A combat sport athlete wants to lose 5 kg in 2 weeks before a weigh-in. The dietitian's MOST appropriate response is to:
Answer: Educate the athlete on the performance and health risks of rapid weight cutting and discuss gradual pre-season weight management
The CSSD's ethical role includes educating athletes about the dangers of acute weight cutting while supporting safer long-term weight management strategies.
Which method is considered the criterion standard for measuring body composition in clinical and research settings, providing separate values for bone, fat, and lean mass?
Answer: Dual-energy X-ray absorptiometry (DXA)
DXA uses two X-ray energies to differentiate bone mineral, fat mass, and lean soft tissue in a three-compartment model, making it the clinical gold standard.