DCW Nutrition and Meal Preparation 2 — Questions and Answers
Question 1: What does the term 'thickened liquids' refer to in a care plan?
- Hot drinks served at a reduced temperature
- Liquids mixed with a thickening agent to a specified consistency to prevent choking (Correct answer)
- Smoothies with added protein powder
- Any drink with more than 100 calories per serving
Correct answer: Liquids mixed with a thickening agent to a specified consistency to prevent choking
Thickened liquids are modified to a nectar, honey, or pudding consistency to help clients with dysphagia swallow safely.
Question 2: A client on a renal (kidney) diet should generally limit which of the following nutrients?
- Vitamin C and iron
- Potassium, phosphorus, and sodium (Correct answer)
- Carbohydrates and fiber
- Vitamin D and calcium
Correct answer: Potassium, phosphorus, and sodium
Renal diets restrict potassium, phosphorus, and sodium because impaired kidneys cannot effectively filter these minerals.
Question 3: When storing leftovers in a client's refrigerator, how quickly must cooked food be refrigerated to be safe?
- Within 4 hours
- Within 2 hours (Correct answer)
- Within 6 hours
- Within 30 minutes
Correct answer: Within 2 hours
The USDA recommends refrigerating cooked food within two hours to keep it out of the temperature danger zone where bacteria multiply.
Question 4: A client has a known allergy to peanuts. The DCW is preparing a meal using a packaged sauce. What should the DCW do?
- Use the sauce since it is store-bought and therefore safe
- Read the ingredient and allergen label before using any packaged product (Correct answer)
- Ask the client to taste a small amount first
- Remove peanuts from the sauce before serving
Correct answer: Read the ingredient and allergen label before using any packaged product
Cross-contamination can occur in food manufacturing, so the DCW must read allergen labels on every packaged product before use.
Question 5: Which best describes a 'mechanically soft' diet?
- All foods are blended into liquid form
- Foods are chopped or ground into small pieces that are easy to chew (Correct answer)
- The client avoids all solid food
- The diet contains only fruits and vegetables
Correct answer: Foods are chopped or ground into small pieces that are easy to chew
A mechanically soft diet consists of foods that are finely chopped, ground, or mashed to reduce the need for chewing.
Question 6: What is the most common sign that a client may be dehydrated?
- Increased appetite and energy
- Dark-colored urine, dry mouth, and confusion (Correct answer)
- Excessive sweating and red skin
- Swollen ankles and rapid weight gain
Correct answer: Dark-colored urine, dry mouth, and confusion
Dark urine, dry mouth, and mental confusion are classic early signs of dehydration that the DCW should report promptly.
What does the term 'thickened liquids' refer to in a care plan?