Nutrition Assessment & Client Evaluation Flashcards

Which dietary assessment method provides the MOST accurate estimate of an individual's habitual nutrient intake over time?

Answer: Multiple-pass 24-hour recall on at least 2 non-consecutive days

Multiple non-consecutive 24-hour recalls capture day-to-day variation and, when averaged, provide a reliable estimate of habitual intake.

A client's bioelectrical impedance analysis (BIA) was conducted after intense exercise. How would this MOST likely affect the results?

Answer: Underestimate body fat percentage because dehydration lowers impedance

Exercise-induced dehydration lowers total body water, decreasing impedance and causing BIA to underestimate body fat percentage.

During the SOAP note format used in nutrition documentation, where would a client's complaint of persistent bloating after eating legumes be recorded?

Answer: Subjective

The Subjective section captures what the client reports, such as symptoms, complaints, and personal history.

Mid-upper arm circumference (MUAC) is particularly valuable for nutritional assessment in which clinical setting?

Answer: Field settings and resource-limited environments

MUAC requires only a tape measure, making it ideal for rapid malnutrition screening in field or resource-limited settings without scales or stadiometers.

A ISSA nutritionist is reviewing a client's lab results and notes an albumin level of 3.0 g/dL. This value indicates:

Answer: Mild protein-calorie malnutrition

Serum albumin of 2.8–3.5 g/dL is generally associated with mild protein-calorie malnutrition; normal is above 3.5 g/dL.

When establishing a client's readiness to change dietary behaviors, the ISSA nutritionist should FIRST assess:

Answer: The client's stage in the Transtheoretical Model

Identifying where a client falls in the Transtheoretical Model (precontemplation through maintenance) guides the appropriateness of interventions.

A female endurance athlete undergoes a DEXA scan showing bone mineral density (BMD) T-score of -2.6. This result indicates:

Answer: Osteoporosis

A T-score at or below -2.5 meets the WHO diagnostic criterion for osteoporosis.