Nutrition Assessment & Client Evaluation Flashcards

A nutritionist uses the Harris-Benedict equation revised by Roza and Shizgal (1984) to estimate RMR for a male client. Which factor distinguishes this revised version from the original 1919 equation?

Answer: It uses updated regression coefficients based on a larger validation sample

Roza and Shizgal revised the original Harris-Benedict coefficients using a larger, more diverse sample to improve accuracy.

During a client evaluation, which finding would MOST strongly suggest the need for a physician referral before proceeding with a nutrition plan?

Answer: Client reports unintentional weight loss of 10% of body weight over the past month

Unintentional weight loss of ≥5–10% over 1–6 months is a red flag for serious underlying medical conditions requiring physician evaluation.

The ABCD nutritional assessment framework stands for:

Answer: Anthropometric, Biochemical, Clinical, Dietary

ABCD refers to Anthropometric measurements, Biochemical data, Clinical examination, and Dietary intake evaluation.

A client with type 2 diabetes presents with an HbA1c of 8.9%. For a nutrition professional interpreting this value, it indicates that the client's average blood glucose over the past 2–3 months has been:

Answer: Consistently elevated

HbA1c ≥8% indicates consistently elevated blood glucose; the ADA target for most adults with diabetes is below 7%.

When conducting a dietary recall with an older adult client who has mild cognitive impairment, the BEST strategy is to:

Answer: Include a caregiver or family member who was present during meals

Involving a caregiver who observed meals improves recall accuracy when the client's self-report may be unreliable due to cognitive limitations.

Creatinine-height index (CHI) is used in nutrition assessment to estimate:

Answer: Skeletal muscle mass

CHI compares a client's 24-hour urinary creatinine excretion to expected values for height, reflecting skeletal muscle mass as creatinine is a muscle metabolism byproduct.

A nutrition professional calculates a client's protein needs using 1.6 g/kg/day. If the client weighs 75 kg, what is the daily protein target?

Answer: 120 g

75 kg × 1.6 g/kg = 120 g of protein per day.