Nutrition Program Planning and Evaluation Study Guide Questions

Course Introduction

This course explores the fundamental concepts and practical approaches to designing, implementing, and evaluating nutrition programs in diverse community and public health settings. Students will examine the steps involved in needs assessment, goal setting, program planning, and resource allocation, as well as strategies for engaging stakeholders and culturally tailoring interventions. The course also covers methods for monitoring and evaluating program effectiveness, including qualitative and quantitative data collection, outcome measurement, and interpretation of results to inform program improvement and policy development. Through case studies and project work, students gain hands-on experience in developing evidence-based nutrition programs that address current health challenges.

Recommended Textbook

Community Nutrition in Action An Entrepreneurial Approach 6th Edition by Marie

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A. Boyle

Chapter 1: Opportunities in Community Nutrition

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Q1) Public health nutrition refers to those community-based programs that are conducted by a government agency.

A)True

B)False

Answer: True

Q2) A dietitian is involved in screening women to determine if they are at risk for osteoporosis.This is an example of _____ prevention. A) primary B) essential C) tertiary

D) secondary

Answer: D

Q3) What is meant by multiskilling? How do community nutritionists multiskill?

Answer: Multiskilling,or being cross-trained,occurs when the community nutritionist performs more than one function,often in more than one discipline.The multiskilled community nutritionist knows how to conduct a needs assessment and provide dietary guidance as well as how to design and conduct a survey,use the Internet for marketing health messages,and obtain funding to support a program's promotional plan.

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Chapter 2: Assessing Community Resources

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Sample Questions

Q1) The extent of the community assessment will vary depending on the scope of the assessment and its target audience.

A)True

B)False

Answer: True

Q2) The infant mortality rate is an important measure of a nation's health,but is not used worldwide as an indicator of health status.

A)True

B)False

Answer: False

Q3) Demographic data include all of the following except:

A) age.

B) gender.

C) spending habits.

D) marital status.

Answer: C

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Page 4

Chapter 3: Assessing the Target Populations ?Nutritional Status

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Sample Questions

Q1) Which of the following can affect nutrient utilization?

A) Alcohol use

B) Genetic factors

C) Gender and race

D) All of these

Answer: D

Q2) Define and describe focus groups,including their uses and how they are planned and conducted.

Answer: Focus groups usually consist of 5 to 12 people who meet in sessions lasting about 1 to 3 hours.The group's members are brought together to talk about their concerns,experiences,beliefs,or problems.They are used to obtain advice and insights about new products and services;research data and information about key variables used in quantitative studies;and opinions about products or creative concepts,such as advertising campaigns or program logos.A trained moderator who is skilled at putting people at ease and promoting group interaction leads focus group sessions.Open-ended questions are prepared,since they allow participants to take any direction they want and to reconstruct particular experiences.

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Chapter 4: Program Planning for Success

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Sample Questions

Q1) Describe three levels of community intervention and provide an example of each.

Q2) The following is an example of which type of objective: "Each community nutritionist will submit an itemized statement of expenses related to all nutrition education programming"?

A) Essential

B) Outcome

C) Process

D) Structure

Q3) The following is an example of which type of objective: "By the year 2020,reduce iron deficiency to less than 5% among low-income children under 2 years"?

A) Essential

B) Outcome

C) Process

D) Structure

Q4) The use of the PES statement occurs in the monitoring and evaluation step of the nutrition care process.

A)True

B)False

Q5) Describe the challenges that multiculturalism presents to the evaluator.

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Chapter 5: Principles of Epidemiology

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Sample Questions

Q1) The most appropriate use of a correlational study is

A) generating hypotheses.

B) drawing conclusions.

C) changing public policy.

D) validating previous studies.

Q2) Food balance sheets measure the food actually ingested by a population.

A)True

B)False

Q3) The epidemiological method was initially used to investigate,control,and prevent epidemics of

A) social problems.

B) chronic diseases.

C) infectious diseases.

D) acute illnesses.

Q4) Methods of assessing household food consumption include which of the following?

A) Records of food wasted, spoiled, or fed to pets

B) Records of number of meals eaten at home or away from the home

C) Per capita export data

D) Food disappearance data

Q5) What role might the community nutritionist play in this study?

Page 7

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Chapter 6: The Art and Science of Policy Making

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Sample Questions

Q1) Using the Internet and other media sources is not an appropriate method of building community awareness of an issue.

A)True

B)False

Q2) Evaluation of a public policy needs to occur after the policy has been terminated.

A)True

B)False

Q3) The Food and Drug Administration is an agency of the

A) National Institutes of Health.

B) Food and Nutrition Service.

C) Department of Health and Human Services.

D) Department of Agriculture.

Q4) Licensure is a state regulatory action that establishes and enforces minimum competency standards for individuals working in regulated professions,such as dietetics.

A)True

B)False

Q5) Reflect upon this statement: "If dietetics is your profession,politics is your business."

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Page 8

Chapter 7: A National Nutrition Agenda for the Publics

Health

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Sample Questions

Q1) Which of the following nutrients has/have been classified as current public health issues as demonstrated by several nutrition surveys?

A) Calcium

B) Iron

C) Thiamin

D) a and b

E) b and c

Q2) The NHANES III assessed dietary intakes of its participants by using A) 24-hour recalls.

B) 3-day food records.

C) food frequency questionnaires.

D) a and c

E) b and c

Q3) The Dietary Guidelines for Americans are revised every _____ years.

A) 3

B) 5

C) 7

D) 10

Q4) What is the Healthy Eating Index?

Q5) Define public health surveillance and its purpose.

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Chapter 8: Addressing the Obesity Epidemic: An Issue for Public Health Policy

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Q1) Discuss the tax-related pricing policies that have been proposed to address obesity.

Q2) Why is BMI used most frequently as a measure of obesity?

Q3) Recently,the WHO declared _____ one of the world's top ten health risks.

A) metabolic syndrome

B) central adiposity

C) overabundant leisure time

D) overweight

Q4) Excessive body weight in children is associated with increased morbidity and mortality just as in adults.

A)True

B)False

Q5) Obesity for adults is divided into _____ classes based on the degree of obesity.

A) 2

B) 3

C) 4

D) 5

Q6) Outline a brief plan of action to improve this identified weaker area.

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Q7) In the research,parents are reported as "gatekeepers" for children's eating and physical activity behaviors.What does this mean?

Chapter 9: Health Care Systems and Policy

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Q1) You have been asked to present arguments in favor of reimbursable nutrition services to an HMO benefits coordinator.What benefits of nutrition intervention would you highlight in your discussion?

Q2) In the past,the most notable gaps in Medicare coverage have been

A) prescription drug coverage and in-hospital care.

B) skilled nursing care and prescription drug coverage.

C) physician services and durable medical equipment costs.

D) in-hospital care and skilled nursing care.

Q3) Which of the following is not a major contributor to health care expenditures in the United States?

A) The administrative cost of the insurance process

B) Screening for diabetes

C) Rising professional liability costs

D) Cost of malpractice lawsuits

Q4) A prospective payment system is one example of cost containment.

A)True

B)False

Q5) List 3 of the major provisions of the Affordable Care Act of 2010.

Q6) What might be some of the possible positive outcomes of this protocol?

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Q7) What are some of the major contributors to health care expenditures in the U.S.?

Chapter 10: Food Insecurity and the Food Assistance Programs

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Q1) What are some of the problems that arise when children are hungry?

Q2) When grocery shopping she purchases energy-dense foods instead of nutrient-dense foods,and bypasses the legumes and fresh vegetables and fruits.Why might she make these choices?

Q3) What improvements to the Supplemental Nutrition Assistance Program would you recommend to enhance its ability to meet the needs of low-income households?

Q4) How would Sally's choices at the grocery affect her children's nutritional intake over time?

Q5) What is the Thrifty Food Plan?

Q6) Examples of medically-based risks in determining eligibility for participation in the Special Supplemental Nutrition Program for Women,Infants,and Children include all of the following except A) anemia.

B) overweight.

C) underweight.

D) maternal age.

Q7) State the major cause of food insecurity in the United States and discuss other factors that contribute to the U.S.hunger problem.

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Chapter 11: Mothers and Infants: Nutrition

Assessment,Services,and

Programs

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Q1) Failure to thrive is diagnosed in infants who fall below the _____ percentile on the growth chart for weight-for-length.

A) 5

B) 10

C) 15

D) 25

Q2) Which of the following is not characteristic of the Expanded Food and Nutrition Education Program (EFNEP)?

A) EFNEP is designed specifically for nutrition education.

B) EFNEP is directed at low-income families.

C) EFNEP is implemented by dietitians.

D) EFNEP is administered by the USDA extension service.

Q3) The recommended anthropometric measures to be performed on infants include the following except

A) head circumference.

B) heel-to-toe length.

C) recumbent length.

D) weight.

Q4) What factors contribute to maternal and infant health?

Page 13

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Chapter 12: Children and Adolescents: Nutrition

Issues,Services,and

Programs

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Sample Questions

Q1) As children get older,participation in the National School Lunch Program _____.

A) decreases

B) increases

C) remains constant

Q2) Which of the following is not among the most common nutrition-related problems of children?

A) Folate deficiency

B) Iron-deficiency anemia

C) Undernutrition

D) Dental caries

Q3) What is an "open site" as defined in the Summer Food Service Program for Children?

Q4) Briefly state the main impetus for the initiation of the National School Lunch Program.

Q5) Obesity in children is defined as having a BMI

A) below the 50 percentile on the CDC growth chart.

B) at or above the 85 percentile on the CDC growth chart.

C) at or above the 95 percentile on the CDC growth chart.

D) The term "obese" is not used to describe weight status in children.

Page 14

Q6) What are some factors that contribute to overweight and obesity in children?

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Chapter 13: Healthy Aging: Nutrition

Assessment,Services,and

Programs

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Sample Questions

Q1) Life expectancy has risen,in part,due to better prenatal and postnatal care.

A)True

B)False

Q2) Which of the following represent instrumental activities of daily living (IADLs)?

A) Bathing, dressing, and food preparation

B) Housekeeping, managing money, and shopping

C) Eating, bathing, and walking

D) Grooming, dressing, and using the phone

Q3) What are some concluding statements regarding adult fruit and vegetable consumption patterns?

Q4) Polypharmacy,which is the tendency to purchase drugs at more than 3 stores,is problematic for many older adults.

A)True

B)False

Q5) As _____ prevention,nutrition can lessen risks from chronic diseases.

A) primary

B) secondary

C) tertiary

D) essential

Page 15

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Chapter 14: World Hunger and Food Insecurity: Challenges and Opportunities

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Q1) Any solution to the problems of poverty and hunger is incomplete and hopeless if it fails to address the role of _____ in developing countries.

A) multinationals

B) religious leaders

C) political leaders

D) women

Q2) Healthy women in developed countries gain an average of _____ pounds during pregnancy,whereas poor women in developing countries gain _____ pounds.

A) 35, 20-25

B) 33, 35

C) 27, 11-15

D) 27, 5-10

Q3) List the global public health issues related to global food insecurity that continue to challenge policy makers and program designers.

Q4) Urbanization has been a factor in the worldwide decline in breastfeeding.

A)True

B)False

Q5) List four causes of world food insecurity.

Page 16

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Chapter 15: Understanding and Achieving Behavior Change

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Sample Questions

Q1) An innovator perceives himself as popular and financially privileged.

A)True

B)False

Q2) Which of the following theories is also referred to as the transtheoretical model?

A) Diffusion of innovation model

B) Stages of change model

C) Theory of reasoned action

D) Health belief model

Q3) If you were to include the stages of change model,how might you determine the stage of readiness the women are in?

Q4) The statement "Overeating at holidays is triggered by many food advertisements,in-store displays,and party buffets that people encounter" is an example of which of the following theories?

A) Health belief model

B) Diffusion of innovation theory

C) Social cognitive theory

D) Theory of reasoned action

Q5) List in order the five stages of the stages of change theory.

Q6) Describe and contrast three of the theories of consumer health behavior.

Page 17

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Chapter 16: Gaining Cultural Competence in Community Nutrition

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Sample Questions

Q1) Approximately 20% of the U.S.population speaks a language other than English at home.

A)True

B)False

Q2) It is impolite to ask someone with a culture different from your own what certain non-verbal cues mean.

A)True

B)False

Q3) Avoidance of alcoholic drinks and hot drinks (coffee and tea)is a dietary practice of A) Buddhists.

B) Hindus.

C) Mormons.

D) Muslims.

Q4) Describe problems that could occur when health care providers use nonprofessional interpreters.

Q5) Define cultural competency for community nutrition professionals.

Q6) Give examples of some guidelines for creating a comfortable cross-cultural interaction.

Q7) Differentiate between visible and invisible diversity.

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Chapter 17: Principles of Nutrition Education

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Sample Questions

Q1) Formative and summative evaluation mean the same thing and the terms can be used interchangeably.

A)True

B)False

Q2) Children and adults approach learning in the same manner.

A)True

B)False

Q3) To design an effective nutrition message you would

A) use language that is immediate.

B) use demonstratives such as "this" and "these."

C) use qualifiers such as "perhaps" or "may."

D) a and b

E) b and c

Q4) Nutrition education lesson plans should include all of the following except

A) an extensive review of literature.

B) outcome objectives or learner outcomes.

C) an evaluation component.

D) the duration of the program.

Q5) List and briefly describe the components of a well-developed lesson plan.

Q6) Write a nutrition message based on the objectives you wrote in #8.

Page 19

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Chapter 18: Marketing Nutrition and Health Promotion

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Sample Questions

Q1) Coupons,free samples,and trade catalogs are examples of A) advertising.

B) personal promotion.

C) sales promotion.

D) free publicity.

Q2) Advertising online is usually low cost and personal,but not always statistically representative.

A)True

B)False

Q3) Any paid form of non-personal presentation and promotion of ideas,goods,or services by an identified sponsor is referred to as

A) public relations.

B) sales promotion.

C) personal promotion.

D) advertising.

Q4) Which of the following is the second step in developing a marketing plan?

A) Determine the needs and wants of the target population

B) Conduct a situational analysis

C) Specify the benefits of the services to the target population

D) Develop a marketing strategy

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Chapter 19: Managing Community Nutrition Programs

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Q1) You desire to delegate some of your work to another person so that you might work more efficiently.What principles do you need to keep in mind to delegate successfully?

Q2) Discuss some ways that you can provide constructive criticism to your employees during a performance appraisal interview.

Q3) An organizational chart is

A) a formal planning document.

B) an informal organizational document.

C) depicted as a web for non-hierarchical organizations.

D) the same for every public health department.

Q4) Which of the following focuses on distributing and arranging human and nonhuman resources so that plans can be carried out successfully?

A) Leading

B) Planning

C) Controlling

D) Organizing

Q5) Underutilizing an employee's skills can destroy his/her motivation.

A)True

B)False

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Chapter 20: Building Grantsmanship Skills

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Q1) What are the three fundamental ethical principles of The Belmont Report?

Q2) Preparation of a grant proposal begins with A) identifying potential collaborators.

B) describing goals.

C) generating ideas.

D) identifying funding sources.

Q3) Successful grant writers tend to be well read and current with the happenings in their interest areas.

A)True

B)False

Q4) Once an idea for a grant proposal is formulated,the next step is to A) generate a research question.

B) gather baseline data.

C) identify a learning theory.

D) review the literature.

Q5) Which of the following is not a component of the Logic Model?

A) Measures

B) Inputs

C) Outcomes

D) Outputs

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