Friday, July 12, 2013

Food Hygiene and Nutrition


Answer the following multiple choice questions.
1. Fresh Tastes School is a NSW Health campaign that mandates that the majority of foods sold at school canteens must be low in fat and sugar. A community dietitian working with School Canteen Managers in her local area to help the school implement Fresh Tastes, is an example of which level of nutrition intervention?
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a. primary
b. secondary
c. tertiary
d. quaternary
2. The Ottawa Charter was a significant milestone for health promotion because
a. it was written as the result of a conference in Ottawa
b. it provided a clear framework for health promotion action
c. it set the agenda of Health for All by the Year 2000
d. It caused the reorientation of health services
3. The molecular nutrition paradigm refers to:
a. a new way of looking at nutrition
b. the Giessen Declaration of 2005
c. integration of genetic principles and technologies with nutrition and food science
d. the Barcelona Declaration of 2006
4. Australia developed a national food and nutrition policy, launched in the early 1990s. Which statement BEST describes the Government’s purpose in developing the policy?
a. to implement the Dietary Guidelines for Australians
b. to increase consumption of fruit and vegetables
c. to improve the health status of Australians
d. to apply evidence based practice in nutrition
CASE 1
The Community Health Centre in the town of Glen Innes has just appointed its first ever community dietitian. Because no community nutrition work has been conducted in the town before, she starts with Stage 1 of needs assessment to determine the priority nutrition-related problem for the community.
Questions 5- 6 refer to this case
5. Consultation is Step 1 in Stage 1 of needs assessment of the Glen Innes community. Which of the following sources of information would be most important at this stage in conducting a nutrition-based needs assessment?
a. opinions of local health promotion officers on priority health problems
b. a systematic review demonstrating evidence of effectiveness in cholesterol lowering
c. census data from the ABS showing the socio-demographic data on the community
d. a listing of the community resources available for intervention services.
6. Determining priorities is the final step of Stage 1 of needs assessment. This process can be difficult, since there is often more than one nutrition related problem in the community. Which of the following would NOT inform the decision making process to determine the priority health problem in the Glen Innes community?
a. assessing how prevalent the problem is in the local area
b. assessing the proportion of risk due to genetics and that due to behavioural factors
c. assessing the severity of the problem in terms of health impact on individuals
d. assessing the selectivity of the condition in terms of who the condition affects
7. The 1995 National Nutrition Survey used which of the following methods to measure dietary intake of the population?
a. 24 hour record and a qualitative FFQ
b. 24 hour record and a quantitative FFQ
c. 24 hour recall and a qualitative FFQ
d. 24 hour recall and a quantitative FFQ
8. The public health nutritionist for the Hunter New England Area wants to evaluate the health needs of the region in terms of obesity and Type 2 diabetes. In the report, she comes across the following statement:
The prevalence of obesity in the Hunter Area increased by 2% in 2010 in comparison to 2009.
The most correct interpretation of this statement is:
a. that the total number of obese people was higher in 2010 than in 2009
b. that more people became obese in 2010 than in 2009
c. that more people became overweight in 2010 than in 2009
d. that there were more people in the overweight BMI range in 2010 than in 2009
9. Policy making is the process by policy is formed, and there are several different models in use.
Which of the following statements applies to the Rational-Linear model of policy formation?
a. relies on an overall scan of the policy environment to identify decisions that can be taken incrementally and those that are strategic
b. allows policy-makers to retain a long-term vision and respond to immediate issues that require policy amendment
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c. follows a series of phases including problem identification, policy formulation and policy to evaluation
d. maintains a strong focus on the politics and values of the policy environment
10. The aim of evaluation research is to assess an intervention is successful in meeting its goal. Evaluation of the intervention goal is known as which of the following types of evaluation?
a. process evaluation
b. intervention evaluation
c. impact evaluation
d. outcome evaluation
11. Nutrition education is an important role of the Public Health Nutritionist. Which of the following tools is best applied in educating the public in how to select foods for a healthy diet?
a. Dietary Guidelines for Australians
b. Healthy Diet pyramid
c. Australian Guide to Healthy Eating
d. Traffic Light Guide
12. If a person attends a ‘quit smoking course’ which type of contributing risk factor is this?
a. predisposing
b. reinforcing
c. enabling
d. controlling
13. Psychological theories are important in explaining health behaviours. The way in which an individual perceives the world and how these perceptions motivate behaviour is based on which psychological theory?
a. Transtheorectical model
b. Health belief model
c. Theory of planned behaviour
d. Social cognitive theory
14. Edutainment is one method of providing mass media messages. Which of the following is an example of edutainment?
a. a teacher talking about fruit and vegetable intake in the classroom
b. a Public Health Nutritionist discussing fruit and vegetable intake with a patient
c. a TV drama including dialogue on increasing fruit and vegetable intake
d. an advertisement on TV about how to prepare fruit and vegetables
15. Emotional Intelligence is an important concept in public health nutrition. The definition of emotional intelligence is the ability to:
a. generate emotion in a target group
b. understand feelings within oneself and others
c. reflect on practice and learning
d. apply intelligence to use of emotions
16. Environmental (or structural) approaches to changing behaviour have both advantages and disadvantages. A major advantage of an environmental approach is that they are:
a. far reaching
b. cheap
c. selective
d. easy to implement
17. A group of rural producers, health professionals, community workers, local government planners and permaculture experts have come together to develop and lobby for an economically and environmentally sustainable food system in the Sydney Basin. Their aims are to promote urban agriculture, improve access to affordable food and to reduce food miles.
The relationship outlined in the scenario is an example of which of the following partnerships?
a. A strategic alliance of key groups that has joined forces and resources, for a specified or indefinite period, to achieve a common purpose.
b. A network of organisations that have similar interests and can communicate over the internet with each other.
c. A coalition of individuals who will work together on specified projects over time.
d. A consortium of interested parties who have joined together to share information about environmentally sustainable development.
18. Which of the following is a disadvantage of the Fresh Tastes @ School intervention?
a. the target group was too small for statistical significance
b. not all people in the target group are captured by the intervention
c. it is an unsustainable program due to the high costs
d. food intake at school is less than half dietary intake
19. Monitoring and surveillance are essential activities for a successful food system. Which of the following is a current example of monitoring in Australia?
a. Population monitor survey by ABS
b. Apparent consumption of Foodstuffs
c. The Australian Total Diet Survey
d. Food recalls by FSANZ
20. Surveillance of the food and nutrition system is an important part of the role of various government departments in Australia.
Which of the following describes the main aim of surveillance of the food system?
a. to address a series of questions (eg what proportion of women breastfeed?)
b. to accurately describe food and nutrient intake in Australia
c. to track changes in the food supply on a regular basis
d. to identify and respond to problems in the food supply
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