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A comprehensive set of multiple-choice questions and answers covering key concepts in nasm-cnc (national academy of sports medicine - certified nutrition coach) exam preparation. It explores topics such as nutrition coaching scope of practice, client assessment, dietary guidelines, eating disorders, evidence-based practice, and the scientific method. Designed to help aspiring nutrition coaches understand the ethical and practical aspects of providing nutritional guidance and support to clients.
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a CNC can provide clients non-medical nutrition information & behavior change ✔✔true
every region requires that a nutrition coach work under the supervision of a registered dietitian ✔✔false
the CNC can provide specific meal plans for clients ✔✔false
the CNC can recommend specific supplements ✔✔false
the CNC can offer advice on eating behaviors/macronutrients that are known to reduce risk of disease or slow disease progression ✔✔true
a thorough assessment can help rule out any client who has issues beyond the scope of practice for the CNC ✔✔true
the SCOFF questionnaire is a reliable assessment tool used to detect which of the following conditions? ✔✔eating disorder
an unexplained surge in athletic performance is a reason for the CNC to refer their client to a registered dietitian ✔✔false
a client who confides of suicidal thoughts should be referred to a psychologist ✔✔true
it is appropriate for the CNC to recommend an over the counter antacid when a client complains about recent episodes of heart burn ✔✔false
when it comes to client confidentiality, all personal information should be kept in a locked/secure area ✔✔true
if the CNC intends to work as an employee in a private health club, its important to consult with an attorney & accountant to ensure proper business practices ✔✔true
when working with a client who has been complaining of low back pain that has been getting worse, what is the most appropriate recommendation ✔✔refer to a chiropractor
which statement is within the scope of practice for a CNC? ✔✔recommend the client discuss supplement usage & dosing with their pharmacist or physician
a client confides that she is taking laxatives to help her lose weight. what is the best course of action? ✔✔refer to a certified eating disorder specialist
where should client files be kept to ensure client confidentiality? ✔✔in a locked & secure location
to ensure the client is retaining any shared information, its important that the content presented is highly relevant and what other quality? ✔✔practical
to ensure the client is retaining any shared information, its important the content presented is perceived to be important and what other quality? ✔✔based on prior experience
with which client would it be most appropriate for the CNC to work? ✔✔overweight client who wants to train for a 10k
a new client just moved into the area. she states she occasionally suffers from anxiety & panic attacks and needs to renew her prescription medication. which professional should you refer? ✔✔psychiatrist
according to the scope of practice for a CNC, which is an example of an appropriate resource for determining daily caloric intake? ✔✔dietary guidelines for americans
which statement best describes the healthcare continuum? ✔✔the many disciplines that make up the healthcare system
with which client would it be most appropriate for the CNC.to work? ✔✔clients with inconsistent weight loss and weight gain
one of the roles of a CNC is to help facilitate weight loss. which of the following would be most appropriate to recommend for the overweight client? ✔✔refer to a CPT for a resistance training program
a CNC is sitting down with a new client for her initial evaluation. she noted on her HHQ that she has diabetes and she has trouble keeping her blood glucose controlled. what is the best course of action? ✔✔refer her to a certified diabetes educator
a scientific theory is just a guess ✔✔false
which of the following ranks highest in terms of quality ✔✔randomized control trials (RCTs)
which of the following best describes an empirical scientific approach? ✔✔controlled observation
which of the following represents a weakness of observational studies? ✔✔correlation does not equal causation
which of the following best represents a weakness of interventional designs? ✔✔small number of subjects
which of the following is the best source of information? ✔✔peer reviewed scientific journals
scientific evidence is fixed and immutable ✔✔false
the uncertainty of science is a strength, as nothing is ever 100% certain ✔✔true
numerous studies, including genetic studies, RCTs on lipid lowering medications & observational studies point to LDL having a casual role in heart disease. which term best describes the concept that LDL plays a casual role in heart disease? ✔✔theory
which term describes the phenomena when a group doesn't represent the population a scientist is intending to study? ✔✔selection bias
the behavioral risk factor surveillance system (BRFSS) involves collecting health-related information via telephone interview across the US. which term best describes this research? ✔✔survey
which term best describes formulation of a hypothesis, collecting data to test the hypothesis & changing/discarding the hypothesis when the data does not support it? ✔✔scientific method
studies show that diet A causes more weight loss than diet B. a client is able to better adhere to diet B. which item represents the best option for this client? ✔✔diet B
Scientists perform a study comparing 1000 women with breast cancer to 1000 women without breast cancer. They gather information on the women's diets and look to see if the women diagnosed with breast cancer had more fat in their diet compared to the women who did not get cancer. Which term best describes this study? ✔✔case-control study
Which term describes how a body of knowledge is based on observation and experience? ✔✔empirical
Which term describes a variable in an experiment for which a scientist takes no steps to account for? ✔✔uncontrolled variable
Scientists randomly assign subjects to a low or high carbohydrate group and then look at changes in body weight over 3 months. Which item represents the independent variable in this study? ✔✔diet type
Which observational study design allows scientists to hypothesize a potential causal association? ✔✔cohort study
a scientist hypothesizes that a supplement will increase resistance training performance. a study is carried out & the results don't support the hypothesis. multiple studies by independent labs
also fail to support it. what is the appropriate response? ✔✔the predictions have been falsified & hypothesis is discarded
a scientist hypothesizes a supplement will improve fat loss by suppressing appetite. which item represents a prediction generated by this hypothesis? ✔✔subjects will eat less after taking supplement
which term refers to a proposed explanation for observations? ✔✔hypothesis
7 studies show diet A lowers cholesterol more than diet B. 3 studies show no difference. assuming all studies are equivalent in quality, which item best describes this situation? ✔✔weight of evidence suggests A is more effective than B, but more information is needed
scientists perform a diet study in which they assign half the people to a continuous dieting group & the other half to an intermittent fasting group. which describes this study design? ✔✔parallel
a scientists observes that people tend to perform better in a weight training session after consuming a pre-workout supplement. the scientist proposes the caffeine increases arousal, leading to increased performance. which term describes the proposal? ✔✔hypothesis
which of the following represents a socio-cultural food choice? ✔✔someone who eats Halal foods because they practice Islam
satiety is achieved by the relatively simple process of the stomach recognizing that it is full of food ✔✔false
which of the following hormones is responsible for feelings of satiety? ✔✔leptin
what foods elicit faster satiety-signal responses? ✔✔complex carbohydrates & proteins
which of the following is the leading cause of death? ✔✔heart disease
which of the following best describes chronic diseases? ✔✔they are of long duration
which of the following is best described as the state of being in good health, especially as an actively pursued goal? ✔✔wellness
the best approach to eating for a population's diversity & differences includes which of the following? ✔✔a flexible approach
which of the following best defines wellness? ✔✔the overall quality of health one is experiencing, especially as an actively sought lifestyle that leads to optimal health & well-being
intellectual wellness implies which of the following? ✔✔constant learning
what is the leading contributor to preventable death? ✔✔smoking
older adults tend to have which of the following? ✔✔lower dietary intake of vitamins
communicable diseases are which of the following? ✔✔passed from person to person
which of the following is best defined as a high degree of body fat, or excess body fat, with a BMI of greater than 30? ✔✔obesity
which of the following are the primary molecules in our food that store energy within their chemical bonds? ✔✔carbohydrates, fats, proteins
what molecules' bond is broken during the usage of ATP that results in an ADP molecule & the release of free energy to drive muscle contractions? ✔✔phosphate
which of the following components of energy balance represents energy in? ✔✔food & beverages
which of the following is an individual factor that affects energy balance? ✔✔psychology
roughly what percentage of daily energy expenditure comes from the thermic effect of activity (TEA)? ✔✔15-30%
which of the following bodily functions are supported by a persons resting metabolism? ✔✔breathing, blood circulation, neurological function
which component of energy expenditure represents the easiest way to increase total daily caloric expenditure for individuals focused on reducing body fat? ✔✔non-exercise activity thermogenesis (NEAT)
sleep deprivation (ex. 3.5-5.5 hours per night) has been shown to be responsible for which of the following effects? ✔✔reduced resting metabolic rate
which of the following metabolic processes is stimulated by thyroid hormones? ✔✔glycogenolysis
which hormone is produced by adipose cells & helps stimulate satiety? ✔✔leptin
which of the following statements represents a function of the hormone ghrelin? ✔✔stimulates appetite, released by the stomach, concentration is affected by age & gender
which hormone is released by the pancreas & helps to either usher glucose into cells or store it as glycogen when blood sugar levels are high? ✔✔insulin
energy utilized for immediate work is known as which of the following? ✔✔kinetic
which hormone, produced by adipose cells, decreases appetite when released? ✔✔leptin
what foods tend to have a higher thermic response than others? ✔✔high protein foods
between 1969/1971 and 1991/2001, global food consumption per person has risen by how much? ✔✔approximately 400 kcal per person per day
worldwide, activity levels (including occupational work, home/domestic work, leisure & exercise, & physical activity) are doing which of the following? ✔✔declining
most cells utilize which of the following as their primary source of energy during intense activity? ✔✔glucose
what is the process of generating energy from the food we eat? ✔✔metabolism
energy expended during walking at work, typing, going to meetings & fidgeting is referred to which of the following? ✔✔non-exercise activity thermogenesis (NEAT)
which is one of the key features that distinguishes life from non-life? ✔✔metabolism
what is the end result of inadequate rest? ✔✔reduced RMR
Which hormone is referred to as the hunger hormone because it stimulates appetite, increases food intake, and promotes fat storage? ✔✔ghrelin
Resting metabolic rate, or RMR, declines by what percentage per decade for men? ✔✔1 to 2%
The basic energy need of an average human being is approximately how many Calories? ✔✔ 2000
what is the molecular component that makes each individual amino acid unique? ✔✔side chain
which of the following amino acids is essential in the human diet? ✔✔leucine