CCS CCS Nutrition & Dietary Support 1 — Questions and Answers
Question 1: A care specialist is working with a client who has dysphagia. Which diet texture modification is most appropriate to reduce aspiration risk?
- Regular/general diet
- Minced and moist foods (Correct answer)
- Full liquid diet only
- Clear liquid diet only
Correct answer: Minced and moist foods
Minced and moist foods are a standard dysphagia diet modification that reduces aspiration risk by making food easier to chew and swallow safely.
Question 2: Which vitamin deficiency is most commonly associated with poor wound healing in elderly clients receiving home care?
- Vitamin A
- Vitamin C (Correct answer)
- Vitamin D
- Vitamin K
Correct answer: Vitamin C
Vitamin C is essential for collagen synthesis, and its deficiency directly impairs wound healing and skin integrity.
Question 3: A certified care specialist notices a diabetic client's meal tray contains a large portion of white rice, bread, and juice. What is the most appropriate action?
- Allow the client to eat whatever they prefer
- Document the meal without intervening
- Report the concern to the supervising nurse or dietitian (Correct answer)
- Remove the items without explaining why
Correct answer: Report the concern to the supervising nurse or dietitian
The care specialist should report dietary concerns to the supervising nurse or registered dietitian, as these high-glycemic foods may affect blood sugar management.
Question 4: When assisting a client with meals, which observation should be reported immediately to the supervising clinician?
- Client prefers soft foods
- Client coughs repeatedly during eating (Correct answer)
- Client eats slowly
- Client skips dessert
Correct answer: Client coughs repeatedly during eating
Repeated coughing during eating is a warning sign of possible aspiration or swallowing difficulty and must be reported immediately.
Question 5: Which of the following is the correct way for a care specialist to measure a client's fluid intake?
- Estimate visually based on cup size
- Record only water consumed, not other liquids
- Document all fluids in milliliters using standardized measures (Correct answer)
- Only count fluids consumed with meals
Correct answer: Document all fluids in milliliters using standardized measures
Accurate fluid intake measurement requires documenting all fluids consumed in milliliters using standardized measurement tools to ensure proper hydration monitoring.
Question 6: A care specialist is assisting an older adult who frequently refuses meals. What is the best first step?
- Force the client to eat for their health
- Document the refusal and notify the care team (Correct answer)
- Offer double portions at the next meal
- Ignore the refusal if it only happens once
Correct answer: Document the refusal and notify the care team
Documenting the refusal and notifying the care team ensures a coordinated response to assess for underlying causes such as depression, dental pain, or medication side effects.
CCS CCS Nutrition & Dietary Support 1
A care specialist is working with a client who has dysphagia.
Which diet texture modification is most appropriate to reduce aspiration risk?