Risk Assessment & Management Flashcards
7 cards from real ACBN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Assessment & Management flashcards as text
A client with celiac disease who has been 'gluten-free' for 2 years still has symptoms and low bone density. Which hidden gluten source is most commonly overlooked?
Answer: Medications, supplements, and communion wafers
Medications and supplements may use wheat starch as excipients, and communion wafers traditionally contain gluten—sources patients frequently fail to report.
Which dietary assessment method is most appropriate for estimating population-level nutrient intake in epidemiological studies?
Answer: Food frequency questionnaire (FFQ)
FFQs capture habitual dietary patterns over months to years at low cost, making them ideal for large epidemiological studies despite lower precision than records.
A client with non-alcoholic fatty liver disease (NAFLD) is at greatest risk for progression to cirrhosis if which condition is also present?
Answer: Type 2 diabetes and metabolic syndrome
Type 2 diabetes and metabolic syndrome amplify hepatic inflammation and fibrosis risk in NAFLD, and their coexistence is the strongest predictor of NASH progression to cirrhosis.
Which approach is most effective for managing the nutritional risk of a food-insecure client with hypertension?
Answer: Connecting client to SNAP and food bank resources while adapting the DASH principles to available foods
Effective risk management integrates social determinants of health; connecting clients to food assistance programs and adapting evidence-based dietary guidance to realistic resources maximizes adherence and outcomes.
During a nutrition assessment, a client reports consuming more than 3 alcoholic drinks per day. Which micronutrient deficiency is of highest priority concern?
Answer: Thiamine (B1)
Chronic alcohol use impairs thiamine absorption, increases thiamine excretion, and depletes hepatic stores, placing clients at high risk for Wernicke-Korsakoff syndrome.
A client on a very low calorie diet (<800 kcal/day) for weight loss is at increased risk for which cardiac complication?
Answer: Ventricular arrhythmia from electrolyte imbalances and protein-energy malnutrition
Severe caloric restriction can cause potassium, magnesium, and protein depletion, which together impair cardiac muscle function and conduction, increasing arrhythmia risk.
When performing a risk assessment for a vegan athlete, which nutrient combination requires the most proactive monitoring?
Answer: Vitamin B12, iron, zinc, and omega-3 fatty acids
Strict plant-based diets eliminate B12 (found only in animal foods), provide non-heme iron and zinc with lower bioavailability, and lack EPA/DHA omega-3s, creating a cluster of deficiency risks in high-demand athletes.