Public Health Nutrition Quiz
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Questions and Answers

Which organization is NOT mentioned as an international level employment option for public health and community nutritionists?

  • World Economic Forum (WEF) (correct)
  • United Nations Organization (UNO)
  • Pan American Health Organization (PAHO)
  • World Health Organization (WHO)
  • What is the primary focus of the ethical code established by the Academy of Nutrition and Dietetics?

  • Encouraging dietary restrictions
  • Providing accurate and reliable information (correct)
  • Focusing on alternative medicine
  • Promoting nutritional supplements
  • How many principles are included in the ethical code of the Academy of Nutrition and Dietetics?

  • 15
  • 10
  • 19 (correct)
  • 23
  • Which of the following is NOT one of the moral virtues of health professionals?

    <p>Creativity (D)</p> Signup and view all the answers

    What is the first step in the Nutrition Care Process Model?

    <p>Assessment (C)</p> Signup and view all the answers

    What is the primary focus of public health as described?

    <p>Focusing on community as the patient (C)</p> Signup and view all the answers

    Which factor does NOT contribute to community strengths?

    <p>Chronic illnesses (D)</p> Signup and view all the answers

    How can community strengths impact nutrition knowledge?

    <p>They enhance nutrition knowledge (B)</p> Signup and view all the answers

    Which of the following is a historical reason for the development of public health nutrition?

    <p>Epidemics of communicable diseases (D)</p> Signup and view all the answers

    Which lifestyle factor is linked to chronic diseases?

    <p>Cigarette smoking (A)</p> Signup and view all the answers

    What societal condition does NOT relate to public health nutrition?

    <p>Healthcare system efficiency (D)</p> Signup and view all the answers

    What chronic disease is NOT commonly linked to eating behaviors?

    <p>Asthma (B)</p> Signup and view all the answers

    Which of the following encompasses a public health effort?

    <p>Promoting community-wide health initiatives (D)</p> Signup and view all the answers

    What is the primary mission of Healthy People 2020?

    <p>Improve health by strengthening policy and practice. (C)</p> Signup and view all the answers

    What is one of the overarching goals of Healthy People 2020?

    <p>Achieve health equity and eliminate health disparities. (D)</p> Signup and view all the answers

    How does Healthy People 2020 suggest engaging with different sectors?

    <p>By taking actions driven by the best available evidence and knowledge. (C)</p> Signup and view all the answers

    What is one responsibility of community and public health nutritionists?

    <p>Monitoring community health in relation to public health objectives. (A)</p> Signup and view all the answers

    What emphasizes the need to include unserved or underserved populations?

    <p>Seeking out individuals facing barriers due to income, age, ethnicity, or lifestyle. (B)</p> Signup and view all the answers

    What aspect of the Healthy People 2020 vision involves promoting healthy development?

    <p>Promoting healthy development at every stage of life. (D)</p> Signup and view all the answers

    Identifying critical research and data collection needs relates to which Healthy People 2020 component?

    <p>Underlining the importance of evidence-based strategies. (C)</p> Signup and view all the answers

    What is the role of interdisciplinary teams in achieving public health goals?

    <p>Facilitating collaboration among different disciplines of public health workers. (B)</p> Signup and view all the answers

    What is the primary purpose of the nutrition intervention step in the Nutrition Care Process?

    <p>To take specific action that resolves or improves the nutrition problem (A)</p> Signup and view all the answers

    Which of the following is NOT one of the categories of nutrition intervention?

    <p>Public health campaigns (B)</p> Signup and view all the answers

    What is the focus of planning the nutrition intervention?

    <p>Using evidence-based practice for decision-making (A)</p> Signup and view all the answers

    What is a key responsibility during the implementation phase of the nutrition intervention?

    <p>Follow up and verify that the implementation is occurring (B)</p> Signup and view all the answers

    What does the monitoring and evaluation step determine in the nutrition care process?

    <p>Whether the goals and expected outcomes were achieved (D)</p> Signup and view all the answers

    What is one of the actions to take if monitoring indicates that outcomes are not being met?

    <p>Revise strategies as changes in condition occur (C)</p> Signup and view all the answers

    Which of the following describes nutrition care indicators?

    <p>Observable and measurable signs used to quantify changes (B)</p> Signup and view all the answers

    Which component is essential during the planning stage of a nutrition intervention?

    <p>Determining the community or individualized recommended dietary intake (A)</p> Signup and view all the answers

    Which factor is NOT indicated as making a direct impact on nutrition problems?

    <p>Genetic predispositions (C)</p> Signup and view all the answers

    What does the Cooperative Extension System NOT provide educational programs for?

    <p>Advanced medical training (B)</p> Signup and view all the answers

    The EFNEP program focuses primarily on which aspect of education?

    <p>Nutrition education (D)</p> Signup and view all the answers

    Which act established a partnership between the USDA and land-grant universities?

    <p>Smith-Lever Act (C)</p> Signup and view all the answers

    What is NOT a component of the indicators for nutrition monitoring?

    <p>Food preparation skills (C)</p> Signup and view all the answers

    Which major area does the Cooperative Extension System focus on?

    <p>Job retention (D)</p> Signup and view all the answers

    In the context of the Cooperative Extension System, which of the following is emphasized for 4-H Youth Development?

    <p>Hands-on project learning (C)</p> Signup and view all the answers

    Which of these laboratory values is NOT mentioned as part of nutrition monitoring?

    <p>Vitamin D levels (A)</p> Signup and view all the answers

    Which condition is the leading cause of death in the United States?

    <p>Heart disease (C)</p> Signup and view all the answers

    Which of the following is NOT one of the top 10 leading causes of death globally?

    <p>Accidents (B)</p> Signup and view all the answers

    What is personal health prevention primarily focused on?

    <p>Individual level health practices (D)</p> Signup and view all the answers

    Which of the following factors is part of the causative process representing risk factors?

    <p>Lifestyle factors (B)</p> Signup and view all the answers

    Which type of prevention deals specifically with changing policies and laws?

    <p>Systems-based prevention (A)</p> Signup and view all the answers

    What term is used to describe health inequalities that arise from childhood environment and psychological factors?

    <p>Selective process (C)</p> Signup and view all the answers

    Which condition is among the leading causes of death worldwide, associated with respiratory issues?

    <p>Tuberculosis (B)</p> Signup and view all the answers

    What are the three important parts of prevention mentioned?

    <p>Personal, community-based, and systems-based (C)</p> Signup and view all the answers

    Flashcards

    What is the focus of public health?

    Public health focuses on the health of entire communities, not just individuals, emphasizing the community's strengths and resilience.

    What is the goal of public health nutrition?

    Public health nutrition aims to improve the health of communities by preventing disease and promoting healthy eating habits.

    What are community strengths in public health?

    Community strengths refer to factors that contribute to a community's resilience, like access to education, supportive networks, and healthy habits.

    What are some lifestyle factors that contribute to chronic diseases?

    Poor dietary practices, lack of physical activity, excessive alcohol consumption, and smoking are lifestyle factors that contribute to chronic diseases.

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    How are chronic diseases linked to lifestyle?

    Chronic diseases like obesity, heart disease, diabetes, and cancer are often linked to unhealthy lifestyle choices like poor diet and lack of physical activity.

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    How does public health nutrition help prevent chronic diseases?

    Public health nutrition aims to reduce chronic diseases in communities through promoting healthy eating habits.

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    Why was public health nutrition developed?

    Public health nutrition emerged as a response to various challenges, including infant mortality, lack of healthcare access, infectious diseases, and poor hygiene and sanitation.

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    What current issues does public health nutrition address?

    Public health nutrition aims to address complex health issues like aging populations, poverty, and access to healthy meals in schools and childcare centers.

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    Personal health prevention

    Interventions aiming to improve individuals' health behaviors. Examples include educating a breastfeeding mother or promoting physical activity.

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    Community-based prevention

    Interventions targeting groups to influence health outcomes. Examples include public campaigns promoting low-fat diets or smoking cessation programs.

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    Systems-based prevention

    Interventions that modify policies and laws to promote health. Examples include legislation on childhood immunizations, food labeling, and food safety.

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    Socioeconomic model of health

    The socioeconomic model hypothesizes that people living in poverty may have limited access to resources, leading to health problems. This model explains how socioeconomic status can influence overall health.

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    Selective process

    The process where early childhood health conditions influence adult health and socioeconomic status.

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    Causative process

    The process where socioeconomic status affects health through lifestyle, environmental, and psychosocial stress factors. These factors act as intermediaries between socioeconomic status and health problems.

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    Lifestyle, structural/environmental, and psychosocial stress factors

    Factors such as lifestyle, environmental conditions, and psychosocial stress can contribute to health disparities between socioeconomic groups.

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    Childhood environment and cultural/psychological factors

    Early childhood environment, cultural, and psychological factors can contribute to health inequalities through both selection and causation processes.

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    What is ethics?

    Ethics is the study of principles that guide human behavior, especially in moral dilemmas.

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    What is the AND ethical code?

    The Academy of Nutrition and Dietetics (AND) ethical code outlines 19 principles for community and public health nutritionists.

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    What is the role of accuracy in community nutrition?

    Nutritionists must provide accurate and reliable information to help people make informed choices.

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    What is the Nutrition Care Process Model?

    Community and public health nutritionists use it to critically analyze nutrition problems and make decisions.

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    How many steps does the Nutrition Care Process Model have?

    The Nutrition Care Process Model has four interconnected steps to improve nutrition care.

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    What is Healthy People 2020?

    Healthy People 2020 is a set of national health objectives designed to improve the health of all Americans. It outlines specific goals to eliminate preventable diseases, promote health equity, and create environments that support well-being.

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    What are the overarching goals of Healthy People 2020?

    The overarching goals of Healthy People 2020 include: eliminating preventable health problems, achieving health equity, promoting healthy environments, and encouraging healthy behaviors throughout life.

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    How do public health nutritionists work?

    Public health nutritionists work within collaborative teams to assess community health needs, design interventions, and implement strategies to improve nutrition and prevent disease.

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    What are interventions used by public health nutritionists?

    Public health nutritionists use interventions that promote health by managing the community environment. This could include promoting healthy food choices, encouraging physical activity, and advocating for policies that support healthy lifestyles.

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    Who do public health nutritionists focus on?

    Public health nutritionists prioritize communities with the greatest health needs, focusing on vulnerable populations who may experience food insecurity, limited access to healthcare, or higher risk of disease.

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    Who do public health nutritionists collaborate with?

    Public health nutritionists collaborate with various partners, including the public, community leaders, policymakers, and health professionals, to ensure their efforts meet community needs and address consumer demands.

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    How do public health nutritionists ensure their work is effective?

    Public health nutritionists monitor community health trends and outcomes, using data to guide their interventions and continuously adapt their strategies to address current and future needs.

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    What is the role of public health nutritionists in policy advocacy?

    Public health nutritionists use their expertise to advocate for policies and practices that promote healthy food choices, access to nutritious meals, and healthy living environments.

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    Nutrition Monitoring Indicators

    Indicators used to assess the effectiveness of nutrition programs and interventions.

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    Cooperative Extension (CE) System

    The Cooperative Extension System is a network that provides education and resources to communities, especially in agriculture, family and consumer sciences, and youth development.

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    Morrill Act

    The Morrill Act of 1862 established land-grant universities to educate citizens in agriculture, home economics, and other practical fields. This act was a key foundation for the Cooperative Extension System.

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    Smith-Lever Act

    The Smith-Lever Act of 1914 formalized the partnership between the USDA and land-grant universities to provide practical education to the public.

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    Expanded Food and Nutrition Education Program (EFNEP)

    The Expanded Food and Nutrition Education Program is a federally funded program that focuses on teaching nutrition education to low-income families.

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    4-H Youth Development

    The 4-H Youth Development program helps youth learn about agriculture, science, and other subjects through hands-on activities and projects.

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    Natural Resources

    Natural Resources programs provide education and resources to landowners and homeowners on topics like water quality, timber management, and waste management.

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    Family and Consumer Sciences

    Family and Consumer Sciences programs provide education and resources to families on topics such as nutrition, food preparation, childcare, and financial management.

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    What does the nutrition intervention step of the Nutrition Care Process involve?

    A nutrition intervention is the action taken to resolve or improve a nutrition problem identified during assessment. This can include actions like providing specific foods, educating the patient, counseling them on lifestyle changes, or coordinating with others involved in their care.

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    What is evidence-based practice in nutrition intervention?

    Evidence-based practice means using the best available research and guidelines when making decisions about nutrition interventions. This ensures you're using the most up-to-date and reliable information for the best outcome.

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    What is a nutrition prescription?

    The nutrition prescription is the specific plan outlining the recommended dietary intake (foods and nutrients) for an individual or community. It's tailored to their health condition and nutrition diagnosis.

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    What does "Implementing the Nutrition Intervention" mean?

    Implementing the nutrition intervention involves putting the plan into action. This includes communicating the plan to everyone involved, carrying out the plan, collecting data, and making necessary adjustments along the way.

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    What are some key aspects of quality nutrition intervention implementation?

    Quality implementation emphasizes individualization, collaboration, follow-up, and adaptation. It means making sure the intervention is tailored to the individual or community, working with other healthcare professionals, checking that the plan is working, and making changes as needed.

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    What is the purpose of the "Monitoring and Evaluation" step in Nutrition Care?

    Monitoring and Evaluation is the process of checking if the set goals were achieved and if progress was made in resolving the nutrition problem. It involves tracking progress, measuring outcomes, and evaluating the overall effectiveness of the intervention.

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    What are nutrition care indicators?

    Nutrition care indicators are measurable signs that demonstrate the changes that occurred due to the nutrition intervention. These indicators can be used to evaluate the effectiveness of the plan.

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    Study Notes

    Community Nutrition and Public Health

    • Community nutrition is a comprehensive profession encompassing public health nutrition, dietetics, education, and medical nutrition therapy.
    • Community nutrition addresses food and nutrition issues within specific groups, such as those based on residence, language, culture, or health issues.

    Community

    • The World Health Organization (WHO) defines community as a social group based on shared geographic boundaries and common values or interests.
    • Community members interact with each other, function within a social structure, and develop norms, values, and social institutions.
    • Communities extend beyond city limits, such as suburbs and other areas.
    • They can also be based on shared interests or goals, such as a professional organization or a religious group.

    Public Health and Nutrition

    • Community nutrition and dietetics professionals work in community and public health agencies focusing on health promotion and disease prevention.
    • Professionals address the needs of individuals across primary, secondary, and tertiary prevention levels.
    • They collaborate with diverse professionals in education, human services, childcare, social work, and community-based epidemiological research.
    • Public health is about preventing diseases, prolonging life, and promoting health through community-based efforts.
    • Public health focuses on the community's strengths and resilience.
    • Community strengths are multifaceted (physiological, psychological, social, and spiritual). Examples include education, coping skills, support systems, knowledge, communication skills, nutrition, coherent belief systems, fitness, ability to form a supportive environment, and self-care skills.

    Health Promotion

    • Health promotion is an effective strategy for improving health and preventing chronic conditions globally.
    • By changing lifestyles, health promotion impacts social, economic, and environmental factors that influence health.

    Healthy People 2020

    • Healthy People 2020 is a national health agenda with a vision and strategy to improve US population health and achieve health equity over the next decade.
    • It emphasizes improving health for every individual and prioritize health determinants.
    • Health determinants are the various social and physical factors influencing health.

    Health Determinants

    • Health status is influenced by several factors (personal, social, economic, and environmental) embedded in the community and physical environment.
    • Social determinants include family, community, income, education, gender, ethnicity, geographic location, and healthcare access.
    • Physical determinants include natural and built environments, exposure to toxins, man-made pollution, and housing quality.

    Healthy People 2020 Mission

    • The mission focuses on strengthening policies and practices, identifying health improvement priorities, increasing awareness of the determinants of health, and providing measurable objectives and goals at various levels.
    • This approach involves multiple sectors and the best scientific evidence.

    HP2020 Vision

    • HP2020 aims to create a society where every member enjoys long, healthy lives.
    • Goals include eliminating preventable disease, disability, injury, and premature death; achieving health equity; creating social and physical environments conducive to good health; and promoting healthy development and behaviors across all stages of life.

    Action Model for Achieving Healthy People 2020 Goals

    • A framework involving interventions, determinants of health, and outcomes.

    Knowledge and Skills of Community and Public Health Nutritionists

    • Professionals work in interdisciplinary teams, collaborating across different disciplines within public health.
    • They diagnose community issues applying interventions that promote health and prevent chronic and infectious diseases by controlling environmental factors.
    • Nutritionists handle funds and energy management to address large-scale community issues.
    • They focus on underserved populations regarding age, income, ethnicity, and lifestyle-related vulnerability.
    • They partner with professionals in different fields and stakeholders like policymakers and community leaders to address community needs and demand.
    • They continually monitor community health to meet public health objectives, ensuring the provision of comprehensive health agency services.
    • They need to acquire knowledge and skills in educating the public.

    Minimum Education Requirements for Community and Public Health Nutritionists

    • A bachelor's degree in nutrition or dietetics or a Master’s in Public Health with a major in nutrition/Master of Science in Applied Human Nutrition are the required minimum.
    • Some roles require certification as a Registered Dietitian or Dietetic Technicians, Registered.

    Knowledge and Skills of Community and Public Health Nutritionists Continued

    • Epidemiology knowledge, relating to health and disease trends, is crucial.
    • Skills in health education, program planning, program evaluation, community organization, management, marketing, and policy formation are essential.
    • Marketing skills are also necessary to effectively communicate and disseminate nutrition messages using varied media formats.

    Place of Employment for Community and Public Health Nutritionists

    • Professionals in community and public health work in official community settings and voluntary agencies.
    • They conduct epidemiological research, prevent disease and provide primary, and secondary preventive care.
    • Examples at state/city/county levels include cooperative extension services, home healthcare agencies, and hospital nutrition education departments.
    • Other roles are in agencies like the FDA, local/public health agencies, migrant worker health centers, neighborhood health centers, non-profits and for-profits, universities, and colleges.
    • At national/federal/regional levels, they can work for agencies such as the Food and Drug Administration (FDA), USDA, and USDHHS.
    • Internationally, they can be part of the Food and Agriculture Organization (FAO), Pan American Health Organization (PAHO), World Health Organization (WHO), World Food Agency (WFA), United Nations Children's Emergency Fund (UNICEF), and United Nations Organization (UNO).

    Ethics and Community Nutrition Professionals

    • Ethics guides human behavior and arises in moral problems.
    • Community and public health nutrition professionals adhere to ethical codes, like those set by the Academy of Nutrition and Dietetics (AND).
    • These codes include principles that reflect the profession's diversity.

    Nutrition Care Process and Model

    • This systematic problem-solving method critically evaluates nutrition-related problems and guides decision-making.
    • It supports delivery of nutrition care to patients, clients, groups, and communities of various ages and health conditions.
    • It comprises four interconnected steps: assessment, diagnosis, intervention, and monitoring and evaluation.

    Nutrition Care Process: Step 1—Nutrition Assessment

    • Critical thinking is used to collect relevant data.
    • Appropriate assessment tools and procedures, adaptable to different situations, are selected.
    • Valid and reliable techniques are applied, distinguishing relevant from irrelevant information.
    • Data collection and validation ensure accuracy.

    Nutrition Care Process: Step 2—Nutrition Diagnosis

    • Nutrition diagnoses identify problems solvable through nutrition interventions.
    • The diagnoses are structured as Problem, Etiology, Sign/Symptom (PES) statements.
    • Etiology (cause), signs, and symptoms (effects) are determined through assessment.

    Nutrition Care Process: Step 3—Nutrition Intervention

    • Intervention aims to resolve or improve the nutrition problem identified.
    • This step involves planning (including selecting and developing action plans) and implementation (carrying out the action plan).
    • Intervention categories include food/nutrient delivery, nutrition education, nutrition counseling, and coordination of nutrition care plans.
    • Evidence-based practice principles guide dietary recommendations.

    Nutrition Care Process: Step 4—Monitoring and Evaluation

    • Determining the success of goals and progress towards resolving the nutrition problem.
    • This involves monitoring progress, measuring outcomes, and evaluating outcomes.

    Nutrition Care Indicators

    • Indicators are signs and measurements that quantify changes after interventions.
    • Indicators must reflect the nutritional diagnosis, etiology, and signs and symptoms of the clients or community.

    Factors That Make a Direct Impact on the Problem

    • Food and nutrient intake, growth, and body composition
    • Knowledge, attitudes, and behaviors of the affected community related to food
    • Access to food
    • Associated clinical laboratory values such as HgbAlc, serum cholesterol, and hematocrit
    • Community and client perspectives related to nutrition care and program results.
    • Functional capabilities, like physical activity

    Cooperative Extension System (CES)

    • CES is an agency under the US Department of Agriculture.
    • It provides various educational programs helping individuals and families acquire life skills.
    • Programs cover a range of areas (4-H Youth Development, Agriculture, Leadership Development, Natural Resources, Family and Consumer Sciences, and Community and Economic Development).
    • They partner with universities and provide on-the-job training.
    • This agency also provides training for healthcare professionals and educates low-income families and individuals.

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    Test your knowledge about public health and community nutrition concepts, including ethical codes, community strengths, and chronic diseases. This quiz covers key principles and historical development in public health nutrition. Challenge yourself to identify the correct elements of the Nutrition Care Process Model and more.

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