DIPLOMA IN NUTRITION AND DIETETICS

Final Qualifying exam

You are required to answer all the questions
You have been allocated 1 hours 30 minutes to answer the questions
Any kind of exam malpractice is not allowed

No phone is allowed in the exam venue

1.Discuss the role of stakeholders in the community on maternal and child care (5mks)
2.While giving health education a mother from the crowd responds to you that she does not see the need
for practicing EBF as all her previous children were given complementary meals when they were two
weeks old and they are now grown up and in good health. How will you respond to this mother? (6 mks)
3.Due to calamity of floods in Chidongo village, families have had a difficult time to obtaining food.
During an outreach, Baby Titus was identified by a general physician to be severely malnourished and
referred to a nutritionist for management of acute malnutrition.
a) Name FOUR signs that need to be identified for inpatient care in emergency (4Marks)
b) Describe the feeding protocol for SAM (6Marks)
c) Explain FIVE approaches to prevention of micronutrient deficiency (10Marks)
4.Give appropriate naming of the following types of torts i.e Battery ,negligence, assault...e.t.c..(7mks)
a) Threatening to place a nasogastric tube in a client who is refusing to eat
b) A nurse tells a coworker that she believes a client has been unfaithful to the spouse.
c) A nutritionist releases the medical diagnosis of a client to a member of the press
d) A nurse administers a large dose of medication due to a calculation error. The client has a cardiac
arrest and dies
e) A nurse fails to implement safety measures for a client who has been identified as at risk for falls
f) Restraining a client and administering an injection against his wishes
g) Using restraints on a competent client to prevent his leaving the health care facility
5.Majority of the Junju community members are facing food insecurity due to the recent landslide, as a
nutritionist, describe 5 food security interventions you will use to intervene in such a nutrition emergency
(10mks)
6.Kigame a 27 year old geologist was diagnosed with inflammatory intestinal disease .He underwent a
surgical procedure in which a substantial portion of his small intestine was removed. He had received
total parenteral nutrition prior to the surgery and continued to receive it afterwards. After ten days oral
feeding was tried but delivered very small feedings. The nutritionist recommended that it was important
to Kigame to start enteral feedings as soon as possible.
a)Explain four reasons why total parenteral nutrition was chosen to provide nutrition support to Kigame
(8mks)
b)Explain four reasons for starting enteral feeding as soon as possible (8mks)
7.A nutritionist set up a nutrition clinic in rural place in Kwale. After six months the business was closed.
Identify six possible causes of the failure (6mks)