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Management of Foodborne Illness and Malnutrition in Prison Populations

Health Services: Identification of Gastrointestinal (GI) Illness Outbreak and Collection of Data

1. When an unusual number of inmates present with vomiting and/or diarrhea, the institution’s Health Services staff should immediately report this to the:

A. Clinical Director

B. Health Services Administrator

C. Infection Prevention and Control Coordinator

D. All of the above


Communication Regarding Possible Foodborne Illness Outbreak

2. The institution’s HSA should notify the local Executive Staff of a foodborne illness outbreak only if it has been confirmed that it is tied to food.

A. True

B. False


Food Service: Initial Response

3. During the outbreak, inmate workers should be directly observed performing hand hygiene prior to work.

A. True

B. False


Environmental & Safety Compliance: Initial Response

4. If _____ is suspected, a disinfectant specifically effective against it will be required.

A. Norovirus

B. Staphylococcus

C. Salmonella

D. All of the above


Importance of Early Intervention and Monitoring

5. Which of the following is a factor that may contribute to a decline in nutritional status?

A. Mental / cognitive status

B. Illness-induced poor appetite

C. Reduced ability to chew or swallow

D. All of the above


Etiologies

6. Which of the following is increasingly identified as an important underlying factor that increases risk for malnutrition?

A. Impaired absorption

B. Inflammation

C. Altered transport

D. Altered nutrient utilization


Diagnosis

7. Diagnosis of adult malnutrition should be based on identifying at least two of the following characteristics, except for:

A. Albumin serum levels

B. Weight loss

C. Loss of subcutaneous fat

D. Loss of muscle mass


Intervention

8. The goal of intervention in cases of adult malnutrition is to:

A. Prevent decline in nutritional status and the onset of associated adverse outcomes.

B. Optimize nutrition status and other health outcomes.

C. Both (A) and (B).

D. None of the above.


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