4910: C4 Nutrition Intervention

Question 1

clear liquid diet

Answer 1

diet consisting of liquids that contribute minimal residue to the gastrointestinal tract; includes fruit juices without pulp, carbonated sodas, broth, tea, coffee, water, popsicles, fruit juice, jell-o and liquid nutritional supplements. Limit to 24-48 hours

Question 2

dysphagia

Answer 2

difficulty swallowing

Question 3

evidence-based dietetics practice

Answer 3

dietetics practice in which systematically reviewed scientific evidence is used to make food and nutrition practice decisions.

Question 4

full liquid diet

Answer 4

diet consisting of all beverages allowed on clear liquid diets with addition of milk, ice cream, yogurt, cream soups, and liquid nutritional supplements. May present problems for lactose intolerance.

Question 5

hyperosmolar

Answer 5

having a higher osmolality than body fluids. (>300 mOsm/kg)

Question 6

medical foods

Answer 6

foods administered under the supervision of a physician & intended for the specific dietary management of a disease for which distinctive nutritional requirements are established.

Question 7

osmolality

Answer 7

number of water-attracting particles per wt of water in kilograms (mOsm/kg)

Question 8

structured lipid

Answer 8

chemically modified triglyceride that allows change to the fatty acid composition. A combination of MCT & LCT.

Question 9

nutrition prescription

Answer 9

Concisely states the pt’s/client’s individualized recommended dietary intake of energy &/or selected foods or nutrients bases on current reference standards & dietary guidelines & the pt’s/client’s health condition & nutrition diagnosis.

Question 10

Medium-chain triglycerides (MCT)

Answer 10

8-10 carbon chain fatty acids from coconut oil. Are re-esterified to glycerol, & do not require lipase for digestion. Are absorbed directly into blood stream.

Question 11

What two enzymes are necessary for the entry of LCFA into the mitochondria?

Answer 11

carnitine acyl transferase I (CAT I), & carnitine acyl transferase II (CAT II).

Question 12

What are the goals of MNT

Answer 12

Maintain or restore health & nutritional status. Accommodate changes in digestion, absorption, or organ function. Provide nutrition therapy through nutrient content changes.

Question 13

Bioactive substance

Answer 13

Food substances added to a food product or taken as a supplement that have a specific intended health purpose. ex. stanols

Question 14

Dronabinol

Answer 14

A derivative of marijuana that may improve appetite, but it is not associated with wt gain.

Question 15

3 appetite stimulating drugs.

Answer 15

Prednisone - Induces an increased sense of well-being and increased appetite. Megestrol acetate. Dronabinal

Question 16

comprehensive nutrition education

Answer 16

Instruction or training intended to lead to in-depth nutrition-related knowledge &/or skills in given topics. ex CHO counting

Question 17

Basic guidelines for providing nutrition education

Answer 17

Clearly communicate the purpose of the education. Prioritize the nutrition issues so that education is not complex. Education should be tailored to the pt.

Question 18

Cognitive-Behavioral therapy

Answer 18

Uses the concept that behavior is learned and is directly related to both internal and external factors. Nutrition concealing and education should focus on interventions that will change environment and learning in order to facilitate behavior change.

Question 19

Transtheoretical therapy

Answer 19

Uses specific steps to guide a client through development of health behaviors.

Question 20

Social learning therapy

Answer 20

Allows the practitioner to understand the factors that predict & change behavior.

Question 21

Behavior Modification therapy

Answer 21

from developmental psychology. Includes operant conditioning, imitation, & modeling to evaluate current behaviors & determine steps to initiate behavior change.

Question 22

Planned behavior/ reasoned action therapy

Answer 22

Focus on a clients attitudes and beliefs that support or prevent behavior change

Question 23

Person centered therapy

Answer 23

Uses the interventions that will allow the pt to develop individual skills to change his or her own behavior

Question 24

Health Belief therapy

Answer 24

Identifies a client’s perceived ability to accomplish a behavior change.

Question 25

Precede/ Proceed

Answer 25

Identifies those behaviors that precede a behavior and those factors that follow with the understanding that their identification will facilitate the behavior change.

Question 26

What are the goals of MNT?

Answer 26

Maintain or restore health & nutritional status. Accommodate changes in digestion, absorption, or organ function. Provide nutrition therapy through nutrient content changes.

Question 27

House diet

Answer 27

Supplied in a minimum of three meals per day. Written & approved by RD. Designed to provide the DRI for all nutrients. Select vs cycle menu.

Question 28

Hyperosmolar liquids may cause?

Answer 28

abdominal pain, cramping, diarrhea

Question 29

A pt remains NPO until?

Answer 29

bowel sounds can be heard

Question 30

Soft diet?

Answer 30

No real soft diet exists. It’s up to the individual institution.

Question 31

How to achieve success with liquid supplements?

Answer 31

pt needs to choose, & know why they are receiving them. Rotate choices. Set portion goals.