Chapter 4

Question 1

Nutritional Assessment

Answer 1

Comprehensive evaluation by RD using medical, social, nutritional and medical histories, physical examination, ,anthropometric measurements, and lab measurements.

Question 2

Purpose of Nutritional Assessment

Answer 2

To gather data to make professional judgement of nutritional status and is the first step in the Nutritional Care Process.

Question 3

Goals of Nutritional Assessment

Answer 3

1. Identify those who need aggressive nutritional support
2. Restore and maintain nutritional wellness.
3. Identify proper medical nutritional therapy (MNT)

Question 4

Subjective Data

Answer 4

Client perception of their condition. Interviewer’s observation.

Question 5

Objective Data

Answer 5

Data obtained by verifiable source. such as medical history.

Question 6

Data Collection Considerations

Answer 6

Environment
Interviewing Skills 
Type of Questions ( Open ended ) 
Socioeconomic Factors 
Psychosocial Factors

I - PEST

Question 7

Data Collected

Answer 7

Medical History
Social History
Nutrition ( Appetite; GI function; Chewing issues )
Diet hx ( Usual patterns; preferences, alchohol, allergies, supplements )

Question 8

Ways to Collect Data

Answer 8

24-hour Recall
Food Diary ( 3-7 days )
FFQ ( Food Frequency Questionnaire)

Question 9

24- hour recall

Answer 9

Recall food/beverages ate in the last 24 hours.
USDA Multiple Pass approach ( best )

Advantages: Negligible risk, short administration, low cost.
Disadvantages: Not typical, over/under reporting, misinterpretation of portion sizes.

Question 10

Food Diary

Answer 10

Document what you ate. ( 3 days - 2 weekdays, 1 weekend )
Record right after eating.
Estimation of portion size.

Advantages: not reliant on memory.
Disadvantages: under reporting, novelty effect

Question 11

FFQ ( Food Frequency Questionnaire )

Answer 11

More so used in research environment.
Identify how often and how much they eat a food group.

Advantages: Self-administered, inexpensive.
Disadvantages: Food groups might not be listed due to ethnic/ age limits.

Question 12

Nutritional Intake Analysis Steps

Answer 12

Step 1 - Gather Data

Step 2 - Evaluate data relative to established scientific data. ( U.S. Dietary Guidelines. )

Question 13

USDA MyPlate

Answer 13

Quantifies food intake from each food group.

Gives overview of adequacy, variety, moderation and balance.

Question 14

Diabetic Exchanges/ CHO counting

Answer 14

Provide quick estimate of kcal, protein, CHO, and fat intake.
Concentration of CHO intake. ( mostly for diabetics )

Question 15

DV - Daily Values

DRI’s - Daily Reference Intake Comparison

Answer 15

4 sets of values use to compare data.

(AI) Adequate Intake, (UL) Upper Limits, (EAR) Estimated Average Requirement, (RDA) Recommended Dietary Allowances