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RD Exam > Domain II: Nutrition Care for Individuals and Groups: Nutrition Diagnosis > Flashcards

Domain II: Nutrition Care for Individuals and Groups: Nutrition Diagnosis Flashcards

1
Q

A nutrition ____ requires the identification and labeling of a nutrition problem that dietetics professionals are responsible for treating independently; will change as the patient’s response changes

A

Diagnosis

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2
Q

A ____ diagnosis is a disease or pathology that can be treated or prevented; it does not change as long as the condition exists (ex: Type 1 Diabetes)

A

Medical

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3
Q

____ is the disruption of normal body functions that is seen in disease

A

Pathophysiology

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4
Q

____ ____ is the process of determining which of many problems with similar symptoms is the correct diagnosis

A

Differential diagnosis

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5
Q

A diagnosis links the ____ to the ____ and sets realistic and measurable outcomes

A

Assessment; intervention

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6
Q

The Academy’s NCP ____ language is the basis for collecting evidence that nutrition care can improve outcome

A

Standardized

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7
Q

What are the three domains of nutrition diagnostic labels?

A

-Clinical
-Intake
-Behavioral-environmental

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8
Q

Clinical diagnoses are nutritional findings/problems that relate to ___/___ condition

A

Medical/physical

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9
Q

What are three categories of clinical nutrition diagnoses?

A

-Functional balance
-Biochemical balance
-Weight balance

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10
Q

Function balance diagnoses refer to ____ or ____ changes that interfere or prevent desired nutritional results (Ex: chewing/swallowing difficulty, altered GI function)

A

Physical or mechanical

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11
Q

Biochemical balance diagnoses refer to change in the capacity to metabolize nutrients due to…

A

-Medications
-Surgery
-specific lab values

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12
Q

Weight balance diagnoses refer to chronic or changed weight status when compared with ___ ___ ___ (underweight, involuntary weight loss, overweight)

A

Usual body weight

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13
Q

Intake diagnoses are actual problems related to ____ ____

A

Nutrient intake

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14
Q

____ energy balance diagnoses refer to actual or estimated changes in energy

A

Caloric

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15
Q

Oral or nutrition support intake diagnoses refer to ___ or ____ intake compared to the goal

A

Inadequate or excessive

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16
Q

Fluid intake balance diagnoses refer to ____ and ____ intake compared to the goal

A

Inadequate or excessive

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17
Q

A diagnosis related to bioactive substance refers to…

A

-Supplements
-Alcohol
-Functional foods

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18
Q

Nutrient balance diagnoses refer to intake of nutrients compared with ____ levels

A

Desired

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19
Q

Behavioral-environmental diagnoses are problems related to…

A

-Knowledge and beliefs
-Access to food
-Food safety

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20
Q

What are some examples of knowledge and beliefs diagnoses?

A

-Knowledge deficit
-Harmful beliefs
-Disordered eating pattern
-Undesirable food choices

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21
Q

Behavioral-environmental diagnoses can also be related to ___ ___ and functionality (inactivity, excessive exercise, impaired ability to prepare food

A

Physical activity

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22
Q

PES statement formula:

A

(Problem) related to (etiology) as evidenced by (signs and symptoms)

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23
Q

When writing PES statements, it is important to ____ by selecting the most important and urgent problem to be addressed

A

Prioritize

24
Q

If you have diagnoses from two domains, consider the ____ diagnosis, as it is more specific to the nutrition professional and it is more likely to facilitate a nutrition-directed intervention

A

Intake

25
Q

You should evaluate the PES statement by asking what questions?

A

-Can you resolve or improve the nutrition diagnosis for this person/group?
-Is the etiology you selected the “root cause” that can be addressed with nutrition intervention, or can you at least lessen the signs and symptoms?
-Will measuring the signs and symptoms indicate if the problem is resolved or improved and are the signs and symptoms specific enough that you can monitor and document resolution or improvement of the diagnosis?
-Does the nutrition assessment data support a particular nutrition diagnosis with typical etiology and signs and symptoms?

26
Q

Identifying the etiology leads to the selection of nutrition _____ aimed at resolving the underlying cause of the nutrition problem when possible; if that is not possible, it should be targeted at minimizing symptoms as much as possible

A

Interventions

27
Q

If the assessment indicates that no nutrition problem currently exists that warrants a nutrition intervention, what should be written?

A

No nutrition diagnosis at this time

28
Q

What critical thinking skills are needed when writing a nutrition diagnosis?

A

-Finding patterns and relationships among data and possible causes
-Making inferences (if ____ continues, then ____ is likely to happen)
-Stating the problem clearly and being objective
-Rule in or out specific diagnoses; prioritize the relative importance of problems

29
Q

A nutrition ____ is a purposely planned action designed with the intent of changing a behavior, risk factor or condition for an individual, group, or community

A

Intervention

30
Q

Nutrition interventions are based on the nutrition ____ and provide the basis upon which outcomes are measured and evaluated

A

Diagnosis

31
Q

What are the four categories of nutrition interventions?

A

-Food delivery
-Education
-Counseling
-Coordination of care with other providers

32
Q

_____ cultural knowledge is an essential element in program planning

A

Institutionalized

33
Q

What should be done when planning a nutrition intervention?

A

-Prioritize nutrition diagnosis
-Consult EAL and other practice guidelines
-Determine patient-focused outcomes for each diagnosis
-Confer with caregivers
-Define time and frequency of care
-Identify resources needed

34
Q

____ is the action phase when the intervention is communicated and carried out

A

Implementation

35
Q

The ___ ___ ___ contains systematically reviewed scientific evidence used in making food and nutrition practice decisions; integrates the best available evidence with professional expertise and client values to improve outcomes; explains what interventions are most effective

A

Evidence Analysis Library

36
Q

What critical thinking skills are needed to plan and carry out a nutrition intervention?

A

-Setting goals and prioritizing
-Defining nutrition prescriptions or plan
-Making interdisciplinary connections
-Initiating interventions
-Specifying time and frequency of care

37
Q

___ prevention programs work to reduce exposure to a promoter of disease (early screening for risk factors like diabetes)

A

Primary

38
Q

Primary prevention programs are also known as ____ ____

A

Health promotion

39
Q

_____ prevention programs require recruiting those with elevated risk factors into a treatment program to reduce impact of a condition that has already occurred

A

Secondary

40
Q

Secondary prevention programs are ___ ___ programs and slow the progress of a condition to restore health

A

Risk reduction

41
Q

_____ prevention programs intervene to reduce severity of a condition and/or manage complications as disease progresses

A

Tertiary

42
Q

Tertiary prevention programs are ____ efforts

A

Rehabilitation

43
Q

The Federal Trade Commission is responsible for regulating the information on…

A

-Internet
-TV
-Radio

44
Q

What is another agency that is responsible for monitoring health fraud?

A

The National Council Against Health Fraud

45
Q

When evaluating information, ask questions based on the _____ checklist

A

CARS

46
Q

What is included in the CARS checklist?

A

-Credibility (check credentials of the author)
-Accuracy (info is current, factual, and comprehensive)
-Reasonableness (info is fair, balanced, and consistent)
-Support (is supporting documentation cited for scientific statements)

47
Q

What are some different formats for notes in medical records?

A

-POMR (problem-oriented medical record)
-PES (problem, etiology, symptoms)
-SAP (screen, assessment, plan)
-ADIME (assessment, diagnosis, intervention, monitoring, and evaluation)

48
Q

HIPAA stands for…

A

Health Information Portability and Accountability Act

49
Q

HIPPA requires that all permanent legal documents be written in ____ pen or types

A

Black

50
Q

HIPPA guidelines require that documentation is…

A

-Complete
-Clear
-Concise
-Objective
-Legible
-Accurate

51
Q

HIPPA requires that ____ entries are identified and the actual date/time be recorded, as well as the time it should have been documented

A

Late

52
Q

When ___ ____ are not chosen correctly, contact the person who wrote order corrections

A

Diet orders

53
Q

How should an error be fixed in medical charts?

A

-Draw a single line through the error, enter the data and initials
-Write the correction, date, and initial
-Never use white-out, thick markers, or remove and original and replace it with the copy
-For the omitted information, beside the original entry, write “see addendum”, enter date and initial

54
Q

Discharge plans begin on day ____ of a hospital stay

A

1

55
Q

All patient information is ____

A

Confidential

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