Exam 1 Flashcards
What does HIPAA stand for?
Health insurance portability and accountability act
T or F
If the individual was not aware that they were committing a HIPPA violation they get a verbal warning
False, get charged $100 per violation
What are the nutrition care process steps?
A=assessment
D= diagnosis
I= intervention
M=monitoring and
E=evaluation
Identifying and labeling the nutrition problem would be which step of NCP?
Diagnosis
Planning and implementing purposeful actions to identified nutritional problems would be which step of NCP?
Intervention
Systematic comparison with previous status, intervention goals, and reference standards would be which step of NCP?
Evaluation
Review and measurement of status at schedule times would be which step of NCP?
Monitoring
Gathering data about food and nutrient intake, medications, food access, etc would be which step of NCP?
Assessment
What are the components of nutrition assessment?
Anthropometrics
Biochemical data
Clinical examination
Diet history and intake
History (medical social)
What are 4 examples of anthropometrics?
- Height
- Weight/weight changes
- Body circumference
- Body composition
T or F
Biochemical would be lab testing such as metabolic changes during illness, medications, and fluid status
True
T or F
Clinical examinations identify the internal signs of malnutrition not the physical signs
False
What category would economic status, alcohol and drug use, and level of physical activity fall into?
History- Medical and social
What is the first step to see if a nutritional assessment needs to be completed?
Nutrition screening to determine nutritional risk
What are the 4 commonly used criteria for nutritional screenings?
- Diagnosis (cancer, kidney disease, etc)
- Weight/ weight change
- Lab values
- Poor appetite/intake
Dysphagia, ___/___/___/___, food allergies, likes, dislikes, intolerances, _____, and ____ are more commonly used criteria for nutrition screenings
Nausea/vomiting/diarrhea/constipation
Diet restrictions
Tube feeding or TPN/PPN
T or F
A positive nutrition screen indicates that a patient may need a nutrition assessment
True
<____ amount of sodium is the 2020 dietary guidelines for Americans
<2300 mg
What are ways of meal planning?
Plate method
Calorie count
Food exchanges
The my plate method recommends
____ of the plate be fruits and non-starch vegetables
____ of the plate be lean meats
____ of the plate be starch
____ serving of milk
____ of the grains be whole grains
1/2
1/4
1/4
1
1/2
What are the pros of a 3 day calorie count?
- Observe intake instead of relying on patient memory
- Useful in hospital/ long term care
What are the cons of a 3 day calorie count?
Estimate of consumption by family/ staff
Missing info
Frequently inaccurate
Why were food exchanges created and when?
Made in 1950’s by AND and ADA
1st standardized method for diabetic meal planning
What are 4 methods of assessing a clients diet?
- Diet history
- Food record
- 24-hour recall
- Food frequency
What are the pros of diet history?
-quick
-assesses: usual intake, food allergies, special diets, appetite
-indentifies: eating patterns, likes/dislikes, wt, wt hx
What are the cons of diet history?
Relies on clients willingness/ ability yo share accurate information
Intake amount not identified
Specific nutrients not examined
What are the pros of food frequency?
Identifies variety of foods eaten that are usually left out of 24 hr recall
Can be self administered
Machine readable and inexpensive for large populations
What are the cons of food frequency?
Does not include amounts
Limited numbers of food
Clients willingness to reveal frequency
