Exam 1: Intro to MNT and NCP

Question 1

Define MNT

Answer 1

Medical Nutrition Therapy

“Nutritional diagnostic, therapy, and counseling services for the purpose of disease management which are furnished by a registered dietitian or nutrition professional…” (source Medicare MNT legislation, 2000).

MNT is a specific application of the Nutrition Care Process in clinical settings that is focused on the management of diseases. MNT involves in-depth individualized nutrition assessment and duration and frequency of care using the Nutrition Care Process to manage the disease.

Question 2

Benefits of MNT

Answer 2

MNT can help manage several disease states

Cardiovascular Diseases
Diabetes
Disease Prevention
Eating Disorders
GI Disorders
Immunocompromise
Nutritional Support
Oncology
Pediatrics
Pulmonary Disease
Renal Disease
Weight Management
Women’s Health

Question 3

Uses for MNT

Question 4

Clinical settings where MNT is provided

Answer 4

Hospital
Post-acute/rehab
Long-term care
Outpatient clinic
Inpatient treatment facility
Interdisciplinary team may include doctors, nurses, therapists, pharmacists

Question 5

Community settings where MNT is provided

Answer 5

WIC
Fitness facility
Private practice

Question 6

What occurs before NCP?

Answer 6

Nutrition Screening to identify clients at risk for malnutrition

Question 7

What is ADIME?

Answer 7

Reflects the steps of the Nutrition Care Process Model and way of charting

Assessment
Diagnosis
Intervention
Monitoring
Evaluation

Question 8

Describe ADIME notes

Answer 8

Assessment: Subjective (interviews/NFPE & clinical signs/symptoms, dietary data) and objective info (medical records, biochemical and anthropometric data)
Diagnosis: Identify nutrition problems
Intervention: Plan of care
Monitoring & Evaluation: Follow-up

Question 9

SOAP notes

Answer 9

Subjective
Objective
Assessment
Plan

• used for initial and follow-ups

Question 10

Purpose of NCP

Answer 10

• standardize terminology
• provide continuity of care
• collect data in a systematic way allows us to measure outcomes and prove services are affective

Question 11

List the 4 steps of NCP

Answer 11

Step 1: Nutrition Assessment & Reassessment

Step 2: Nutrition Diagnosis

Step 3: Nutrition Intervention

Step 4: Nutrition Monitoring & Evaluation

Question 12

Describe step 1 of NCP

Answer 12

Step 1: Nutrition Assessment & Reassessment

• obtain/collect important relevant data
• analyze/interpret collected data
• screening form
• interview
• medical records

Question 13

Describe step 2 of NCP

Answer 13

Step 2: Nutrition Diagnosis

P: Identify the problem
E: Determine etiology/cause
S: Stage signs & symptoms

Question 14

Nutrition Diagnosis Etiology types

Answer 14

• low dietary intake
• poor absorption of nutrients
• high nutrient requirement

Question 15

Describe step 3 of NCP

Answer 15

Step 3: Nutrition Intervention

• Determine intervention and prescription
• Formulate goals and determine action
• Implement action

Question 16

Describe step 4 of NCP

Answer 16

• follow up
• progress/goals made
• date, signature, credentials

Question 17

Characteristics of Nutrition screening

Answer 17

• identify risk factors
• use appropriate tools and methods
• Involve interdisciplinary collaboration

Question 18

ADIME: Assessment

Answer 18

Assessment: Subjective (interviews/NFPE & clinical signs/symptoms, dietary data) and objective info (medical records, biochemical and anthropometric data)

Question 19

ADIME: Diagnosis

Answer 19

Diagnosis: Identify nutrition problems

Question 20

ADIME: Intervention

Answer 20

Intervention: Plan of care

Question 21

ADIME: Monitoring and Evaluation

Answer 21

Monitoring & Evaluation: Follow-up