Exam 1: Nutrition Diagnosis and Intervention

Question 1

Purpose of nutrition assessment

Answer 1

assess, identify, verify malnutrition signs

Question 2

Domains of nutrition assessment

Question 3

Purpose of nutrition diagnosis

Question 4

Domains of nutrition diagnosis

Answer 4

• Intake
• Clinical
• Behaviors

Question 5

Describe the components of a PES statement

Answer 5

Problem
Etiology
Signs/Symptoms

Question 6

Purpose of nutrition intervention

Question 7

Steps of nutrition intervention

Answer 7

1. Planning
2. Implementation

Question 8

Nutrition Intervention should

Answer 8

target etiology, be specific and include goals/objectives

Question 9

Types of nutrition interventions

Answer 9

⚬ Food and/or nutrient
delivery
⚬ Nutrition education
⚬ Nutrition counseling
⚬ Coordination of care
⚬ Population-based
nutrition action

Question 10

Purpose of monitoring and evaluation

Question 11

steps of monitoring and evaluation

Answer 11

• Provide evidence
• Compare findings
• Resolve or revise

Question 12

categories of monitoring and evaluation

Answer 12

⚬ Food/nutrition-
related history
⚬ Biochemical data,
medical tests and
procedures
⚬ Anthropometric
measurements
⚬ Nutrition-focused
physical findings

Question 13

What is evidence-based practice?

Answer 13

“the conscientious, explicit and judicious use of current best
evidence in making decisions about the care of individual
patients.”

Question 14

how to recognize resources for practice using evidence baed guidelines

Answer 14

properly designed and executed prospective
randomized controlled trials, systematic reviews of literature, and
meta-analysis

Question 15

how to utilize resources for practice using evidence baed guidelines

Answer 15

Conducting systematic review and using conclusion to develop
practice guidelines
* Academy of Nutrition and Dietetics Evidence Analysis Library
Evidence-Based Nutrition Practice Guidelines

Question 16

CMS

Answer 16

Centers for Medicare and Medicaid Services regulate and review subacute facilities

Question 17

role of the joint commission and CMS in regulating healthcare institutions

Question 18

characteristics of nutritional care record

Answer 18

• Legal document
• Identifies problems and sets criteria to evaluate care
• Allows entire health care team to understand the rationale for
  nutrition care, how it will be provided, and the role of each team
  member
• Communication tool
• Important for accreditation and peer review

Question 19

list of guidelines for charting and documentation

Answer 19

• Health Insurance Portability and Accountability Act (HIPAA)
• Standards to maintain privacy and security of personal health
  information
• Paper-based or electronic
• Black pen or typewritten
• Complete, clear, concise, objective, legible, and accurate
• Include date, time, and service
• Complete sentences are not necessary but use correct spelling and
  grammar
• Entries should be consistent and noncontradictory
• Sign all entries and include credentials
• No personal opinions or criticism
• Document at the time of service, never in advance
• Identify late entries
• Do not correct errors with correction tape, correction fluid, or self-
  adhesive labels; thick pen lines to obliterate the error, or replacing
  original with a copy
• Correct minor errors with a single line through the error and initialed
  correction
• For omissions, write “see addendum,” date, and initial

Question 20

explain CMS final rule related to therapeutic diet orders

Answer 20

• Qualified dietitians will be permitted to become
  privileged by the hospital staff to:
• Order patient diets
• Order lab tests
• Make subsequent modifications to diets based
  on lab test results
• Subject to state laws governing licensing and
  scope-of-practice

Question 21

explain nutrition care considerations for hospitalized

Answer 21

• Honor patient preferences
• Imagination and ingenuity in menu planning
• Attention to color, texture, composition, and temperature of foods
• Sound knowledge of therapeutic diets
• Patient selection of menus increases consumption

Question 22

explain nutrition care considerations for terminally ill/hospice patient

Answer 22

• Main goals: maintain comfort and quality of life
• Dietary restrictions are rarely appropriate
• Palliative/comfort care
• Advanced directive: legal document specifying decisions regarding
  end-of-life issues