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RD Exam > Individuals and Groups > Flashcards

Individuals and Groups Flashcards

1
Q

Steps in the NCP

A

ADIME

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2
Q

Who says nutrition screen must be in 48hrs?

A

Joint Commission

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3
Q

What is not included in subjective global assessment?

A

labs, subjective so no objective data

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4
Q

Assessment data includes

A

anthropometrics labs/medical nfpe client hx food hx

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5
Q

diet history

A

patterns of eating

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6
Q

food record

A

diary, tracking of everything eaten

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7
Q

24-hour recall

A

mental recall, over- under- report is concern

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8
Q

food frequency

A

how often time is consumed. used in community setting

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9
Q

Formula for estimated desirable body weight

A

Hamwi

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10
Q

Amputation percentages

A

whole leg - 16 lower leg and foot - 6 entire arm - 5 forearm and hand - 2.3

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11
Q

Amputation calculation

A

Adjusted IBW = (100-% amputation)/100 x IBW for ht

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12
Q

Spinal cord injury weight adjustments

A

quad - reduce by 10-15% of table weight para - reduce by 5-10%

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13
Q

Arm muscle area AMA is useful in

A

measuring growing children; uses circumference and tricep skin fold

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14
Q

BMI categories

A

under 18.5 underwt 25 overweight 30 obese

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15
Q

Healthy BMI in elderly

A

24-29

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16
Q

Waist circumference

A

M 40 W 35 independent risk factor for disease central adiposity

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17
Q

Waist to hip ratio

A

risk factor for obesity diseases M 1.0 or greater is problem F 0.8

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18
Q

BIA requirements

A

evals fat-free mass well hydrated, no etoh, caff, or diuretics in 24 hr

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19
Q

4 parts of NFPE

A

inspection palpation auscultation percussion (not by RD)

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20
Q

If hair is thin, sparse

A

low vitamin c

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21
Q

If hair is easily pluckable

A

low protein

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22
Q

Serum albumin:

A

3.5-5.0

low - edema, surgery

high - dehydration

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23
Q

Albumin and protein status

A

not good indictor due to long half-life

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24
Q

Transferrin measures

A

visceral protein, but not good measure of pro status

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25
Q

Transferrin rises with

A

Iron deficiency

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26
Q

TTHY transthyretin and protein status

A

shorter half-life, measures change pro quickly limited usefulness

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27
Q

Creatinine normal ranges

A

M 0.6-1.2 mg

F 0.5-1.1 mg

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28
Q

What does creatinine measure?

A

somatic protein

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29
Q

creatinine to height index

A

estimates lean body mass creatinine excreed/24hrs compared to ht

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30
Q

BUN normal

A

10-20 mg/dl, indicator of renal disease

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31
Q

BUN:Creatinine ratio normal

A

10-15:1

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32
Q

TLC total lymphocyte count normal and indication

A

>2700 low in pro-energy malnut

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33
Q

CRP

A

indicates inflammation

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34
Q

Free erythrocyte protoporphyrin

A

lead poisoning. lead depletes iron and competes with calcium

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35
Q

Prothrombin time

A

11-12.5 seconds

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36
Q

megestrol acetate name and effect

A

Megase

appetite stimulant

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37
Q

Dextroamphetamine name and effect

A

Adderall

appetite suppressant, anorexia

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38
Q

Orlistat effect

A

reduce fat absorption by binding lipase

need v/m supplement

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39
Q

Marinol

A

appetite stimulant

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40
Q

Methylphenidate name and effect

A

ritalin

wt loss, anorexia, nausea

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41
Q

Statins warning

A

avoid grapefruit juice

42
Q

Loop and thiazied diurectics

A

Deplete potassium, in creas potassium intake

43
Q

Lithium warning

A

need consisten Na and caff to prevent lithium holding - toxicity

44
Q

Anticoagulant name and warning

A

Warfarin

Keep Vitamin K steady

45
Q

Propofol notice

A

1.1 kcal/cc because in oil

46
Q

cyclosporin purpose and warning

A

immunosuppressant

hyper everything- glucose, tension, lipids, kalemia

47
Q

Levodopa purpose and warning

A

Parkinson’s

protein and B6 decrease effectivness

take in morning with low pro

48
Q

Tyramine

A

do not take with MAOI

avoid aged cheese, sauerkraut, lunch meat

49
Q

Curcumin name and effect

A
50
Q

Educational readiness assessment looks at

A
51
Q

HRA Health Risk Appraisal

A
52
Q

Infant mortality

A
53
Q

PPFP

A
54
Q

Nutrition survey

A

cross-sectional, id problem, prevalence of disease

55
Q

Nutrition surveillance

A

ongoing data collection

detect changes in trends

56
Q

Common surveillance measures

A

ht, wt, hematocrit, hemoglobin, cholesterol

57
Q

NSI name and purpose

A

Nutrition Screening initiative

improve elderly nutrition

58
Q

NSI examples

A

DETERMINE

LEVEL 1

LEVEL 2 (more info on nut status)

59
Q

PNSS: name, agency, purpose

A

Pregnancy Nut Surveillance System

HHS

low income, high risk pregnant

id and reduce health risk

60
Q

WWEIA: name, agency, purpose

A

What We Eat in America

diet part of NHANES

61
Q

NHANES oversamples

A

over 65, African Americas, Hispanics

62
Q

BRFSS: name, agency, purpose

A

Bhx Risk Factor Surveillance System

HHS

adulst 18+, smoke, etoh, food

63
Q

YRBSS: name, agency, purpose

A

Youth Risk Bhx Surveillance System

HHS

grades 9-12

64
Q

What do BRFSS and YRBFSS help?

A

monitor change in risk behaviors and target helath promotion efforts for most at risk groups

65
Q

Which two programs are part of USDA Commodity Food donation/distribution programs?

A

CSFP, TEFAP

66
Q

CSFP: name, agency, purpose

A

Commodity Supplemental Food Program

USDA

monthly commodity canned/packaged

low income, 60+

67
Q

TEFAP: name, agency, purpose

A

The Emergency Food Assistance PRogram

USDA

commondity, short term hunger relief for low income

68
Q

NSLP: name, agency, purpose

A

National School Lunch Program

USDA, entitlement

children, low income, uses surplus foods

69
Q

What nutrient requirements for NSLP at lunch?

A

1/3 avg of weekly requirement for pro, A, C, iron, Ca

70
Q

SMP: name, agency, purpose

A

Special Milk Program

USDA

children in schools who do not participate in other federal meal programs

71
Q

SFSP: name, agency, purpose

A

Summer Food SErvice Program

USDA, entitlement

food in summers for low income, <18

72
Q

CACFP: name, agency, purpose

A

Child and Adult Care Food Program

USDA

public and nonprofit

commodity foods, education

73
Q

FFVP: name, agency, purpose

A

Fresh Fruit and Vegatble Program

USDA

intro produce to kids to prevent chronic disease and obesity

74
Q

WIC: name, agency, purpose

A

Women, INfant Children

USDA, not entitlement

low income, nut risk

75
Q

WIC priorities

A

priority: pregnant, breastfeeding, babies under 1

76
Q

EFNEP: name, agency, purpose

A

Expanded Food and Nutrition Edu Prgram

USDA

grants to univesities, edu to low income homemakers

no food!

77
Q

NSIP: name, agency, purpose

A

Older Americans Nutrition Act Nutrition

78
Q

NSIP provides what types of meals?

A

Nutrition services incentives program

60+, regardless of income

congregate: ambulatory elderly

Meals on Wheels: homebound elderly

79
Q

SNAP: name, agency, purpose

A

Supplmental Nutrition Assistance Program

USDA, entitlement

low income, nut risk not considered

80
Q

IBT: name, agency, purpose

A

Intensive Behavioral therapy

Medicare B

physician required, continuation based on wt at month 7

81
Q

Medicaid: agency, purpose

A

HHS

all ages, blind, disabled, dependent children

82
Q

Medicare requirements

A

65+, any age with ESRD

83
Q

Headstart: agency, purpose

A

HHS

child participation in food edu

low income, ages 3-5

84
Q

NETP: name, agency, purpose

A

Nutrition Edu and Training Program

USDA

edu to teachers and foodservice staff

85
Q

SFMNP: name, agency, purpose

A

Seniors Farmer’s Market Nutrition Program

USDA

grants to state for low income 60+

coupons, edu

86
Q

Nutrition diagnosis

A

nutrition problem Rd is responsible for treating independently

87
Q

Medical diagnosis

A

disease that does not change as long as condition lasts

88
Q

Diagnosis domains (3)

A

Clinical, Intake, Bhx/Environmental

89
Q

PES

A

problem related to etiology as evidenced by s/s

90
Q

Altered GI Funtion NC-1.4

A

problem inside GI tract

digestion, absorption, elimination

91
Q

Impaired Nutrient Utilization NC-2.1

A

metabolism problem after nutrient in circulatory system

92
Q

Choosing intervention priorities

A

Resolve etiology

Or reduce s/s

93
Q

If no nutrition problem now that needs intervention

A

“No nutrition diagnosis at this time”

94
Q

Primary Prevention

A

health promotion

reduce exposure to disease promotor

95
Q

Secondary prevention

A

risk reduction

program for those with elevated risk factors

96
Q

FTC: name and purpose

A

federal trade commission

truth in advertising

no bogus weight claims

tv, radio, internet

97
Q

Tertiary prevention

A

rehabilitation efforst

reduce severity of symptons, manage complications

98
Q

When diet orders are incorrect?

A

Contact who wrote the order

99
Q

Largest domestic hunger-relief org

A

Feeding America

100
Q

Who cannot participate in CSFP?

A

Those in WIC at same time

RD Exam (5 decks)

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