M1 Malnutrition & NCP

Question 1

Nutrition risk identified -> Inflammation Present?
No - _____ - _____ _______
Yes (mild/moderate) - ______ _____ ______ ______
Yes (marked inflammatory response) - _____ ____ or ____ - _____ _______

Answer 1

No - Starvation-related malnutrition
Yes (mild/moderate) - Chronic disease-related malnutrition
Yes (marked inflammatory response) - Acute disease- or injury-related malnutrition

Question 2

ASPEN/AND consensus diagnostic criteria of adult malnutrition

Answer 2

If 2 or more present:
-Insufficient energy intake
-Weight loss
-Reduced muscle mass
-Reduced body fat
-Reduced grip strength
-Fluid accumulation

Question 3

Steps of the Nutrition Care Process (Cycle)

Answer 3

-Nutrition Assessment (or reassessment)
-Nutrition Diagnosis
-Nutrition Monitoring & Evaluation
-Nutrition Intervention

Question 4

Is a nutrition diagnosis and medical diagnosis?

Answer 4

No

Question 5

What are the parts of PES?

Answer 5

-P -> Problem - Describes alteration in the patient’s nutrition status (the what)
-E -> Etiology - cause or contributing risk factors (the why)
-S -> Signs/Symptoms - defining characteristics (How do I know/How severe?)

Question 6

How do you phrase a PES statement?

Answer 6

Problem – related to – Etiology – as evidenced by – Signs/Symptoms

Question 7

3 Domains of Nutrition Diagnostic Terminology

Answer 7

-Intake
-Clinical
-Behavioral/Environmental

Question 8

Domains of Nutrition Diagnostic Terminology: Intake

Answer 8

Excess or inadequate compared to requirements

Question 9

Domains of Nutrition Diagnostic Terminology: Clinical

Answer 9

Medical or physical conditions that are outside normal

Question 10

Domains of Nutrition Diagnostic Terminology: Behavioral/Environmental

Answer 10

Relate to knowledge, attitudes, beliefs or physical environment

Question 11

Evaluating PES Statements: Problem

Answer 11

Can you resolve or improve the nutrition diagnosis?

Question 12

Evaluating PES Statements: Etiology

Answer 12

-Is the etiology the root cause?
-Will your intervention resolve the problem by addressing the etiology?
-Can your intervention at least lessen the signs/symptoms?

Question 13

Evaluating PES Statements: Signs/Symptoms

Answer 13

-Are the signs and symptoms specific enough to be measured?
-Will measuring the signs and symptoms indicated if the problem is resolved or improved?

Question 14

Evaluating PES Statements: Overall

Answer 14

Does the assessment data used to identify the nutrition diagnosis support and link to the diagnostic statement, etiology and signs and symptoms?