MNT Chapter 11- Diagnosis and Intervention - Sheet1

Question 1

What is the nutrition care process?

Answer 1

Standardized process for nutiritonal care established by the American Dietetic Association

Question 2

What are the 4 steps of the NCP?

Answer 2

Nutrition Assessment, Diagnosis, Intervention, Monitoring/Evaluation

Question 3

Why use a nutrition screening?

Answer 3

To identify those who would benefit from nutrition assessment, typically conducted by nurses as a part of admission assessment

Question 4

What happens if nutritional screening indicates that a patient is at risk?

Answer 4

They are referred to an RD for a nutritional assessment

Question 5

Can a patient be re-screened for nutritional status?

Answer 5

Yes. Status can change if inpatient is there for a long time

Question 6

What are the 3 main things that occur during a nutrition assessment?

Answer 6

Obtain data, analyze with evidence-based standards, document

Question 7

What 3 things do you do during a nutrition diagnosis?

Answer 7

Identify/label problem, determine cause/contributing risk factors, cluster signs & symptoms/defining characteristics, document

Question 8

What 3 things happen during nutrition intervention?

Answer 8

Plan intervention by setting goals & determining a plan of action, implement nutrition intervention (care delievered/actions carried out), document

Question 9

What 4 things happen in nutrition monitoring and evaluation?

Answer 9

Monitor progress, measure outcome indicators, evaluate outcomes, document

Question 10

A nutrition diagnosis includes documentation of the _____.

Answer 10

PES (in a clear statement)

Question 11

PES stands for

Answer 11

Problem, etiology, signs/symptoms

Question 12

During the planning phase of the _______, the RD, patient, or client, and others as needed collaborate to identify goals and objectives that will signify success.

Answer 12

Nutrition Intervention

Question 13

What is an EBG?

Answer 13

Evidence based guide

Question 14

SOPP stands for?

Answer 14

Standards of Professional Performance

Question 15

What is the TJC?

Answer 15

The Joint Commission– peer review process, survey teams evaluate health care institutions to evaluate their compliance with w/ standards

Question 16

Does TJC mandate a METHOD to accomplish the nutritonal screening?

Answer 16

No, as long as its done within 24 hours

Question 17

TJC focuses mainly on _____ & ______.

Answer 17

Performance of functions and process improvement (PI)

Question 18

PI stands for ____

Answer 18

Process Improvement

Question 19

PI standards are provided in the ____

Answer 19

Accreditation Manual for Hospitals (revised on a yearly basis)

Question 20

The 3 sections of the Accreditation Manual for Hospitals:

Answer 20

1)Patient-focused funtions 2)Organization-focused functions 3)Structures w/ functions, w/ departments and their roles

Question 21

T/F: An RD MUST be involved in developing a NCP

Answer 21

TRUE

Question 22

Sentinel events are ___

Answer 22

unintended/unwelcome events/surveys besides the TJC (ie survey from state/local health department)

Question 23

POMR stands for:

Answer 23

Problem-oriented medical records

Question 24

What is SOAP?

Answer 24

One of most commo forms of POMR entries (subjective, objective, assessment, plan)

Question 25

AIDME stands for:

Answer 25

Assessment, Diagnosis, Intervention, Monitoring and Evaluation

Question 26

EHR

Answer 26

Electronic health record: contains all health info for an individual

Question 27

EMR

Answer 27

Electronic medical record: Infomration system used by health care organizations to document patient care

Question 28

PHR

Answer 28

Personal health record: Used by the consumer to maintain own health information

Question 29

HIPAA

Answer 29

Health Insurance Portability and Accountability Act: Req’s that health care facilitues and practitioners maintain privacy of protected health info

Question 30

PHI

Answer 30

Protected Health Info

Question 31

MCOs

Answer 31

Managed Care Organizations: finance and deliver care through a contracted network of providers in exchange for a monthly premium

Question 32

PPOs

Answer 32

Preferred Provider Organizations

Question 33

What is the point of case management?

Answer 33

To promote achievement of patient-care goals in a cost effective, efficient manner.

Question 34

Standards of Care help contain _____ while providing efficient and effective care.

Answer 34

health care costs

Question 35

What is a Critical Pathway?

Answer 35

Care maps that identify the essential elements that should occur within a timeframe for the patient

Question 36

What is a nutrition prescription?

Answer 36

Designtes the type, amount, and frequency of nutrition based on the patient’s disease process and management goals. (Different from a diet order)