NCP theories Flashcards

1
Q

NCP 4 steps:

A

Nutrition Care process (ADIME)
1) Assessment
2) Intervention
3) Diagnoses
4) Monitoring and Evaluation

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2
Q

The client relationship with the RDN is ______ to the NCP model

A

Central (remember the NCP is a cycle)

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3
Q

Assessment:

A
  • Collect and interpret data
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4
Q

Diagnoses:

A
  • Identify Problem
  • Determine Etiology
  • State signs/symptoms
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5
Q

Intervention:

A
  • determine intervention
  • formulate goals and determine actions
  • implement actions
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6
Q

Monitoring and Evaluation:

A
  • identify and select quality indicators
  • monitor and evaluate resolutions of diagnoses
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7
Q

RDN-level factors:

A

collaboration, skills and competencies, communication, evidence-based practice, critical thinking, documentation, code of ethics, nutrition and dietetics knowledge

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8
Q

Environment factors:

A

practice settings, health care systems, social systems, economics

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9
Q

Standards of practice (SOP) in NC for RDNs

A

Standard 1-4:
1) Nutrition assessment
2) Nutrition diagnoses
3) Nutrition intervention
4) Nutrition monitoring and evaluation

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10
Q

Standards of professional performance or RDNs

A

Standard 1-6:
1) quality in practice
2) competence and accountability
3) provisions of services
4) application of research
5) communication and application of knowledge
6) utilization and management of resources

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11
Q

? Model: cognition plays a significant and primary role in the development and maintenance of emotional and behavioral responses to life situations

A

Cognitive Model or Cognitive-Behavioral Therapy

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12
Q

? model: use of socratic questioning

A

CBT

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13
Q

? Model beneficial when targeting dietary habits, wt, cardiovascular or type 2 diabetes risk factors

A

CBT

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14
Q

?: developed in 1950s by scientists in US public health service in an effort to understand why individuals don’t adopt disease prevention strategies or undergo screening tests

A

Health Belief Model

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15
Q

? model: focused on individual’s belief about disease condition because beliefs help predict health-related behaviors

A

Health belief model

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16
Q

6 constructs in Health Belief model:

A

1) perceived susceptibility
2) perceived severity
3) perceived benefits
4) perceived barriers
5) cue to action
6) self-efficacy

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17
Q

? model: theoretical model of intentional health behavior change that describes a sequence of cognitive and behavioral steps people take in successful change

A

Transtheoretical Model

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18
Q

TTM 5 Stages of Change occur in an UPWARD SPIRAL:

A
  • Precontemplation
  • Contemplation
  • Preparation
  • Action
  • Maintenance
19
Q

TTM developed by who and when?

A

Prochaska and DiClemente in the 1980s

20
Q

Precontemplation Description:

A

Pt unaware problem exists, no intention of changing behavior (unwilling/unable), not considering change, potentially in denial

21
Q

Precontemplation RDN actions:

A

raise self awareness through education and pointing out cognitive dissonance, assess knowledge, cognitive restructuring, discuss risks and benefits

22
Q

Contemplation Description:

A

Pt aware of the problem but no firm commitment to change behavior
AMBIVALENT, UNCERTAIN, plans to make changes within next 6 months

23
Q

Contemplation RDN actions:

A

resolve ambivalence, provide education and instruction, help client choose change and gain confidence

24
Q

Preparation Description:

A

intent on taking action to address problem, convinced change is good and that are able to to do it, committed but still deciding what to do in next 30 days

25
Q

Preparation RDN actions:

A

help client identify appropriate strategies, help client gain confidence, listen, encourage, support

26
Q

Action Description:

A

actively modifying behavior/problem, taking steps towards change but not yet stabilized as change has been occurring <6 months

27
Q

Action RDN actions:

A

help implement strategies, anticipate to learn to eliminate relapses, encourage and support skills client has developed, listen to determine where client is at social support

28
Q

Maintenance description:

A

sustained change with new behaviors replacing old behaviors, achieved goals and has maintained change for >/= 6 months

29
Q

Maintenance RDN actions:

A

work on skills to maintain new behavior, listen/encourage/support relapse prevention

30
Q

Low levels of readiness, RDN should:

A

instruct, advise, coach, and listen

31
Q

Moderate levels of readiness, RDN should:

A

listen, encourage, and support

32
Q

Social Cognitive theory by who and when?

A

Albert Bandura 1970s

33
Q

?: learn through observation, mental state important to learning behaviors, learning does not necessarily lead to behavior change

A

Social Cognitive Theory

34
Q

? model: provides a framework for understanding, predicting, and changing behavior

A

Social Cognitive theory

35
Q

Social Cognitive theory factors

A
  • Personal factors (knowledge, expectation, and attitudes/affective events/biological events)
  • Behavioral factors (skills/practice/self-efficacy)
  • Environmental factors (social norms/access in community/ability to change own environment)
36
Q

Social cognitive theory has 4 mediating processes:

A

attention, retention, reproduction, and motivation.

37
Q

?: collaboration not confrontation, evocation of ideas rather than imposition, autonomy rather than authority

A

Motivational Interviewing

38
Q

MI is useful when client has ______ about change and ______

A

high ambivalence about change and low confidence/desire because MI targets ambivalence

39
Q

4 Principles of MI:

A
  • express empathy
  • support self-efficacy
  • rolling with resistance
  • developing discrepancy
40
Q

OARS

A

acronym for basic MI approaches:
- open ended questions
- affirmations
- reflections
- summaries

41
Q

Change talk:

A

statements that a client makes when they are at different stages of changes

42
Q

DARN:

A

preparatory change talk
D- desire ( i want to change)
A- ability (I can change)
R- reason (important to change)
N- need (I should change)

43
Q

CAT:

A

implementing change talk
C: commitment (i will make changes)
A: activation (i am ready/willing to change)
T: taking steps (taking specific actions to change)

44
Q

4 fundamental processes key to MI:

A

engaging, focusing, evoking, planning