NUTRIONAL ASSESSMENT

Question 1

Process of determining nutritional status

Answer 1

NUTRITIONAL ASSESSMENT

Question 2

The assessment may reveal nutrient deficiencies or excesses

Answer 2

NUTRITIONAL ASSESSMENT

Question 3

NUTRITIONAL ASSESSMENT can either be

Answer 3

primary nutrient deficiency or secondary nutrient deficiency

Question 4

A comprehensive nutritional assessment involves a

Answer 4

detailed dietary history, physical examination with
focused anthropometry, and evaluation of laboratory values and psychosocial data

Question 5

Nutritional Health History

Answer 5

Biographical Data
Current Health Status
Past Health History
Family History

Question 6

Biographical Data

Answer 6

Age
Gender
Religion and Cultural background
Financial status

Question 7

Past Health History

Answer 7

Major illness, surgery or trauma
Chronic conditions
Dental/oral problems

Question 8

Family History

Answer 8

Genetic and hereditary conditions
Food intolerance or allergies
Family history of cardiovascular disease, atherosclerotic disease or obesity

Question 9

provides a focused screening for past and present problems related to or affecting each of the physical systems. It may also identify problems or symptoms that indicate a nutritional risk.

Answer 9

review of systems (ROS)

Question 10

General Health Survey
■ Have you had unexplained weight loss, fatigue, activity
intolerance, or inability to concentrate?

Answer 10

May indicate metabolic problems (e.g., DM, hyperthyroidism, or malignancy), iron deficiency anemia, or dehydration

Question 11

Integumentary
Have you noticed changes in skin texture, skin discolorations, poor wound healing, or bruising?

Answer 11

May signal vitamin and mineral deficiencies, protein malnutrition, or metabolic disorders.

Question 12

Cardiovascular
Do you have chest pain or pressure?

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Cardiac disease: May be caused by high cholesterol, elevated triglycerides, or high-calorie diet.

Question 13

Eyes
Do you have poor night vision or eye dryness?

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May indicate vitamin A deficiency or dehydration

Question 14

Nose, Mouth, and Throat
Do you have nosebleeds or bleeding gums?
Cavities or lost teeth?

Answer 14

Possible vitamin, mineral, or protein deficiencies

Question 15

Musculoskeletal
Do you have muscle weakness?

Answer 15

May be caused by potassium deficiency or dehydration.

Question 16

Women
- Have you had frequent miscarriages or irregular menses? - How much caffeine do you consume a day?
- What is your diet like?

Answer 16

Maternal malnutrition can lead to fetal growth restriction.
Consumption of 300 mg of caffeine/d increases risk for spontaneous abortion.
Eating disorders can result in irregular menses.

Question 17

Men
Do you suffer from impotence?

Answer 17

Alcohol intake increases risk for impotence.

Question 18

Lymphatic
Do you have frequent infections?
Allergies?

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• Frequent infections: Protein malnutrition.
• Allergies: Food sensitivity (e.g., lactose).

Question 19

Dietary intake recording tool in which every food and beverage consumed in the last 24 hours is recalled either verbally or in writing

Answer 19

24-Hour Recall

Question 20

Most accurate if the client starts with recent meal and works backwards

Answer 20

24-Hour Recall

Question 21

valuable screening and assessment tool only if it represents the person’s typical daily intake

Answer 21

24-Hour Recall

Question 22

Similar to dietary intake record, but includes emotions and reasons for eating.

Answer 22

Food Diary

Question 23

quantitative listing of all food and fluid consumed within a designated time frame— usually 3 to 5 days.

Answer 23

Food Intake Records

Question 24

The record is then analyzed for nutrient content.

Answer 24

Food Intake Records

Question 25

Anthropometry literally means

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human measurement

Question 26

It includes measuring overall body mass (particularly growth, fat reserves, and somatic protein stores) and evaluation of related laboratory values.

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Anthropometric Measurements

Question 27

Is an accurate indicator of fat in adults

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BODY MASS INDEX

Question 28

The most commonly used BMI is ________________________, which is obtained by dividing weight in kilograms by height in meters squared.

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Quetelet’s Index

Question 29

Estimates body fat using a double fold of skin and subcutaneous adipose tissue from the patient’s dominant arm

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Triceps skin fatfold (TSF)

Question 30

In, TSF measurements can be taken of the

Answer 30

triceps, subscapular, biceps, and supra iliac skinfolds

Question 31

is mathematically derived using TSF and MAC values.

Answer 31

Midarm muscle circumference (MAMC)

Question 32

As an indirect measurement of muscle mass, it provides an index of protein stores

Answer 32

Midarm muscle circumference (MAMC)

Question 33

estimates obesity by evaluating the amount of abdominal fat. People with a greater proportion of upper body fat are at greater risk for HTN, DM, elevated triglycerides, and other atherosclerotic risk factors.

Answer 33

waist-to-hip ratio (WHR)