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Advanced MNT 1 > Review for MNT & NCP > Flashcards

Review for MNT & NCP Flashcards

1
Q

use of specific nutrition services to prevent or treat illness, injury, or a condition

A

medical nutrition therapy

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2
Q

MNT involves an in depth, comprehensive assessment and individualized care using the __________

A

nutrition care process

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3
Q

steps in the nutrition care process

A

nutrition assessment
nutrition diagnosis
nutrition intervention
nutrition monitoring and evaluation

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4
Q

Active and reflective reasoning that integrates facts, informed opinions, active listening, and observations

Used in all steps of the NCP

A

critical thinking

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5
Q

A systematic method for obtaining, verifying, and interpreting data in order to identify nutrition-related problems, their causes, and significance

ongoing process that involves initial data collection and continual reassessment

A

nutrition assessment

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6
Q

medical history, psychosocial history, nutrition and diet history, NFPE, measurements and calculations, biochemical data, food-drug interactions, estimation of nutrition needs are all part of _______

A

nutrition assessment

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7
Q

age, sex, diagnosis, symptoms, past medical history, chronic illness, treatment plan, GI function, surgical history, functional status are all part of ___________

A

medical history

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8
Q

economic status, education level, social support, living situation, mental status, psychiatric disorders, alcohol and drug use are all ________

A

psychosocial data

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9
Q

activities of daily living

A

feed, bathe, and bathroom by themselves

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10
Q

A systematic head-to-toe examination of a
patient’s physical appearance and function to
help determine nutritional status by
uncovering any signs of malnutrition, nutrient
deficiencies, or nutrient toxicities

A

NFPE

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11
Q

HAMWI male

A

106 plus 6lb for every inch over 5 ft

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12
Q

HAMWI women

A

100 plus 5 lb for every inch over 5 ft

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13
Q

Adjusted IBW

A

[(100 - %amputation) / 100] x IBW for original height

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14
Q

Paraplegia adjusted IBW

A

5-10% subtracted

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15
Q

Tetraplegia adjusted IBW

A

10-15% subtracted

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16
Q

% IBW

A

(current wt / IBW) x 100

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17
Q

BMI

A

(wt in kg) / (height in meters squared)

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18
Q

classes of BMI

A

<18.5 (underweight)
18.5-24.9 (normal)
25-29.9 (overweight)
30-34.9 (obese class 1)
35-39.9 (obese class 2)
≥40 (extreme obese class 3)

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19
Q

percent weight change

A

[(UBW - current wt) / UBW] x 100

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20
Q

Important underlying factor that can cause or
worsen malnutrition

A

inflammation

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21
Q

when inflammation occurs, _______ cause anorexia, increased RMR, &
increased protein catabolism

A

Cytokines

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22
Q

inflammation may contribute to suboptimal response to nutrition intervention and increased risk of mortality
- Affects traditional ________ of nutrition status

A

indicators

23
Q

What is this ?

Do NOT consistently or predictably change with weight loss, calorie restriction, or negative nitrogen balance

Do not typically respond to feeding interventions in the setting of active inflammatory response

Appear to better reflect the severity of _______ response rather than poor nutritional status

Relevance as indicators of malnutrition is limited

A

Serum albumin & prealbumin
inflammatory

24
Q

Malnutrition in the context of

1) Acute Illness or Injury
e.g., _______________

2) Chronic Illness
e.g., _____________

3) Social or Environmental Circumstances
e.g., ________________

A

major infection, trauma, burns
cancer, chronic organ failure
pure chronic starvation, anorexia nervosa

25
Q

malnutrition diagnostic criteria

A

1) Insufficient energy intake
2) % Weight loss
3) Loss of subcutaneous fat
4) Loss of muscle mass
5) Localized or generalized fluid accumulation that may mask weight loss
6) Diminished functional status as measured by hand- grip strength

26
Q

have to have ____ or more of the malnutrition characteristics
can classify as ____ or _____

A

2 or more
nonsecure or severe

27
Q

Identification and labeling of a nutrition problem that can be improved or resolved through nutrition interventions implemented
by dietetics professionals

A

nutrition diagnosis

28
Q

nutrition diagnosis involves a __________

A

PES format=>Problem (P), Etiology (E), Signs &
Symptoms (S)

29
Q

Describes alterations in the patients nutritional status

A

problem (diagnostic label)

30
Q

examples of problem of pes statement

A

inadequate oral intake
overweight
undesirable food choices

31
Q

nutrition problems related to the intake of
energy, nutrients, fluids, and bioactive substances via
oral diet or nutrition support (domain)

A

intake (NI)

32
Q

nutrition problems that relate to medical
or physical conditions (domain)

A

Clinical (NC)

33
Q

nutrition problems
that are related to knowledge, attitudes/beliefs,
physical environment, access to food, or food safety
(domain)

A

Behavioral-Environmental (NB)

34
Q

factors contributing to the cause or existence of a problem
root cause of the problem

A

etiology (E)

35
Q

etiology is linked by the words _______

Identifying the cause of the problem will assist in
determining if there is a __________ that
can improve or correct the problem

Target interventions at correcting the _______ of the
problem whenever possible

A

related to

nutritional intervention

etiology

36
Q

Objective & subjective data gathered during
the assessment step that provide evidence
that a nutrition-related problem exists and
the severity of the problem

A

signs/symptoms

37
Q

signs and symptoms are linked to the ______ by _____ words

A

etiology

as evidenced by

38
Q

eNCPT Diagnostic Terms

A

NC-4.1.1: Starvation-related malnutrition

NC-4.1.2: Chronic disease or condition- related malnutrition

NC-4.1.3: Acute disease or injury-related malnutrition

39
Q

__________ is used to code & classify morbidity data

A

The International Classification of Diseases, Clinical
Modification (ICD-CM)

40
Q

what is the issue with ICD-CM

what’s being done

A

Discrepancy exists between Academy/ASPEN
consensus statement and ICD-10-CM codes for
malnutrition

ICD codes do not apply to most patients seen in
developed countries

Academy & ASPEN have proposed revisions for
malnutrition coding

41
Q

malnutrition codes

A

E43 Unspecified severe protein-calorie malnutrition

E44.0 Moderate protein-calorie malnutrition

42
Q

_______________ is the overall risk of nutrition problems and is used to prioritize patient and determine frequency of follow up care

A

nutrition risk classification

43
Q

Each patient is assigned a level of nutrition risk based on risk factors and critical thinking. What are the levels?

A

No nutrition risk
Mild/low nutrition risk
Moderate nutrition risk
Severe nutrition risk

44
Q

examples of nutrition risk factors

A

Food & nutrient intake patterns
Psychological & social factors
GI problems
Disease states/medical conditions
Medications

45
Q

Documentation of nutrition risk=> state assigned _______
and _______

Example: “Patient at moderate nutrition risk due to poor appetite for 1 week with complaints of nausea.”

A

risk level
justification

46
Q

Specific activities used to address nutrition problems

Examples: therapeutic diets, education &
counseling, supplements, nutrition support,
referrals

A

nutrition intervention

47
Q

Planning nutrition interventions

  1. Write a _________
  2. Select nutrition _______ strategies that
    are focused on the etiology of the problem
    and are evidenced-based
  3. Implement & document the plan in the _____
    note
  4. Determine patient-centered, specific,
    measurable, achievable, relevant, & time-
    defined (______) goals
A

nutrition prescription

intervention

ADIME

SMART

48
Q

Patient will consume >2 servings of
vegetables daily.

Patient will be able to state 3 foods high in
sodium.

Patient will lose 1 lb per week.

Patient’s serum LDL cholesterol will be WNL in
3-6 months.

A

nutrition goals

49
Q

Which of the following is/are appropriate nutrition goals?

A. Will provide education on sources of dietary protein.
B. Will provide modular protein supplement BID.
C. Patient will increase protein intake.
D. Patient will consume >75 grams of protein daily

A

D

50
Q

Used to determine the amount of progress made by nutrition interventions and whether goals are being met

Select & monitor specific ___________ that are relevant to the nutrition diagnosis and nutrition goals

A

monitoring and evaluations

indicators/outcome measures

51
Q

Assess the patient/client’s progress by comparing specific nutrition outcome measures to:

A

Nutrition prescription
Nutrition goals
Previous status
Reference standards

52
Q

Nutrition Outcome Measures

A

Biochemical data
n e.g., serum glucose, serum folate

Nutrition-focused physical finding outcomes
n e.g., muscle wasting, glossitis, edema

53
Q
A

Advanced MNT 1 (20 decks)

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