Review questions: Clinical Judgement: Nutritional Assessment-Client History

Question 1

What is clinical judgement, and how does one obtain it?

Answer 1

Clinical judgement is the process by which a health care professional gathers a variety of information from a variety of sources to assist them in making a decision regarding the patient. Clinical judgement is gained through experience.

Question 2

What type of information is found in the patient/client personal history?

Answer 2

age, gender, race/ethnicity, language, education, role in family, substance usage

Question 3

What type of information is found in the patient/client/medical history?

Answer 3

previous diagnoses, previous hospitalizations/surgeries/treatment, use of complementary/alternative medicine, medication history.

Question 4

What type of information is found in the patient/client family history?

Answer 4

diagnoses, conditions, causes of death, alive and well

Question 5

What type of information is found in the patient/client social history?

Answer 5

personal, financial, and environmental influences on food intake, food availability, nutrient needs, ability to address nutrient needs.