Deck 1: Role of the Dietitian in the Health Care System

Question 1

The steps of the decision-making process do not necessarily take place in a particular sequence.

Answer 1

True

Question 2

To provide optimal nutritional care, all aspects of a patient's life must be considered.

Answer 2

True

Question 3

Some states provide Medicaid benefits for nutrition services, but there is significant variability between states.

Answer 3

True

Question 4

Processing diet orders, checking menus against standards, and setting up standard nourishment are all major tasks of the:​

A) ​dietetic technician (DTR)
B) ​clinical nutrition manager.
C) ​clinical dietitian.
D) ​diet clerk.
E) ​registered dietitian nutritionist.

Question 5

A patient needs assistance with buying food after he is discharged from the hospital. Which professional should be consulted?

A) ​pharmacist
B) ​social worker
C) ​medical doctor
D) ​nurse
E) ​speech-language pathologist

Question 6

Which professional would most likely be involved with changing the amount of nutrients delivered via parenteral nutrition support?

A) ​nurse
B) ​occupational therapist
C) ​pharmacist
D) ​social worker
E) ​speech-language pathologist

Question 7

The Scope of Practice encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform.

Question 8

In a neurological setting where swallowing problems are common, the dietitian would have to work closely with which member of the interdisciplinary team?​

A) ​pharmacist
B) ​physical therapist
C) ​speech-language pathologist
D) ​nurse
E) ​social worker

Question 9

What is an advantage of working as a registered dietitian in a long-term care facility over other settings?​

A) ​Shorter working hours due to decreased need for services
B) ​More leadership positions available among health professionals at the same facility
C) ​More flexibility to take paid holidays and time off on weekends
D) ​More hours available for menu planning 
E) ​Greater autonomy and flexibility with scheduling

Question 10

Medical doctors are commonly responsible for the initial nutrition screening of patients and for notifying the dietitian if a patient's intake is inadequate.

Question 11

Hospice facilities focus on integrated, multidisciplinary assistance for recovery from acute or chronic illness and/or surgical procedures.

Question 12

One primary role of the pediatric RD is to:

A) ​provide information about community resources for nutrition services.
B) ​educate the child about maintaining an appropriate diet for his age.
C) ​assist pediatric patients with performing activities of daily living.
D) ​optimize nutrition while promoting growth and development.
E) ​assess for and prescribe enteral feedings and total parenteral nutrition.

Question 13

Reviewing productivity reports, hiring and training employees, and developing policies are all major tasks of the:​

A) ​clinical nutrition manager.
B) ​dietetic assistant.
C) ​clinical dietitian.
D) ​diet clerk.
E) ​dietetic technician (DTR)

Question 14

A registered dietitian is assessing a patient who reports that it is challenging to eat because she cannot pick up the fork or knife. Who would the RD consult with regard to this issue?​

A) ​physical therapist
B) ​occupational therapist
C) nurse​
D) ​diet clerk
E) ​social worker

Question 15

Evidence-based practice can best be defined as purposeful, self-regulatory judgment that results in interpretation, analysis, evaluation, and inference upon which that judgment is based.

Question 16

The AND's Code of Ethics and Standards of Professional Performance requires that outcomes are measurable and evidence-based.

Question 17

A hospital that is owned or managed by the community or a religious organization rather than a group of investors is classified as:​

A) ​private profit.
B) ​veterans/military.
C) ​private not for profit.
D) ​public not for profit.
E) ​public for profit.

Question 18

With a minimum of 1,000 hours of related practice and at least 90 continuing education credits, a registered dietitian may become a lactation consultant.

Question 19

The cognitive processes that a dietitian goes through to make clinical judgments are known as practice standards.

Question 20

What is an example of a tool used by a dietitian to track his or her professional progress as part of the Practice Management and Advancement Standard?​

A) ​Scope of Practice for the RD and DTR
B) ​CDR Professional Development Portfolio
C) ​Nutrition Care Process Reference Manual
D) ​Scope of Practice Decision Tool
E) ​Dietetics Career Development Guide

Question 21

A patient needs a prescription for total parenteral nutrition to ensure adequate electrolyte balance. This is the responsibility of the:​

A) ​nurse.
B) ​social worker.
C) ​occupational therapist.
D) ​speech-language pathologist.
E) ​medical doctor.

Question 22

What term refers to a series of clinical judgments that result in an informal judgment or a formal diagnosis?​

A) ​problem solving
B) ​decision making
C) ​diagnostic reasoning
D) ​critical thinking
E) ​evidence-based practice

Question 23

Under the Affordable Care Act (ACA), nutrition services are expected to expand. Why is this?​

A) ​Dietitians will need to conduct fewer screening exams.
B) ​There will be a decreased need for treatment of malnutrition.
C) ​There will be more requirements for preventative services.
D) ​Families will be required to pay for nutrition services.
E) ​Individual state programs will no longer serve low-income Americans.

Question 24

Approximately what percentage of the U.S. population did not have health insurance in 2012?​

A) ​4%
B) ​15%
C) ​24%
D) ​39%
E) ​55%

Question 25

A dietitian has completed an assessment on a patient and determined that he is not meeting his intake needs. The patient is prescribed a nutritional supplement. A few days later, the dietitian visits him to see if he is drinking the provided supplement. During this visit, the dietitian is:​

A) ​identifying a phenomenon.
B) ​testing a hypothesis.
C) ​formulating a hypothesis.
D) ​describing a phenomenon.
E) ​evaluating the hypothesis.

Question 26

The dietitian's knowledge base:

A) ​is fulfilled upon graduation from an accredited school.
B) ​remains at a level of minimum standards based on the Accreditation Standards for Didactic Programs in Nutrition.
C) ​constantly expands and evolves in order to apply to new practice developments.
D) ​is diminishing due to current evidence-based practices.
E) ​is considered insufficient until s/he has finished a dietetics internship.

Question 27

The incorporation of systematically reviewed scientific findings into food and nutrition practice is known as:​

A) ​scientific inquiry.
B) ​research methods.
C) ​evidence-based practice.
D) ​continuing education.
E) ​data-driven analysis.

Question 28

A clinical dietitian attends a nutrition conference and another dietitian presents her research in a specific area of nutrition science. The clinical dietitian then implements what she has learned into practice at her facility. This is an example of:​

A) ​evidence-based practice.
B) ​outcomes research.
C) ​nutritional diagnosis.
D) ​the nutrition coding process.
E) ​the decision-making process.

Question 29

Application of intellectual standards focuses on:​

A) ​a rigorous approach to critical thinking.
B) ​utilizing personal beliefs to make decisions.
C) ​continuing education to promote effective practice.
D) ​limited use of clinical education and extensive personal knowledge.
E) ​an understanding of values and beliefs.

Question 30

The ability to identify problems and make decisions regarding the most appropriate solutions is an example of which component of critical thinking? ​

A) ​specific knowledge base
B) ​competence
C) ​experience
D) ​attitudes
E) ​intellectual standards

Question 31

A patient has cirrhosis of the liver. The dietitian plans specific nutrition interventions for her, and continues to monitor her and observe for clinical and laboratory values that are consistent with cirrhosis. This type of thinking is most reflective of:​

A) ​risk taking.
B) ​diagnostic reasoning.
C) ​problem solving.
D) ​decision making.
E) ​continuing education.

Question 32

One step used in the scientific method competency is to:​

A) ​assess all options before collecting data.
B) ​weigh the options against standard sets of criteria.
C) ​consider the consequences of a decision.
D) ​test the hypothesis through experimentation.
E) ​make a final conclusion.

Question 33

Admitting limitations, rethinking a situation, and seeking additional knowledge illustrate which type of attitude?​

A) ​creativity
B) ​risk taking
C) ​fairness
D) ​curiosity
E) ​humility

Question 34

What is a systematically developed statement based on scientific evidence that assists practitioner and patient decisions about appropriate health care for specific clinical circumstances?​

A) ​guideline
B) ​diagnostic
C) ​evidence-based rule
D) ​scientific analysis
E) ​decision report

Question 35

The dietitian's continuing education and reflection on the practice are examples of which component of critical thinking?​

A) ​specific knowledge base
B) ​experience 
C) ​competence
D) ​attitudes
E) ​intellectual standards

Question 36

Learning from patients, observations, and interactions with other health professionals are examples of which component of critical thinking?​

A) ​specific knowledge base
B) ​competence
C) ​experience
D) ​attitudes
E) ​intellectual standards

Question 37

Of those insured Americans under age 65, what percent of people have private insurance?​

A) ​15%
B) ​33%
C) ​46%
D) ​64%
E) ​78%

Question 38

The dietitian's values, fairness, and responsibility in reaching solutions are most indicative of which component of critical thinking?​

A) ​specific knowledge base
B) ​attitudes
C) ​experience
D) ​competence
E) ​intellectual standards

Question 39

The decision-making process includes:​

A) ​identifying a phenomenon.
B) ​formulating a hypothesis.
C) ​weighing each option against a set of criteria.
D) ​testing a hypothesis through experimentation.
E) ​evaluating a hypothesis.

Question 40

Evaluation of care that focuses on the status of participants after receiving care is known as:​

A) ​the scientific method.
B) ​outcomes research.
C) ​nutritional diagnosis.
D) ​the nutrition coding process.
E) ​medical problem solving.

Question 41

A(n) _______________ health care facility is often owned or managed by the county or state government.

Question 42

The three components of the Scope of Practice are Practice Management and Advancement, Practice Resources, and _______________.

Question 43

A licensed health professional who compounds and dispenses medications is called a(n) _______________.

Question 44

Assessing whether Ms. Lopez's left-sided weakness is affecting her ability to perform activities of daily living is the job of which member of the interdisciplinary team?​

A) ​occupational therapist
B) ​nurse
C) ​social worker
D) ​speech-language pathologist
E) ​medical doctor

Question 45

The practice of always asking "why?" and finding out as much information as possible before making a judgment most illustrates which attitude?​

A) ​creativity
B) ​curiosity
C) ​discipline
D) ​integrity
E) ​fairness

Question 46

Individual state _______________ programs are expanding to serve lower-income Americans.

Question 47

The attitude of thinking independently is best demonstrated by:

A) ​listening to both sides of a discussion.
B) ​admitting limitations.
C) ​asking for help when needed.
D) ​not settling for quick solutions.
E) ​basing decisions on your own conclusions.

Question 48

Currently, the system of health care in the United States is structured around _______________.

Question 49

Under the _______________, children 3-18 years old and their families will be able to see an RD for nutrition counseling.

Question 50

Examples of _______________ include the National Guideline Clearinghouse and the Evidence Analysis Library.

Question 51

What is one type of intellectual standard that universally applies to critical thinking?​

A) ​humility
B) ​confidence
C) ​accuracy
D) ​fairness
E) ​curiosity

Question 52

The dietitian recommends a soft food diet and the physician has ordered a swallowing study for Ms. Lopez. After 24 hours on the diet, the dietitian checks with the staff to determine if Ms. Lopez has been finishing her food and contacts the physician to determine the outcome of the swallowing study. This process of monitoring and following up best illustrates:​

A) ​evidence-based practice.
B) ​outcomes research.
C) ​medical problem solving.
D) ​scientific reasoning.
E) ​diagnostic reasoning.

Question 53

The dietitian has assessed Ms. Lopez and identified a potential problem with her food and fluid intake because of her stroke. What best describes the next step of the scientific method of problem solving in this situation?​

A) ​Formulate a hypothesis.
B) ​Evaluate a hypothesis.
C) ​Collect data about the phenomenon.
D) ​Test the hypothesis.
E) ​Identify the phenomenon.

Question 54

Assessing whether Ms. Lopez has any difficulty swallowing is the job of which member of the interdisciplinary team?​

A) ​pharmacist
B) ​nurse
C) ​social worker
D) ​speech-language pathologist
E) ​medical doctor

Question 55

An entry-level dietitian's level of critical thinking will most likely involve:​

A) ​following rules set forth by authorities.
B) ​avoiding the use of critical thinking for decision-making.
C) ​assuming that the judgments of more seasoned dietitians are correct.
D) ​disconnecting from authorities and using her own judgment.
E) ​allowing others to make critical decisions until she is in a management position.

Question 56

A diabetic educator works with the clinical dietitian to help Ms. Lopez learn to check her blood glucose levels. Ms. Lopez is still unsure about pricking her finger for the glucose test and asks the dietitian to explain why she must be responsible for this. The dietitian explains to Ms. Lopez the importance of blood sugar testing and backs up the information given by the diabetic educator. The response of the dietitian best describes which attitude?​

A) ​creativity
B) ​confidence
C) ​perseverance​
D) risk taking
E) ​precision

Question 57

A health professional who requires a four-year post-bachelor degree, an internship and residency, and licensing to practice, is a(n) _______________.

Question 58

The _______________ extends the availability of health insurance to all Americans.

Question 59

The dietitian should ensure that a nutritional diagnosis is ____ and ____ the assessment data collected.

A) ​error-free; critical of
B) ​open-ended; critical of
C) ​open-ended; consistent with
D) ​plausible; critical of
E) ​plausible; consistent with

Question 60

Nutritional care requires _______________ among members of the entire health care team.

Question 61

Describe the application of intellectual standards to determine the suitability of nutrition diagnoses and interventions for a patient with diverticulitis.

Question 62

Dietetics practice should not be based on tradition but on _______________ research.

Question 63

Dietitians continually use the process of _______________ to determine the nutrition diagnosis and monitor a patient's progress and/or response to nutrition therapy.

Question 64

Being thorough at all times and following established procedures are examples of an attitude of _______________.

Question 65

Attitudes reflect the dietitian's values and should ensure that clinical judgment is made _______________ and _______________.

Question 66

Use the decision-making process to describe an example of making a decision for a patient who needs dietary changes due to celiac disease.

Question 67

The path to becoming an RD requires both _______________ and _______________.

Question 68

The dietitian's _______________ base is continually changing and expanding.

Question 69

Describe the dietitian's knowledge base as used in clinical practice.

Question 70

Five components have been identified as essential in critical thinking: specific knowledge base, experience, competencies, attitudes, and _______________.

Question 71

Listening to both sides of a discussion and weighing all the facts are examples of an attitude of _______________.

Question 72

The dietitian must reflect on her or his practice in order to anticipate and react appropriately to _______________.

Question 73

Describe a situation in which a dietitian would use evidence-based practice to update a facility's policy regarding total parenteral nutrition.

Question 74

Describe a scenario in which a patient is admitted to the hospital for dehydration and pneumonia. List the members of the interdisciplinary healthcare team and describe the potential roles of each member in this patient's care.

Question 75

List the three different categories of the dietetics Scope of Practice and give an example of each.

Question 76

Describe the major tasks of the clinical dietitian.

Question 77

Explain the impact of the Affordable Care Act on nutrition services.

Question 78

List the basic steps of the scientific method.

Question 79

Explain the importance of experience on critical thinking skills in clinical practice.

Question 80

Methods used for problem solving that utilize competencies as a component of critical thinking include the scientific method, problem solving, evidence-based practice, diagnostic reasoning, and _______________.