Deck 2: The Nutrition Care Process

Question 1

Which best describes an aspect of the screening and referral system?

A) ​Monitoring the success of the NCP
B) ​Analyzing causes of sub-optimal performance
C) ​Refining the use of the NCP
D) ​Involving interdisciplinary collaboration
E) ​Identifying diagnostic labels using the PES format

Answer 1

D

Question 2

Central to providing nutrition care is the relationship between the client and the dietetics practitioner or team of dietetics practitioners.

Answer 2

True

Question 3

There are three sets of standardized terminology: nutrition diagnosis, nutrition assessment, and:

A) ​nutrition monitoring.
B) ​nutrition evaluation.
C) ​nutrition analysis.
D) ​nutrition investigation.
E) ​nutrition intervention.

Answer 3

E

Question 4

Which portion of the nutrition care process requires appropriate data collection?

A) ​Nutrition diagnosis
B) ​Nutrition assessment
C) ​Nutrition collection
D) ​Nutrition intervention
E) ​Nutrition prescription

Question 5

The nutrition diagnosis portion of the NCP model includes planning and documenting interventions.

Question 6

Social and cultural food preferences and practices are external influences affecting food consumption and are called:

A) ​food and nutrient factors.
B) ​lifestyle factors.
C) ​biological factors.
D) ​environmental factors.
E) ​system factors.

Question 7

Attitudes, knowledge, and behaviors that influence an individual's food and physical activity choices are called:

A) ​food and nutrient factors.
B) ​lifestyle factors.
C) ​biological factors.
D) ​environmental factors.
E) ​system factors.

Question 8

The nutrition monitoring and evaluation process of the NCP involves:

A) ​finding patterns and relationships among data and possible causes.
B) ​setting and prioritizing goals.
C) ​stating the problem clearly.
D) ​defining the basic plan.
E) ​selecting appropriate indicators or measures.

Question 9

The outermost ring of the nutrition care process model recognizes the strengths that dietetics practitioners bring to the nutrition care process.

Question 10

Which element is included in the outermost ring of the nutrition care process model?

A) ​Health care and social systems
B) ​Practical knowledge
C) ​Professional skills
D) ​Collaboration and communication
E) ​Critical thinking skills

Question 11

Standardized nutrition language consists of:

A) ​concise phrases that are organized into groups.
B) ​broad terms that are categorized into sets.
C) ​a list of words that are available to use in documentation.
D) ​descriptive terms that cannot be used interchangeably.
E) ​a chart that provides terminology to choose for documentation.

Question 12

Standardized language refers to a uniform terminology that is used to describe practice.

Question 13

A nutrition assessment is a systematic process of obtaining, verifying, and interpreting data in order to make decisions about the nature and cause of nutrition-related problems.

Question 14

There are three sets of standardized terminology: nutrition diagnosis; nutrition analysis, and nutrition evaluation.

Question 15

The purpose of nutritional care is to:

A) ​cure the underlying medical problem or disease.
B) ​restore a state of nutritional balance.
C) ​impact all lifestyle, environmental, and food and nutrient factors.
D) ​increase supplementation.
E) ​maintain a focus on important vitamins and nutrients.

Question 16

A nutrition diagnosis is written in terms of a client problem for which nutrition-related activities provide the primary intervention.

Question 17

Comparing nutrient intake to nutrient requirements alone effectively describes the broad picture of nutritional status.

Question 18

The NCP combines the process of care with the:

A) ​analysis of research.
B) ​provision of services.
C) ​content of care.
D) ​diagnosis of problems.
E) ​evaluation of care.

Question 19

Both external (environmental) and internal (resources of the dietetics practitioner) factors influence the type of nutrition care provided.

Question 20

Providing nutrition care can influence and change the factors that contribute to an imbalance in nutritional status and thus restore nutritional health.

Question 21

Which aspect of the PES statement is described as the diagnostic label?

A) ​Etiology
B) ​Problem
C) ​Signs
D) ​Possibility
E) ​Symptoms

Question 22

Nutrition diagnosis is a direct link between ____ and ____.

A) ​nutrition analysis, nutrition evaluation
B) ​nutrition evidence, nutrition factors
C) ​nutrition assessment, nutrition monitoring
D) ​nutrition analysis, nutrition intervention
E) ​nutrition assessment, nutrition intervention

Question 23

Dietetics practitioners can best arrange problems in order of importance for the client by:

A) ​performing interventions.
B) ​reviewing the goals for the client.
C) ​ranking the diagnoses.
D) ​communicating ideal outcomes to others.
E) ​modifying the NCP on a regular basis.

Question 24

Which best describes an example of the nutrition-focused physical findings domain used in the nutrition assessment process?

A) ​Oral health and appetite
B) ​Educational background
C) ​Family and social history
D) ​Medical treatments and therapies
E) ​Eligibility for community programs

Question 25

Which best describes ideal goals?

A) ​Problem labels that classify the facts available
B) ​Identification and analysis of scientific data
C) ​Values used to control specific health conditions
D) ​Data used to make choices about problems
E) ​Evaluation of the entire nutrition care process

Question 26

A(n) ____ identifies those individuals or groups who would benefit from nutrition care provided by dietetics professionals.

A) ​social system
B) ​goal setting system
C) ​screening and referral system
D) ​medical nutrition therapy system
E) ​outcomes management system

Question 27

Unintended weight loss is an example of which type of domain used in the nutrition diagnosis process?

A) ​Behavioral
B) ​Environmental
C) ​Intake
D) ​Clinical
E) ​Social

Question 28

The ____ step of the PES asks the question "why?"

A) ​possibility
B) ​signs
C) ​problem
D) ​etiology
E) ​symptoms

Question 29

Which best describes an example of objective data obtained from the nutrition assessment?

A) ​"Excessive energy intake"
B) ​"Very little appetite"
C) ​"BMI 28.2"
D) ​"Recent weight gain"
E) ​"Decreased activity levels"

Question 30

Socioeconomic factors are an example of which type of domain used in the nutrition assessment process?

A) ​Anthropometric measurements
B) ​Nutrition-focused physical findings
C) ​Client history
D) ​Food and nutrition-related history
E) ​Biochemical data

Question 31

The action phase of the nutrition care process is:

A) ​implementation.
B) ​estimation.
C) ​planning.
D) ​assessment.
E) ​diagnosis.

Question 32

Which best describes an example of the food and nutrient delivery domain used in the nutrition intervention process?

A) ​Modifying the composition of meals
B) ​Referring to community agencies
C) ​Developing skills in dietary preparation
D) ​Consulting with local agencies
E) ​Educating the patient about fat intake

Question 33

Which best describes an example of the behavioral-environmental domain used in the nutrition diagnosis process?

A) ​Intake of unsafe food
B) ​Impaired nutrient utilization
C) ​Unintended weight loss
D) ​Malabsorption of fats
E) ​Low blood glucose levels

Question 34

Which characteristic distinguishes the nutrition diagnosis from any other type of diagnosis?

A) ​It is a diagnosis for which nutrition-related activities provide the primary intervention
B) ​It is written in a specific format
C) ​It is designed to nutritionally cure the underlying disease
D) ​It is a way of measuring positive outcomes
E) ​It involves a care process that leads to formulating the diagnosis

Question 35

Which question is most appropriate when evaluating the "P" in the PES statement?

A) ​Is the etiology truly the root cause?
B) ​Is there an intervention that will cause a positive change?
C) ​Will measuring symptoms resolve the problem?
D) ​Can the dietetics practitioner improve the issue?
E) ​Do the signs and symptoms describe the problem?

Question 36

The desired changes to be achieved over time as a result of nutrition intervention are called:

A) ​diagnostic indicators.
B) ​nutrition assessments.
C) ​screening and referral systems.
D) ​expected outcomes.
E) ​outcomes management systems.

Question 37

Which documentation is most appropriate in a case where a nutrition assessment reveals no nutritional problems?

A) ​"No change"
B) ​"No nutrition diagnosis"
C) ​"No assessment completed"
D) ​"Not applicable"
E) ​"No documentation necessary"

Question 38

After prioritizing diagnoses and writing a nutrition prescription, what is the next step for the dietetics practitioner?

A) ​Evaluating the response to interventions
B) ​Identifying ideal goals
C) ​Monitoring for changes in outcomes
D) ​Documenting signs and symptoms
E) ​Labeling the problem

Question 39

Motivational interviewing is an example of which type of domain used in the nutrition intervention process?

A) ​Nutrition education
B) ​Food and nutrient delivery
C) ​Coordination of nutrition care
D) ​Diagnostic labeling
E) ​Nutrition counseling

Question 40

The recommended dietary intake of nutrients based on the nutrition diagnosis and the client's current health condition is called the:

A) ​nutrition assessment.
B) ​health and referral system.
C) ​nutrition monitoring system.
D) ​outcomes evaluation.
E) ​nutrition prescription.

Question 41

The dietitian is documenting Ms. S's information using the ADIME method of charting. According to this format, which information is documented under the "A" section?

A) ​"Potential for inadequate fluid intake"
B) ​"Addition of vitamins to IV fluids"
C) ​"Nutrition prescription provided for parenteral feedings"
D) ​"Risk of electrolyte imbalance"
E) ​"Nausea and vomiting for two weeks"

Question 42

The inner adjoining ring of the nutrition care model recognizes the _______________ that dietetics practitioners bring to the nutrition care process.

Question 43

The outermost ring of the model identifies _______________ that can have an impact on the ability of the client to receive and benefit from the interventions of nutrition care.

Question 44

Ms. S's nausea and vomiting are examples from which domain of the nutrition diagnosis process?

A) ​Behavioral
B) ​Clinical
C) ​Environmental
D) ​Biochemical
E) ​Medical tests and procedures

Question 45

The _______________ (S) are the defining characteristics obtained from the subjective and objective nutrition assessment data in the PES statement.

Question 46

A dietitian is documenting a patient's nutrition outcome status as "possible progress toward goal." This is best described by which term?

A) ​Resolved
B) ​Improvement shown
C) ​Unresolved
D) ​No longer appropriate
E) ​Not applicable

Question 47

Dietitians are uniquely qualified to provide nutrition care to persons in different states of _______________ to improve their nutritional status.

Question 48

Which best explains the key to measuring outcomes?

A) ​Creating a chart for organization
B) ​Modifying the data to simplify it
C) ​Ranking the diagnoses available
D) ​Knowing what needs to be measured
E) ​Reviewing the goals prior to measurement

Question 49

The Institute of Medicine defines quality as "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current _______________."

Question 50

The NCP provides clear examples of the types of outcomes to be measured. These include clinical and health status outcomes such as:

A) ​blood pressure and sodium levels.
B) ​medication changes.
C) ​offerings for educational opportunities.
D) ​satisfaction and quality of life.
E) ​planned health care visits.

Question 51

Determining that the goals and outcomes anticipated by the client and the dietitian are being achieved is best completed by:

A) ​planning.
B) ​monitoring.
C) ​diagnosing.
D) ​assessing.
E) ​intervening.

Question 52

Based on Ms. S's nutrition profile, the dietitian contacts the physician for recommendations for parenteral feedings. This action is an example of which domain of the nutrition intervention process?

A) ​Coordination of nutrition care
B) ​Food and nutrient delivery
C) ​Nutrition education
D) ​Anthropometric measurements
E) ​Nutrition counseling

Question 53

The "P" in the SOAP format of documentation stands for:

A) ​prescription.
B) ​problem.
C) ​progress.
D) plan.
E) ​performance.

Question 54

The steps of the nutrition care process are supported by two other systems: the _______________ system and the _______________ system.

Question 55

The type of data collected during a nutrition assessment depends on whether a(n) _______________ or a(n) _______________ is being conducted.

Question 56

Nutrition diagnosis is the direct link between nutrition _______________ and nutrition _______________.

Question 57

 Identifying Ms. S's current height and weight is an example from which domain of the nutrition assessment terminology?

A) Food and nutrition related history
B) ​Nutrition-focused physical findings
C) ​Anthropometric measurements
D) ​Medical tests and procedures
E) ​Client history

Question 58

The dietitian writes a PES statement for Ms. S's condition. Which best describes an example of the etiology for this patient?

A) ​Symptoms lasting two weeks
B) ​Inadequate dietary intake
C) ​Roux en Y procedure two months ago
D) ​Potential for electrolyte imbalance
E) ​Decreased vitamin intake

Question 59

_______________ is a critical component of the NCP that requires collecting data over time.

Question 60

_______________ factors such as social and cultural food preferences and practices are external influences that impact both food consumption and lifestyle choices.

Question 61

List the different factors that impact a person's nutritional status and give an example of each.

Question 62

List the three domains of nutrition diagnostic terms and give an example of each.

Question 63

Evidence-based guidelines link external _______________ regarding nutrition care to a(n) _______________.

Question 64

Documentation should be relevant, accurate, and _______________.

Question 65

Describe how the dietitian's knowledge, skills, and evidence-based practice impact all aspects of the nutrition care process.

Question 66

Describe the differences between using specific diets ('renal' diet vs. 'diabetic' diet, for example) and assessment of individual nutrition status.

Question 67

The final step of planning the nutrition intervention is the _______________ of the appropriate.?intervention.

Question 68

Describe the screening and referral system in nutrition care.

Question 69

_______________ are the desired changes to be achieved over time as a result of nutrition intervention.

Question 70

Interventions are derived from accurate diagnoses and largely driven by _______________.

Question 71

Describe, in detail, the benefits of the nutrition care process in terms of outcomes management. Be sure to include benefits relating to the profession as a whole as well.

Question 72

List the major tasks associated with the nutrition assessment portion of the nutrition care process.

Question 73

Explain the four different domains of the nutrition intervention standardized language. Describe an example of using each domain for a patient who was recently diagnosed with gastroparesis and requires enteral feedings.

Question 74

First and foremost is the need to prioritize the _______________, before writing a nutrition prescription.

Question 75

Evaluating outcomes requires comparing the current _______________ with the previous _______________.

Question 76

Give an example scenario of a patient who would require nutrition services while in the hospital. Conceptually, go through the 4 NCP steps and describe the information obtained in each step. In addition, provide a nutrition diagnosis for this patient with the PES components.

Question 77

A form of charting based on the steps of the NCP, the ADIME stands for assessment, diagnosis, intervention, monitoring and _______________.

Question 78

The standardized terms from monitoring and evaluation are combined with nutrition _______________ terms.

Question 79

Describe each of the components of the nutrition care process model, including the outermost ring, the inner adjoining ring, and the central core.

Question 80

The standardized language that is now part of the NCP improves both the _______________ and _______________ communication among members of the health care team, as well as communication with the patient.