Deck 11: Overview of Nutrition Diagnosis and Intervention

Question 1

Which of the following is a system of paying for the care of a patient based on their diagnosis?

A)Utilization management
B)Patient-focused care
C)Case management
D)DRG

Answer 1

D
Utilization management uses established standards to identify tests, procedures, and services in health care that have known benefits toward patient improvement.The utilization manager reviews the case management of a patient to ensure that only approved activities that will help the patient are being performed.Patient-focused care is organized around the concept that the patient is the focus of the health care team, and the patient ultimately makes the decisions in regard to health care.Case management is the overall management organized around the achievement of patient health care goals.DRG is a system of paying for the care based on the diagnosis of the patient.

Question 2

Which of the following identifies the essential elements and activities that should occur in a patient's care?

A)Case management
B)Critical pathway
C)Utilization review
D)DRG

Answer 2

B
A critical pathway is used by health care providers to identify what activities should occur at times throughout a patient's care.This is a key component of case management, which focuses on the achievement of patient-focused goals in the delivery of health care.Utilization review is a process of identifying and eliminating unnecessary health care treatments so as to provide the most cost-effective care.Diagnosis-related groups refer to a method of health care reimbursement established in the 1980s as a means of helping control health care costs.

Question 3

Which of the following does NOT follow the guidelines for proper documentation in a medical record?

A)Add entries in chronological order.
B)Use correction fluid to make corrections.
C)The first word of every statement should be capitalized.
D)Include the date, time, and service with each entry.

Answer 3

B
Because the medical record is a legal document, alterations that deface or make changes that cannot be tracked are not allowed.When a mistake is made, correction fluid should not be used.Instead, a single line is drawn through the mistake, the correction is made, and it is acknowledged by initialing and dating the correction.

Question 4

Which of the following is NOT one of the benefits of electronic health records?

A)Easier accessibility for health care team members
B)Improved legibility of documentation
C)Easier to change and update forms used for documentation
D)Increased efficiency in documentation and providing care

Question 5

Utilization management is

A)a system to protect personal health information.
B)a system of cost efficiency.
C)a critical pathway.
D)a medical staffing system.

Question 6

"Inadequate energy intake" is an example of:

A)"S" of a PES statement.
B)nutrition diagnosis.
C)nutrition symptom
D)"E" of a PES statement

Question 7

The nutritional value of the average clear liquid diet is

A)no protein and 500 to 700 kcal.
B)5 to 10 g protein and 500 to 600 kcal.
C)20 to 30 g protein and 100 to 1200 kcal.
D)40 to 50 g protein and 500 to 700 kcal.

Question 8

When providing nutritional care for the terminally ill patient, dietary restrictions

A)should be maintained throughout the illness.
B)are rarely appropriate and should not be used.
C)should be followed to the best of the patient's ability.
D)should be focused on preventing disease progression.

Question 9

Which of the following identifies a patient's health care preferences in regard to end-of-life issues?

A)Discharge planning
B)Disease management
C)Case management
D)Advanced directives

Question 10

Which type of diet reflects a modification of the regular hospital diet by rearrangement of the number or frequency of meals?

A)High-fiber diet
B)Sodium-restricted diet
C)Allergy diet
D)Diet for diabetes

Question 11

In the hospital, _____ mL/day of fluid should be provided for the average healthy adult.

A)500 to 800
B)1000 to 1500
C)1800 to 2500
D)2500 to 3500

Question 12

During which step of the nutrition care process should patient-centered goals and objectives be identified?

A)Nutrition assessment
B)Nutrition diagnosis
C)Nutrition intervention
D)Nutrition monitoring and evaluation

Question 13

The Joint Commission requires the identification of nutrition risk of hospital patients to occur within

A)12 hours of admission.
B)24 hours of admission.
C)48 hours of admission.
D)24 hours of admission, except on the weekend.

Question 14

Which of the following requires that health care providers ensure the protection of their patients' privacy?

A)TJC
B)MCOs
C)HIPAA
D)CMS

Question 15

Which of the following has a negative influence on patient acceptance and intake of meals and food in the hospital?

A)Patient selection of menus
B)Improper food temperatures
C)Eating with others
D)Nurse's communication of the diet

Question 16

What is another name for the practice guidelines that define the appropriate and consistent care for a patient with a specific diagnosis or medical problem?

A)Standards of care
B)Critical pathway
C)Evidence-based practice
D)Discharge planning

Question 17

A newly admitted patient is observed to have poorly fitting dental plates.Which type of diet would be most appropriate for this patient?

A)General or regular house diet
B)Liquid diet
C)Consistency-modified diet
D)Diet increased in energy value

Question 18

Which of the following is NOT a documentation style for entries into a medical record?

A)ADIME
B)POMR
C)EMR
D)SOAP

Question 19

Which documentation style has been proposed to reflect the nutrition care process?

A)PES
B)focus charting
C)SOAPIER
D)ADIME

Question 20

Which of the following statements is TRUE regarding The Joint Commission?

A)Accreditation by the Joint Commission is required by hospitals.
B)To maintain accreditation, a hospital must undergo a Joint Commission survey every 5 years.
C)The Joint Commission specifies that a qualified dietitian must be involved in establishing a hospital's nutrition care process.
D)The three sections of the "Accreditation Manual for Hospital" are patient-focused functions, staff-focused functions, and structures with functions.