Question 1

The nutritional value of the average clear liquid diet is&#10;A) no protein and 500 to 700 kcal.&#10;B) 5 to 10 g protein and 500 to 600 kcal.&#10;C) 20 to 30 g protein and 100 to 1200 kcal.&#10;D) 40 to 50 g protein and 500 to 700 kcal.

Accepted Answer

The clear liquid diet consists of foods such as tea, broth, carbonated beverages, clear juices without pulp, and gelatin. As a result, this diet is very nutritionally incomplete and usually only provides 500 to 600 kcal and 5 to 10 g protein. Ideally, a patient should be transitioned to a more nutritionally complete diet as soon as the patient can tolerate more solid foods.

Question 2

Which of the following statements is TRUE regarding The Joint Commission?&#10;A) Accreditation by The Joint Commission is required by hospitals.&#10;B) To maintain accreditation, a hospital must undergo a Joint Commission survey every 5 years.&#10;C) The Joint Commission specifies that a qualified dietitian must be involved in establishing a hospital's nutrition care process.&#10;D) The three sections of the &#34;Accreditation Manual for Hospital&#34; are patient-focused functions, staff-focused functions, and structures with functions.

Accepted Answer

The Joint Commission requires that a qualified dietitian must be involved in establishing the nutrition care process but does not specify who should accomplish the process. Accreditation is voluntary but highly regarded by insurance reimbursement and in ensuring confidence in the institution by the community. Survey visits occur every 3 years. The sections of the "Accreditation Manual for Hospital" include patient-focused functions, organization-focused functions, and structures with functions.

Question 3

Which of the following has a negative influence on patient acceptance and intake of meals and food in the hospital?&#10;A) Patient selection of menus&#10;B) Improper food temperatures&#10;C) Eating with others&#10;D) Nurse's communication of the diet

Accepted Answer

Poor acceptance of meals in the hospital may be caused by improper food temperatures, unfamiliar foods, changes in the eating schedule, the patient's medical condition, or the effects of medical therapy. Having the option of selecting menu items, eating with others, and positive communications from nurses and other health care team members can help improve patient intake.

Question 4

Which of the following is a system of paying for the care of a patient based on their diagnosis?&#10;A) Utilization management&#10;B) Patient-focused care&#10;C) Case management&#10;D) DRG

Accepted Answer

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 5

When providing nutritional care for the terminally ill patient, dietary restrictions&#10;A) should be maintained throughout the illness.&#10;B) are rarely appropriate and should not be used.&#10;C) should be followed to the best of the patient's ability.&#10;D) should be focused on preventing disease progression.

Accepted Answer

When providing care for a terminally ill patient, the primary goals should be to provide comfort and quality of life. Dietary restrictions are usually implemented to prevent disease advancement; however, in the case of a terminally ill patient, using dietary restrictions will not necessarily promote quality of life. When providing nutrition care in these instances, it is more important to focus on aspects of nutritional care that can facilitate symptom and pain control.

Question 6

Which type of diet reflects a modification of the regular hospital diet by rearrangement of the number or frequency of meals?&#10;A) High-fiber diet&#10;B) Sodium-restricted diet&#10;C) Allergy diet&#10;D) Diet for diabetes

Accepted Answer

A diet for diabetes may modify the regular hospital diet by rearranging the number or frequency of meals so as to promote blood glucose control in relation to patient activity and medication provision. A high-fiber diet is a diet modified in consistency for increased fiber. A sodium-restricted diet is a diet modified by a decrease in sodium. An allergy diet is a diet that calls for the elimination of specific foods or food substances.

Question 7

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?&#10;A) Standards of care&#10;B) Critical pathway&#10;C) Evidence-based practice&#10;D) Discharge planning

Accepted Answer

Standards of care are the basis for providing consistent quality of care to patients within a particular health care institution. They act as the overall guide to the care. A critical pathway more specifically pinpoints when particular activities of care will occur during the patient's time in the health care facility. Evidence-based practice refers to providing care based on the best, most successful practices in health care that have been demonstrated through research, consensus, or other evidence. Discharge planning prepares for taking care of the patient when the patient leaves the health care facility.

Question 8

Which of the following identifies a patient's health care preferences in regard to end-of-life issues?&#10;A) Discharge planning&#10;B) Disease management&#10;C) Case management&#10;D) Advance directives

Accepted Answer

Advance directives are legal guidelines established by a patient that designate personal health care intervention preferences or identify a person to make decisions when the patient does not have the capacity to do so. Discharge planning is a team approach to preparing for the continuity of health care after the patient leaves the hospital. Disease management is a disease-specific approach to preventing the progression of a disease while providing care in the outpatient setting. Case management encompasses discharge planning and disease management in regard to the achievement of patient health goals.

Question 9

Which of the following is NOT one of the benefits of electronic health records?&#10;A) Easier accessibility for health care team members&#10;B) Improved legibility of documentation&#10;C) Easier to change and update forms used for documentation&#10;D) Increased efficiency in documentation and providing care

Accepted Answer

Customized screens and drop-down menus are easier to incorporate before the EHR is implemented for use in a health care system than later as changes require access to the programming. Many forms included have extraneous options for selection in documentation so as to limit the need for revisions. When EHR is available, the records are available through most of the health care system's computer access sites, thus eliminating the need for waiting for other health care providers to complete using the record. Because all documentation is typed, records are easier to read.

Question 10

The Joint Commission requires the identification of nutrition risk of hospital patients to occur within&#10;A) 12 hours of admission.&#10;B) 24 hours of admission.&#10;C) 48 hours of admission.&#10;D) 24 hours of admission, except on the weekend.

Accepted Answer

Although The Joint Commission does not specify how patients should be identified for nutrition risk, all patients need to be screened for nutrition risk within 24 hours of admission, regardless of whether the patient is admitted during the week or on the weekend. Many hospitals accommodate this by including questions regarding nutrition risk in the initial nursing assessment performed on the patient. If the patient meets the hospital's nutrition risk criteria, this is communicated to the clinical nutrition staff so that further nutrition assessment can be performed.

Question 11

Which documentation style has been proposed to reflect the nutrition care process?&#10;A) PES&#10;B) Focus charting&#10;C) SOAPIER&#10;D) ADIME

Accepted Answer

The answer of Which documentation style has been proposed to...

Question 12

Which of the following identifies the essential elements and activities that should occur in a patient's care?&#10;A) Case management&#10;B) Critical pathway&#10;C) Utilization review&#10;D) DRG

Accepted Answer

The answer of Which of the following identifies the essential...

Question 13

Nutrition risk screening using the EHR is best done by&#10;A) a physician.&#10;B) an RDN.&#10;C) the admitting health professional.&#10;D) the patient.

Accepted Answer

The answer of Nutrition risk screening using the EHR is...

Question 14

Which of the following is NOT true of a sentinel event?&#10;A) It is an unanticipated event that involves serious injury or death.&#10;B) It marks a point in the care of the patient that will extend their DRG.&#10;C) The outcomes of the event must be documented in the medical record.&#10;D) It can be psychologic injury.

Accepted Answer

The answer of Which of the following is NOT true...

Question 15

Utilization management is&#10;A) a system to protect personal health information.&#10;B) a system of cost efficiency.&#10;C) a critical pathway.&#10;D) a medical staffing system.

Accepted Answer

The answer of Utilization management is&#10;A) a system to protect...

Question 16

Which of the following requires that health care providers ensure the protection of their patients' privacy?&#10;A) TJC&#10;B) MCOs&#10;C) HIPAA&#10;D) CMS

Accepted Answer

The answer of Which of the following requires that health...

Question 17

During which step of the nutrition care process should patient-centered goals and objectives be identified?&#10;A) Nutrition assessment&#10;B) Nutrition diagnosis&#10;C) Nutrition intervention&#10;D) Nutrition monitoring and evaluation

Accepted Answer

The answer of During which step of the nutrition care...

Question 18

A newly admitted patient is observed to have poorly fitting dental plates. Which type of diet would be most appropriate for this patient?&#10;A) General or regular house diet&#10;B) Liquid diet&#10;C) Consistency-modified diet&#10;D) Diet increased in energy value

Accepted Answer

The answer of A newly admitted patient is observed to...

Question 19

&#34;Inadequate energy intake&#34; is an example of&#10;A) &#34;S&#34; of a PES statement.&#10;B) nutrition diagnosis.&#10;C) nutrition symptom.&#10;D) &#34;E&#34; of a PES statement.

Accepted Answer

The answer of &#34;Inadequate energy intake&#34; is an example of&#10;A)...

Deck 10: Overview of Nutrition Diagnosis and Intervention