Deck 3: Nutrition Assessment: Foundation of the Nutrition Care Process
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Deck 3: Nutrition Assessment: Foundation of the Nutrition Care Process
1
A visual assessment of the body conducted in a systematic manner by a clinician during a nutrition-focused physical exam is termed a(n):
A)palpation.
B)percussion.
C)inspection.
D)auscultation.
A)palpation.
B)percussion.
C)inspection.
D)auscultation.
C
2
Determination of _____ involves an attempt to project potential nutrition problems based on the client's current health status
A)nutritional risk
B)nutritional status
C)nutrition screening
D)nutritional assessment
A)nutritional risk
B)nutritional status
C)nutrition screening
D)nutritional assessment
A
3
Which of the following is not a component of a nutritional assessment?
A)estimation of protein and energy needs
B)determining potential drug and nutrient interactions
C)patient filling out hospital nutrition forms
D)nutrition-focused physical exam
A)estimation of protein and energy needs
B)determining potential drug and nutrient interactions
C)patient filling out hospital nutrition forms
D)nutrition-focused physical exam
C
4
Which of the following is not a component of a thorough diet history?
A)patient's food preferences
B)patient's previous medical history
C)the patient's use of complementary and alternative medicine
D)patient's cultural, religious and ethnic beliefs
A)patient's food preferences
B)patient's previous medical history
C)the patient's use of complementary and alternative medicine
D)patient's cultural, religious and ethnic beliefs
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5
Which of the following is an important consideration in obtaining dietary information from a patient?
A)the dietitian's credentials
B)the type of supplements that your facility offers
C)the rapport between the RD and the patient
D)how much the patient is eating during the admission
A)the dietitian's credentials
B)the type of supplements that your facility offers
C)the rapport between the RD and the patient
D)how much the patient is eating during the admission
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6
Which of the following statements is not true?
A)The AI, RDA, UL, and EAR are all part of the DRI.
B)One method of assessing a patient's diet is by comparing it to the USDA's MyPyramid.
C)The DV were established to assist the consumer in interpreting nutrition information.
D)Comparison using the USDA's MyPyramid will quantify the client's macro- and micronutrient intake.
A)The AI, RDA, UL, and EAR are all part of the DRI.
B)One method of assessing a patient's diet is by comparing it to the USDA's MyPyramid.
C)The DV were established to assist the consumer in interpreting nutrition information.
D)Comparison using the USDA's MyPyramid will quantify the client's macro- and micronutrient intake.
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7
If you read a patient's medical record and obtain information such as previous medical or surgical history, this type of data is considered to be:
A)objective.
B)subjective.
C)biochemical.
D)clinical.
A)objective.
B)subjective.
C)biochemical.
D)clinical.
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8
The purpose of the _____ is to assess the patient for signs and symptoms consistent with malnutrition using techniques such as palpation
A)nutrition-focused physical exam
B)nutrition screening
C)nutritional assessment
D)nutrition education
A)nutrition-focused physical exam
B)nutrition screening
C)nutritional assessment
D)nutrition education
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9
You are conducting a nutritional assessment on a patient who has a below-the-knee amputation When estimating his adjusted weight in order to calculate BMI, you would divide his current weight by:
A)70%.
B)99%.
C)81.4%.
D)92.9%.
A)70%.
B)99%.
C)81.4%.
D)92.9%.
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10
Which of the following is not an acute-phase protein?
A)3-methylhistidine
B)RBP
C)CRP
D)prealbumin
A)3-methylhistidine
B)RBP
C)CRP
D)prealbumin
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11
Which of the following tools for gathering dietary information is prospective in nature?
A)24-hour recall
B)food frequency questionnaire
C)food record
D)usual intake pattern
A)24-hour recall
B)food frequency questionnaire
C)food record
D)usual intake pattern
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12
Your patient has renal disease and you are assessing her nutritional status Which of the following measures would be least useful in this situation?
A)nitrogen balance
B)CHI
C)height
D)weight
A)nitrogen balance
B)CHI
C)height
D)weight
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13
Which of the following measures estimates risk of type 2 DM?
A)elbow breadth
B)wrist circumference
C)waist circumference
D)measured weight
A)elbow breadth
B)wrist circumference
C)waist circumference
D)measured weight
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14
A procedure that utilizes a small, low-frequency electrical current to estimate body cell mass and fat-free mass is termed:
A)BIA.
B)hydrodensity.
C)NIR.
D)DEXA.
A)BIA.
B)hydrodensity.
C)NIR.
D)DEXA.
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15
The process of identifying patients, clients, or groups who may have a nutrition diagnosis and benefit from nutritional assessment and intervention by an RD is defined as:
A)nutrition-focused physical examination.
B)nutritional assessment.
C)estimating nutritional needs.
D)nutrition screening.
A)nutrition-focused physical examination.
B)nutritional assessment.
C)estimating nutritional needs.
D)nutrition screening.
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16
Which of the following measures of anthropometrics in infants would warrant further assessment to confirm any health problems?
A)low estimated height
B)<3% or >97%ile for the growth charts
C)an unusual weight for height pattern
D)a small head circumference
A)low estimated height
B)<3% or >97%ile for the growth charts
C)an unusual weight for height pattern
D)a small head circumference
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17
If your patient reports that he/she has nausea after eating and vomits one time per day, this type of data is considered to be:
A)objective.
B)subjective.
C)biochemical.
D)clinical.
A)objective.
B)subjective.
C)biochemical.
D)clinical.
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18
Which type of protein refers to skeletal muscle?
A)visceral
B)somatic
C)mid-arm muscle
D)dietary
A)visceral
B)somatic
C)mid-arm muscle
D)dietary
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19
Which of the following methods of measuring or estimating height requires the use of a calculation?
A)recumbent length
B)use of stadiometer
C)knee height
D)arm span
A)recumbent length
B)use of stadiometer
C)knee height
D)arm span
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20
Which of the following biochemical measures is the most valid for measuring nutritional risk due to its short half life of 2-3 days?
A)transferrin
B)prealbumin
C)albumin
D)H/H
A)transferrin
B)prealbumin
C)albumin
D)H/H
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21
What tool asks questions regarding a patient's perception of his or her ability to accomplish self care and gives clinical insight into a patient's functional status?
A)nutrition screening
B)medical history
C)SGA
D)DETERMINE
A)nutrition screening
B)medical history
C)SGA
D)DETERMINE
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22
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Given Ms Smith's history, what would be the best and most sensitive biochemical indicator of her nutritional status?
A)prealbumin
B)albumin
C)TLC
D)Hgb
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Given Ms Smith's history, what would be the best and most sensitive biochemical indicator of her nutritional status?
A)prealbumin
B)albumin
C)TLC
D)Hgb
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23
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Which biochemical indicator would be used by the medical doctor to determine Ms Smith's inflammatory status?
A)IGF-1
B)fibronectin
C)CRP
D)albumin
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Which biochemical indicator would be used by the medical doctor to determine Ms Smith's inflammatory status?
A)IGF-1
B)fibronectin
C)CRP
D)albumin
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24
For functional assessment of your patient, an example of an ADL is:
A)albumin.
B)mid-arm muscle mass.
C)BIA.
D)eating.
A)albumin.
B)mid-arm muscle mass.
C)BIA.
D)eating.
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25
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Calculate and interpret Ms Smith's percent (%) unintentional weight change
A)13.6, significant
B)13.6, severe
C)12, significant
D)12, severe
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Calculate and interpret Ms Smith's percent (%) unintentional weight change
A)13.6, significant
B)13.6, severe
C)12, significant
D)12, severe
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26
The most accurate method of determining REE is:
A)the Harris-Benedict equation.
B)the Mifflin-St.Jeor equation.
C)DEXA.
D)indirect calorimetry.
A)the Harris-Benedict equation.
B)the Mifflin-St.Jeor equation.
C)DEXA.
D)indirect calorimetry.
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27
If the clinician uses sound to assess the GI tract by tapping with his or her fingers during a nutrition-focused physical exam, this technique is termed:
A)palpation.
B)percussion.
C)inspection.
D)auscultation.
A)palpation.
B)percussion.
C)inspection.
D)auscultation.
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28
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
If you were to determine Ms Smith's energy needs using the Harris-Benedict equation, which activity factor would you use?
A)1.0
B)1.1
C)1.2
D)1.3
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
If you were to determine Ms Smith's energy needs using the Harris-Benedict equation, which activity factor would you use?
A)1.0
B)1.1
C)1.2
D)1.3
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29
You are estimating protein needs for a patient who is in metabolic stress In general, this patient's needs will likely be:
A)higher.
B)lower.
C)the same as those of another non-stressed patient.
D)unable to be determined.
A)higher.
B)lower.
C)the same as those of another non-stressed patient.
D)unable to be determined.
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30
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Which of the following types of food and nutrition data gathering would be the most appropriate for Ms Smith?
A)food frequency questionnaire
B)24-hour recall
C)calorie count
D)food diary
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Which of the following types of food and nutrition data gathering would be the most appropriate for Ms Smith?
A)food frequency questionnaire
B)24-hour recall
C)calorie count
D)food diary
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31
Case Study Multiple Choice
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Depending on Ms Smith's physical limitations, you may need to measure and calculate her height using:
A)a stadiometer.
B)a knee-height caliper.
C)her arm span.
D)a tape measure.
Ms.Smith is an 85-year-old female admitted to the hospital with a hip fracture and dehydration.She is awaiting surgery.Her family reports that she lives alone and has been showing signs of dementia in the last month.The medical doctor requests a nutritional consultation because the nurse reports that Ms.Smith is not eating well.
Ht: 5'5'' Wt: 110# UBW: 125# (6 months ago)
Alb 2.8 g/dL Hgb 12 g/dL Prealbumin 14 mg/dL
TLC 2500
Depending on Ms Smith's physical limitations, you may need to measure and calculate her height using:
A)a stadiometer.
B)a knee-height caliper.
C)her arm span.
D)a tape measure.
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32
Match between columns
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