Deck 2: The Nutrition Care Process
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Deck 2: The Nutrition Care Process
1
If a person's physician says he is pre-diabetic, the focus of nutrition intervention should be:
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
B
2
Setting and prioritizing goals is an example of critical thinking skills used in which step of the NCP?
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
C
3
Which of the following is not one of the domains of the nutrition diagnostic terminology?
A)psycho-social
B)clinical
C)intake
D)behavioral-environmental
A)psycho-social
B)clinical
C)intake
D)behavioral-environmental
A
4
Which of the following is not a benefit of the nutrition care process?
A)outcomes research
B)standardized care
C)promoting the RD as the nutrition expert
D)decreasing the variation in practice
A)outcomes research
B)standardized care
C)promoting the RD as the nutrition expert
D)decreasing the variation in practice
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5
A system used to evaluate the effectiveness and efficiency of the entire nutrition care process is termed:
A)nutrition monitoring and evaluation.
B)outcomes management.
C)research and design.
D)the outermost ring of the NCP.
A)nutrition monitoring and evaluation.
B)outcomes management.
C)research and design.
D)the outermost ring of the NCP.
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6
A person attends a health fair and is told by a dietitian that he/she is at risk for developing heart disease The focus of nutrition intervention should be:
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
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7
_____ 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)MNT system
A)social system
B)goal setting system
C)screening and referral system
D)MNT system
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8
The characteristic that distinguishes the nutrition diagnosis from any other type of diagnosis is:
A)it is a diagnosis for which nutrition-related activities provide the primary intervention.
B)it is written in another form, i.e., PES.
C)it is designed to nutritionally cure the underlying disease.
D)it is a way of measuring positive outcomes.
A)it is a diagnosis for which nutrition-related activities provide the primary intervention.
B)it is written in another form, i.e., PES.
C)it is designed to nutritionally cure the underlying disease.
D)it is a way of measuring positive outcomes.
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9
Defining where the patient is now in terms of expected outcomes and determining factors that help or hinder progress are examples of critical thinking skills used in which step of the NCP?
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
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10
If a person has been diagnosed with Crohn's disease, the focus of nutrition intervention should be:
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
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11
The NCP challenges the dietitian to:
A)learn more terminology.
B)provide standardized care.
C)utilize critical thinking skills.
D)develop the PES statement.
A)learn more terminology.
B)provide standardized care.
C)utilize critical thinking skills.
D)develop the PES statement.
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12
Observing for non-verbal and verbal cues, determining appropriate data to collect, and distinguishing relevant from non-relevant information are examples of critical thinking skills used in which step of the NCP?
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
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13
If your patient has been falling victim to fad diets, the nutrition diagnosis would likely fall under which domain?
A)psycho-social
B)clinical
C)intake
D)behavioral-environmental
A)psycho-social
B)clinical
C)intake
D)behavioral-environmental
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14
ADA's _____ Nutrition Care Process and Model promotes _____ nutrition care
A)new, standardized
B)standardized, general
C)standardized, individualized
D)individualized, standardized
A)new, standardized
B)standardized, general
C)standardized, individualized
D)individualized, standardized
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15
The purpose of nutritional care is:
A)to cure the underlying problem or disease.
B)to restore a state of nutritional balance.
C)to impact all of the lifestyle, environmental, and food and nutrient factors.
D)to insure optimum intake.
A)to cure the underlying problem or disease.
B)to restore a state of nutritional balance.
C)to impact all of the lifestyle, environmental, and food and nutrient factors.
D)to insure optimum intake.
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16
If a person reports that he/she has significant diarrhea and anemia, the focus of nutrition intervention should be:
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
A)primary prevention strategies.
B)early identification and intervention.
C)diagnosis and treatment.
D)disease management.
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17
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)environmental factors.
D)human biological factors.
A)food and nutrient factors.
B)lifestyle factors.
C)environmental factors.
D)human biological factors.
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18
Finding patterns and relationships among the data and making inferences are examples of critical thinking skills used in which step of the NCP?
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
A)nutrition assessment
B)nutrition diagnosis
C)nutrition intervention
D)nutrition monitoring and evaluation
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19
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)environmental factors.
D)human biological factors.
A)food and nutrient factors.
B)lifestyle factors.
C)environmental factors.
D)human biological factors.
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20
Which of the following does not have an impact on someone's ability to maintain optimal nutritional status?
A)geographical factors
B)human biological factors
C)lifestyle factors
D)environmental factors
A)geographical factors
B)human biological factors
C)lifestyle factors
D)environmental factors
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21
Science-based values intended to control or improve specific health conditions are called:
A)expected outcomes.
B)ideal goals.
C)monitoring parameters.
D)evaluation parameters.
A)expected outcomes.
B)ideal goals.
C)monitoring parameters.
D)evaluation parameters.
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22
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following nutrition assessment factors are not affecting Ms S's case?
A)human biological factors
B)lifestyle factors
C)food and nutrient factors
D)system factors
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following nutrition assessment factors are not affecting Ms S's case?
A)human biological factors
B)lifestyle factors
C)food and nutrient factors
D)system factors
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23
If the nutrition diagnosis is "evident protein-energy malnutrition," the etiology could be which of the following?
A)decreased albumin
B)Crohn's disease-related malabsorption
C)depleted somatic protein stores
D)decreased height and weight
A)decreased albumin
B)Crohn's disease-related malabsorption
C)depleted somatic protein stores
D)decreased height and weight
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24
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-After you interview Ms S and prioritize her problems, you determine that the nutrition diagnosis for her would come from which domain?
A)intake
B)clinical
C)behavioral-environmental
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-After you interview Ms S and prioritize her problems, you determine that the nutrition diagnosis for her would come from which domain?
A)intake
B)clinical
C)behavioral-environmental
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25
Which of the following statements is not true about the nutrition intervention and nutrition monitoring and evaluation steps of the NCP?
A)Prioritizing nutrition diagnoses is important.
B)Goals need to be client focused and individualized.
C)The dietitian can assume that implementation has begun upon nutrition-related orders (e.g.diet changes, supplements).
D)Gathering of additional information may be necessary to monitor progress.
A)Prioritizing nutrition diagnoses is important.
B)Goals need to be client focused and individualized.
C)The dietitian can assume that implementation has begun upon nutrition-related orders (e.g.diet changes, supplements).
D)Gathering of additional information may be necessary to monitor progress.
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26
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Identifying Ms S's calorie and protein needs based on recommendations for post-gastric bypass surgery involves which domain of the nutrition assessment terminology?
A)biochemical data, medical tests, and procedures
B)comparative standards
C)client history
D)anthropometric measurements
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Identifying Ms S's calorie and protein needs based on recommendations for post-gastric bypass surgery involves which domain of the nutrition assessment terminology?
A)biochemical data, medical tests, and procedures
B)comparative standards
C)client history
D)anthropometric measurements
Unlock Deck
Unlock for access to all 33 flashcards in this deck.
Unlock Deck
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27
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Data from which of the following nutrition assessment domains would not be collected during your initial interview with Ms S?
A)biochemical data, medical tests, and procedures
B)food/nutrition-related history
C)client history
D)anthropometric measurements
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Data from which of the following nutrition assessment domains would not be collected during your initial interview with Ms S?
A)biochemical data, medical tests, and procedures
B)food/nutrition-related history
C)client history
D)anthropometric measurements
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Unlock Deck
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28
If the nutrition diagnosis is "hypermetabolism," the signs and symptoms could include which of the following?
A)trauma
B)surgery
C)negative nitrogen balance
D)stress
A)trauma
B)surgery
C)negative nitrogen balance
D)stress
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29
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following is a potential "etiology" for the nutrition diagnosis's PES statement? Keep in mind the domain that you have chosen in question 29
A)lack of nutrition education
B)psychological effects of surgery
C)harmful beliefs about food
D)altered function of the GI tract
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following is a potential "etiology" for the nutrition diagnosis's PES statement? Keep in mind the domain that you have chosen in question 29
A)lack of nutrition education
B)psychological effects of surgery
C)harmful beliefs about food
D)altered function of the GI tract
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30
Which of the following is a correctly written nutrition Dx?
A)CVD related to obesity as evidenced by excessive sodium in diet
B)Difficulty swallowing related to ALS as evidenced by failing MBS
C)High-fat foods related to decreased access to healthy meals as evidenced by observing intake
D)Stroke related to HTN as evidenced by abnormal CT
A)CVD related to obesity as evidenced by excessive sodium in diet
B)Difficulty swallowing related to ALS as evidenced by failing MBS
C)High-fat foods related to decreased access to healthy meals as evidenced by observing intake
D)Stroke related to HTN as evidenced by abnormal CT
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31
Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following would be an appropriate monitoring and evaluation parameter for your next visit to Ms S?
A)tolerance of diet
B)weight change
C)assessment of biochemical parameters
D)assessment of knowledge
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-Which of the following would be an appropriate monitoring and evaluation parameter for your next visit to Ms S?
A)tolerance of diet
B)weight change
C)assessment of biochemical parameters
D)assessment of knowledge
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32
Match between columns
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33
Match between columns
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