Deck 1: Role of the Registered Dietitian Nutritionist in the Health Care System

Question 1

The AND's Code of Ethics and Standards of Professional Performance require that outcomes are measurable and evidence-based.

Answer 1

True

Question 2

Hospice facilities focus on integrated, multidisciplinary assistance for recovery from acute or chronic illness and/or surgical procedures.

Answer 2

False

Question 3

In a neurological setting where swallowing disorders are common, the dietitian would have to work closely with which member of the interdisciplinary team?

A) pharmacist
B) physical therapist
C) speech-language pathologist
D) nurse
E) social worker

Answer 3

C

Question 4

Processing diet orders, checking menus against standards, and setting up standard nourishment are all major tasks of the:

A) dietetic technician
B) clinical nutrition manager
C) clinical dietitian
D) diet clerk
E) registered dietitian nutritionist

Question 5

One primary role of the pediatric RDN is to:

A) provide information about community resources for nutrition services
B) educate children about maintaining an appropriate diet for their age
C) assist pediatric patients with performing activities of daily living
D) optimize nutrient intake in children while promoting growth and development
E) assess for and prescribe enteral feedings and total parenteral nutrition

Question 6

Which of the following is an example of a tool used by a dietitian to track his or her professional progress as part of the Practice Management and Advancement Standard?

A) Scope of Practice for the RD and DTR
B) CDR Professional Development Portfolio
C) Nutrition Care Process Reference Manual
D) Academy Definition of Terms List
E) Dietetics Career Development Guide

Question 7

The cognitive processes that a dietitian goes through to make clinical judgments are known as practice standards .

Question 8

The Scope of Practice encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform .

Question 9

Which of the following is an advantage of working as a registered dietitian in a long-term care facility over other settings?

A) shorter working hours because of decreased need for services
B) more leadership positions available among health professionals at the same facility
C) flexibility to take paid holidays and time off on weekends
D) the outcomes of each nutrition intervention do not have to be monitored
E) greater autonomy and can set flexible schedules

Question 10

Some states provide Medicaid benefits for nutrition services, but there is significant variability between states.

Question 11

To provide optimal nutritional care, all aspects of a patient's life must be considered .

Question 12

With a minimum of 1,000 hours of related practice and at least 90 continuing education credits, a registered dietitian may become a lactation consultant.

Question 13

Reviewing productivity reports, hiring and training employees, and developing policies are all major tasks of the:

A) clinical nutrition manager
B) dietetic assistant
C) clinical dietitian
D) diet clerk
E) dietetic technician

Question 14

Physicians are commonly responsible for the initial nutrition screening of patients and for notifying the dietitian if a patient's food intake is inadequate .

Question 15

The steps of the decision-making process do not necessarily take place in a particular sequence.

Question 16

Which professional would most likely be involved with changing the amount of nutrients delivered via parenteral nutrition support?

A) nurse
B) occupational therapist
C) pharmacist
D) social worker
E) speech-language pathologist

Question 17

Evidence-based practice can best be defined as purposeful, self-regulatory judgment that results in interpretation, analysis, evaluation, and inference upon which that judgment is based .

Question 18

A hospital that is owned or managed by the community or a religious organization rather than by a group of investors is classified as:

A) private profit
B) veterans/military
C) private not for profit
D) public not for profit
E) public for profit

Question 19

A registered dietitian is assessing a patient who reports that it is challenging to eat because she cannot pick up a fork or knife. Who would the RD consult with regard to this issue?

A) physical therapist
B) occupational therapist
C) nurse
D) diet clerk
E) social worker

Question 20

A patient needs assistance with buying food after he is discharged from the hospital. Which professional should be consulted?

A) pharmacist
B) social worker
C) physician
D) nurse
E) speech-language pathologist

Question 21

The dietitian's knowledge base:

A) is fulfilled upon graduation from an accredited school
B) remains at a level of minimum standards based on the Accreditation Standards for Didactic Programs in Nutrition
C) constantly expands and evolves in order to apply to new practice developments
D) is diminishing because of current evidence-based practices
E) is considered insufficient until she/he has finished a dietetics internship

Question 22

The decision-making process includes:

A) identifying a phenomenon
B) formulating a hypothesis
C) weighing each option against a set of criteria
D) testing a hypothesis through experimentation
E) evaluating a hypothesis

Question 23

A dietitian has completed an assessment of a patient and determined that her daily intake needs are not met. Based on a research article, the dietitian replaces one of the nutrition supplements in her diet. A few days later, the dietitian observes improvement in the patient's health. Which component of critical thinking best describes the given scenario?

A) evidence-based dietetics practice
B) experience
C) specific knowledge base practice
D) decision making
E) attitude

Question 24

What term refers to a series of clinical judgments that result in an informal judgment or a formal diagnosis?

A) problem solving
B) decision making
C) diagnostic reasoning
D) critical thinking
E) evidence-based practice

Question 25

A patient reports to a hospital that he has difficulty in breathing. Which of the following professionals should he consult?

A) pharmacist
B) physical therapist
C) social worker
D) respiratory therapist
E) nurse

Question 26

Which of the following facilities focuses on relieving symptoms and supporting a life expectancy of six months or less?

A) adult day care
B) residential living
C) skilled nursing
D) long-term acute care
E) hospice

Question 27

A clinical dietitian attends a nutrition conference and another dietitian presents her research in a specific area of nutrition science. The clinical dietitian then implements what she has learned into practice at her facility. This is an example of:

A) evidence-based practice
B) outcomes research
C) nutritional diagnosis
D) the nutrition coding process
E) the decision-making process

Question 28

One step used in the scientific method competency is to:

A) assess all options before collecting data
B) weigh all options against standard sets of criteria
C) consider the consequences of a decision
D) test the hypothesis through experimentation
E) make a final conclusion

Question 29

A patient has cirrhosis of the liver. The dietitian plans specific nutrition interventions for her and continues to monitor her and observe for clinical and laboratory values that are consistent with cirrhosis. This type of thinking is most reflective of:

A) risk taking
B) diagnostic reasoning
C) problem solving
D) decision making
E) continuing education

Question 30

Under the Affordable Care Act (ACA), nutrition services are expected to expand. Why is this?

A) Dietitians will need to conduct fewer screening exams.
B) There will be a decreased need for treatment of malnutrition.
C) There will be more requirements for preventative services.
D) Families will be required to pay for nutrition services.
E) Individual state programs will no longer serve low-income Americans.

Question 31

Which of the following components of critical thinking involves the ability to identify a nutrition-related problem and make decisions regarding the most appropriate nutrition-related solution?

A) specific knowledge base
B) medical problem solving
C) experience
D) attitudes
E) standards

Question 32

Evaluation of care that focuses on the status of participants after receiving care is known as:

A) the scientific method
B) outcomes research
C) nutritional diagnosis
D) the nutrition coding process
E) medical problem solving

Question 33

Investor-owned health care organizations are classified as:

A) private not for profit
B) veterans or military
C) private for profit
D) public not for profit
E) public for profit

Question 34

Standards of Professional Performance requires:

A) evidence-based evaluation of outcomes
B) utilizing personal beliefs to make decisions
C) continuous education to promote effective practice
D) limited use of clinical education and extensive personal knowledge
E) an understanding of values and beliefs

Question 35

The dietitian's values, fairness, and responsibility in reaching solutions are most indicative of which component of critical thinking?

A) specific knowledge base
B) attitudes
C) experience
D) competence
E) intellectual standards

Question 36

The incorporation of systematically reviewed scientific findings into food and nutrition practice is known as:

A) scientific inquiry
B) research methods
C) evidence-based practice
D) continuing education
E) data-driven analysis

Question 37

The dietitian's continuing education and reflection on the practice are examples of which component of critical thinking?

A) specific knowledge base
B) experience
C) competence
D) attitudes
E) intellectual standards

Question 38

What is a systematically developed statement based on scientific evidence that assists practitioner and patient decisions about appropriate health care for specific clinical circumstances?

A) guideline
B) diagnostic
C) evidence-based rule
D) scientific analysis
E) decision report

Question 39

Which of the following components of critical thinking involves learning from observing, listening to patients, and interacting with other health professionals?

A) specific knowledge base
B) diagnostic reasoning
C) experience
D) attitudes
E) intellectual standards

Question 40

A patient needs a prescription for total parenteral nutrition to ensure adequate electrolyte balance. This is the responsibility of a:

A) nurse
B) social worker
C) occupational therapist
D) speech-language pathologist
E) physician

Question 41

Ms. Lopez is a widowed 68-year-old Nicaraguan woman and an immigrant who has lived in the United States for ten years. She lives in the second floor of a walk-up apartment with her daughter and son-in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her blood sugar levels regularly because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured.
Assessing whether Ms. Lopez has any difficulty in swallowing is the job of which member of the interdisciplinary team?

A) pharmacist
B) nurse
C) social worker
D) speech-language pathologist
E) physician

Question 42

Ms. Lopez is a widowed 68-year-old Nicaraguan woman and an immigrant who has lived in the United States for ten years. She lives in the second floor of a walk-up apartment with her daughter and son-in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her blood sugar levels regularly because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured.
The dietitian recommends a soft food diet and the physician has ordered a swallowing study for Ms. Lopez. After 24 hours on the diet, the dietitian finds that Ms. Lopez has difficulty in following the diet and nutritional supplements. The dietitian plans the diet menu in such a way that Ms. Lopez starts responding to the new diet positively. The response of the dietitian best describes which attitude?

A) creativity
B) confidence
C) perseverance
D) risk taking
E) precision

Question 43

Nutritional care requires _______________ among members of the entire health care team .

Question 44

The attitude of thinking independently is best demonstrated by:

A) listening to both sides of a discussion
B) admitting limitations
C) asking for help when needed
D) not settling for quick solutions
E) basing decisions on your own conclusions

Question 45

Nutritional screening of patients to determine the risk of developing a nutrition-related problem, nutrition intervention, and evaluation of the nutrition care plan are all major tasks performed by the:

A) dietetic technician (DTR)
B) clinical nutrition manager
C) clinical dietitian
D) diet clerk
E) registered dietitian nutritionist

Question 46

Under the _______________, children 3-18 years old and their families will be able to see an RD for nutrition counseling.

Question 47

Individual state _______________ programs are expanding to serve lower-income Americans.

Question 48

The _______________ extends the availability of health insurance to all Americans.

Question 49

Ms. Lopez is a widowed 68-year-old Nicaraguan woman and an immigrant who has lived in the United States for ten years. She lives in the second floor of a walk-up apartment with her daughter and son-in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her blood sugar levels regularly because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured.
The dietitian recommends a soft food diet and requests the physician to order a swallowing study for Ms. Lopez. After 24 hours of the diet, the dietitian checks with the staff to determine if Ms. Lopez has been finishing her food and contacts the physician to determine the outcome of the swallowing study. This process of monitoring and following up best illustrates:

A) evidence-based practice
B) outcomes research
C) medical problem solving
D) scientific reasoning
E) diagnostic reasoning

Question 50

A _______________ health care facility is often owned or managed by the county or state government.

Question 51

Of those insured Americans under age 65, what percent of people have private insurance?

A) 15%
B) 13%
C) 46%
D) 64%
E) 78%

Question 52

An entry-level dietitian's level of critical thinking will most likely involve:

A) following rules set forth by authorities
B) avoiding the use of critical thinking for decision-making
C) assuming that the judgments of more seasoned dietitians are correct
D) disconnecting from authorities and using one's own judgment
E) allowing others to make critical decisions until the dietitian is in a managerial position

Question 53

The three components of the Scope of Practice are Practice Management and Advancement, Practice Resources, and _______________.

Question 54

Ms. Lopez is a widowed 68-year-old Nicaraguan woman and an immigrant who has lived in the United States for ten years. She lives in the second floor of a walk-up apartment with her daughter and son-in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her blood sugar levels regularly because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured.
The dietitian assessed Ms. Lopez and identified the potential problem with her food and fluid intake. Which of the following components of critical thinking best describes this situation?

A) specific knowledge base
B) experience
C) medical problem solving
D) standards
E) attitudes

Question 55

Currently, the system of health care in the United States is structured around _______________.

Question 56

A licensed health professional who compounds and dispenses medications is called a(n) _______________.

Question 57

A health professional who requires a four-year post-bachelor's degree, an internship and residency, and licensing to practice is a_______________.

Question 58

Ms. Lopez is a widowed 68-year-old Nicaraguan woman and an immigrant who has lived in the United States for ten years. She lives in the second floor of a walk-up apartment with her daughter and son-in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her blood sugar levels regularly because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured.
Assessing whether Ms. Lopez's left-sided weakness is affecting her ability to perform activities of daily living is the job of which member of the interdisciplinary team?

A) occupational therapist
B) nurse
C) social worker
D) speech-language pathologist
E) physician

Question 59

The clinical practice of a dietitian at the highest level will most likely involve:

A) avoiding the use of critical thinking for decision-making
B) consulting authorities during decision making
C) anticipating possible outcomes and identifying a broader range of options
D) assumptions that the judgments of more seasoned dietitians are correct
E) following rules set forth by authorities

Question 60

Examples of _______________ include the National Guideline Clearinghouse and the Evidence Analysis Library.

Question 61

Dietetics practice should not be based on tradition but on _______________ research .

Question 62

List the components of critical thinking.

Question 63

Describe a situation in which a patient is hospitalized because of malnutrition and swallowing disorder. List the members of the interdisciplinary health care team and describe the potential roles of each member in taking care of the patient.

Question 64

National Cancer Institute defined _______________ therapy as treatment based on nutrition .

Question 65

Use the decision-making process to describe an example of making a decision for a patient who needs dietary changes because of celiac disease.

Question 66

The dietitian's _______________ base is continually changing and expanding .

Question 67

Describe the major tasks of the clinical dietitian.

Question 68

Describe a scenario in which a patient is admitted to a hospital for dehydration and pneumonia. List the members of the interdisciplinary health care team and describe the potential roles of each member in this patient's care.

Question 69

List the three different categories of the dietetics Scope of Practice, and give an example of each.

Question 70

The path to becoming an RD requires both _______________ and _______________.

Question 71

_______________ is the act of thinking using the mind to organize and integrate information, make inferences, identify relationships, form conclusions, and make decisions.

Question 72

Explain the importance of experience on critical-thinking skills in clinical practice.

Question 73

Examples of _______________ include Scope of Practice Decision Tool and Medical Nutrition Therapy Tools.

Question 74

Under the _______________, RDNs can obtain provider numbers that allow for reimbursement of services.

Question 75

Explain the impact of the Affordable Care Act on nutrition services.

Question 76

Describe a situation in which a dietitian would use evidence-based practice to update a facility's policy regarding total parenteral nutrition.

Question 77

The dietitian must reflect on her or his practice in order to anticipate and react appropriately to _______________ .

Question 78

Describe the dietitian's knowledge base as used in clinical practice.

Question 79

Attitudes reflect the dietitian's values and should ensure that clinical judgment is made _______________ and _______________ .

Question 80

Dietitians continually use the process of _______________ to determine the nutrition diagnosis and monitor a patient's progress and/or response to nutrition therapy .