Chapter 15: NCP

Question 1

designed to improve the consistency and quality of individualized care for patients/clients or groups and the predictability of the patient/client outcomes

Answer 1

nutrition care process

Question 2

it is not intended to standardize nutrition care for each patient/client, but to establish a standardized process for providing care

Answer 2

nutrition care process

Question 3

ncp - concepts

a systematic approach to providing high-quality nutrition care visually summarized by the Nutrition Care Model

Answer 3

nutrition care process

Question 4

ncp - concepts

ncp is adopted from?

formerly American Dietetic Association (ADA)

Answer 4

Academy of Nutrition and Dietetics

Question 5

this provides a framework for the RDN to individualize care, taking into account the patient/client’s _____ (2)

Answer 5

needs and values

Question 6

ncp - concepts

concerns the identification of nutritional needs of patients/clients

Answer 6

ncp

Question 7

involves providing adequate diets and attaining proper eating habits

Answer 7

ncp

Question 8

has application across ALL practice areas, including community, hospital, private practice, management, food service, research, and education

Answer 8

ncp

Question 9

ncp goals

-standardization of nut care
-propel evolution of dietetic profession
-provide concrete evidence to dietetic practice

Answer 9

-

Question 10

ncp - evolution

evolved from the demands of promoting the _____

Answer 10

dietetic profession

Question 11

through a technical working group, the ncp model was designed to improve consistency and quality of _____ patient/client care and predictability of patient/client outcomes

Answer 11

individualized

Question 12

to make sure that nutrition care is documented properly and measured at the same scale, a unique standardized language for the Nutrition Care Process called _____ (NCPt) were created

Answer 12

Nutrition Care Process terminologies

Question 13

ncp - steps

4 steps of ncp: ADIME

Answer 13

assessment, diagnosis, intervention, monitoring and evalutation

Question 14

ncp - steps

purpose is to obtain, verify, and interpret data needed to identify nutrition-related problems, their causes, and significance

Answer 14

step 1: nutrition assessment

Question 15

ncp - steps

an ongoing, nonlinear, and dynamic process that involved data collection and continual analysis of the patient/client’s status compared to specified criteria

Answer 15

step 1: nutrition assessment

Question 16

ncp - steps

contrasts with nutrition monitoring and evaluation where food and nutrition professionals use the same data to determine changes in patient/client behavior, nutritional status, and the efficacy of nutrition intervention

Answer 16

step 1: nutrition assessment

Question 17

5 domains of nutrition assessment terminologies (ABCD)

Answer 17

-anthropometric data/measurements
-biochemical data, medical tests, and procedures
-clinical data (nutrition-focused physical findings and client history)
-dietary data (food and nutrition-related history)

Question 18

sources of data:

-screening/referral forms
-medical/health record
-consultation from a caregiver and/or family member
-community-based surveys
-fgd
-statistical reports
-admin data
-epidemiological studies

Answer 18

nutrition assessment

Question 19

ncp - steps

the purpose of this is to identify and describe a specific nutrition problem that can be resolved or improved through treatment/nutrition intervention by a food and nutrition professional

Answer 19

nutrition diagnosis

Question 20

3 domains of nutrition diagnosis

Answer 20

intake
clinical
behavioral-environmental

Question 21

P-E-S format for nutrition diagnosis

problem or nutrition diagnosis term

Answer 21

problem

Question 22

P-E-S format for nutrition diagnosis

cause/contributing risk factor

Answer 22

etiology

Question 23

P-E-S format for nutrition diagnosis

indicator used to determine nutrition diagnosis

Answer 23

signs/symptoms

Question 24

ncp - steps

purpose is to resolve or improve the nutrition diagnosis or nutrition problem by provision of advice, education, or delivery of the food component of a specific diet or meal plan tailored to the patient/client’s needs

Answer 24

step 3: nutrition intervention

Question 25

nutrition diagnosis and its _____ drives the selection of a nutrition intervention

Answer 25

etiology

Question 26

nutrition intervention strategies are selected to change nutritional intake, nutrition-related knowledge or behavior, environmental conditions, or access to supportive care and services

Answer 26

-

Question 27

nutrition intervention goals provide the basis for _____ progress and measuring _____

Answer 27

progress; outcomes

Question 28

4 domains of intervention

Answer 28

-food and/or nutrient delivery -nutrition education -nutrition counseling -coordination of nutrition care

Question 29

purpose is to determine and measure the amount of progress made for the nutrition intervention and whether the nutrition related goals/expected outcomes are being met

Answer 29

nutrition monitoring and evaluation

Question 30

aim is to promote more uniformity within the dietetics profession in assessing the effectiveness of nutrition intervention

Answer 30

nutrition monitoring and evalutaion

Question 31

practitioners should select nutrition care indicators that will reflect a change as a result of nutrition care

Answer 31

nutrition monitoring and evaluation

Question 32

this phase should be considered during the assessment phase, while determine the nutrition diagnosis and the nutrition intervention

Answer 32

monitoring and evaluation

Question 33

factors to consider are the medical diagnosis, health care outcome goals, nutrition quality management goals, practice setting, patient/client population, and disease state and/or severity

Answer 33

monitoring and evalutation

Question 34

4 domains of nutrition monitoring and evaluation

Answer 34

-food/nutrition-related history -anthropometric measurements or outcome -biochemical data, medical tests, and procedure outcomes -nutrition-focused physical finding outcome

Question 35

documentation of ncp a form of documentation used by healthcare professional to record a patient's visit or consultation

Answer 35

soap note

Question 36

documentation of ncp an ongoing system to support the steps of the nutrition care process (ncp) in the capacity of a hospital, long-term care facility, and other similar agencies

Answer 36

soap note

Question 37

soap meaning S

Answer 37

subjective

Question 38

soap meaning O

Answer 38

objective

Question 39

soap meaning A

Answer 39

assessment

Question 40

soap meaning P

Answer 40

plan

Question 41

soap meaning the healthcare provider enters all patient information or data collected from the patient or caregiver information would also include a diet recall and any food allergies that the patient reports

Answer 41

subjective

Question 42

soap meaning based more on physical evidence about the patient information in this section would include height, weight, bmi, weight change over a period of time, labs, pmh, medications currently using, or nay other trending values (TG levels over the past 6 months)

Answer 42

objective

Question 43

signs/symptoms felt by the patient, subjective

Answer 43

symptom

Question 44

signs/symptoms manifestation of disease that the physician perceives, objective

Answer 44

signs

Question 45

where the nutrition diagnosis is made diagnosis is referred to by healthcare professionals with a nutrition background, as a PES statement PES (problem, etiology, signs/symptoms)

Answer 45

assessment (a)

Question 46

the section where an outline of interventions is made necessary to treat the nutrition problem(s) goals are made, short-term and long-term, using the SMART format

Answer 46

plan

Question 47

DAP

Answer 47

diagnosis, assessment, plan

Question 48

PIE

Answer 48

problem, intervention, evaluation

Question 49

IER

Answer 49

intervention, evaluation, revision

Question 50

HOAP

Answer 50

history, observation, assessment, plan

Question 51

is the process of providing professional advice to a patient to guide him/her in meeting proper nutritional requirement

Answer 51

diet counseling or nutrition counseling

Question 52

can serve as both an intervention and monitoring and evaluation

Answer 52

diet counseling or nutrition counseling