Domain II: Nutrition Care for Individuals and Groups: Nutrition Diagnosis

Question 1

A nutrition ____ requires the identification and labeling of a nutrition problem that dietetics professionals are responsible for treating independently; will change as the patient’s response changes

Answer 1

Diagnosis

Question 2

A ____ diagnosis is a disease or pathology that can be treated or prevented; it does not change as long as the condition exists (ex: Type 1 Diabetes)

Answer 2

Medical

Question 3

____ is the disruption of normal body functions that is seen in disease

Answer 3

Pathophysiology

Question 4

____ ____ is the process of determining which of many problems with similar symptoms is the correct diagnosis

Answer 4

Differential diagnosis

Question 5

A diagnosis links the ____ to the ____ and sets realistic and measurable outcomes

Answer 5

Assessment; intervention

Question 6

The Academy’s NCP ____ language is the basis for collecting evidence that nutrition care can improve outcome

Answer 6

Standardized

Question 7

What are the three domains of nutrition diagnostic labels?

Answer 7

-Clinical
-Intake
-Behavioral-environmental

Question 8

Clinical diagnoses are nutritional findings/problems that relate to ___/___ condition

Answer 8

Medical/physical

Question 9

What are three categories of clinical nutrition diagnoses?

Answer 9

-Functional balance
-Biochemical balance
-Weight balance

Question 10

Function balance diagnoses refer to ____ or ____ changes that interfere or prevent desired nutritional results (Ex: chewing/swallowing difficulty, altered GI function)

Answer 10

Physical or mechanical

Question 11

Biochemical balance diagnoses refer to change in the capacity to metabolize nutrients due to…

Answer 11

-Medications
-Surgery
-specific lab values

Question 12

Weight balance diagnoses refer to chronic or changed weight status when compared with ___ ___ ___ (underweight, involuntary weight loss, overweight)

Answer 12

Usual body weight

Question 13

Intake diagnoses are actual problems related to ____ ____

Answer 13

Nutrient intake

Question 14

____ energy balance diagnoses refer to actual or estimated changes in energy

Answer 14

Caloric

Question 15

Oral or nutrition support intake diagnoses refer to ___ or ____ intake compared to the goal

Answer 15

Inadequate or excessive

Question 16

Fluid intake balance diagnoses refer to ____ and ____ intake compared to the goal

Answer 16

Inadequate or excessive

Question 17

A diagnosis related to bioactive substance refers to…

Answer 17

-Supplements
-Alcohol
-Functional foods

Question 18

Nutrient balance diagnoses refer to intake of nutrients compared with ____ levels

Answer 18

Desired

Question 19

Behavioral-environmental diagnoses are problems related to…

Answer 19

-Knowledge and beliefs
-Access to food
-Food safety

Question 20

What are some examples of knowledge and beliefs diagnoses?

Answer 20

-Knowledge deficit
-Harmful beliefs
-Disordered eating pattern
-Undesirable food choices

Question 21

Behavioral-environmental diagnoses can also be related to ___ ___ and functionality (inactivity, excessive exercise, impaired ability to prepare food

Answer 21

Physical activity

Question 22

PES statement formula:

Answer 22

(Problem) related to (etiology) as evidenced by (signs and symptoms)

Question 23

When writing PES statements, it is important to ____ by selecting the most important and urgent problem to be addressed

Answer 23

Prioritize

Question 24

If you have diagnoses from two domains, consider the ____ diagnosis, as it is more specific to the nutrition professional and it is more likely to facilitate a nutrition-directed intervention

Answer 24

Intake

Question 25

You should evaluate the PES statement by asking what questions?

Answer 25

-Can you resolve or improve the nutrition diagnosis for this person/group? -Is the etiology you selected the "root cause" that can be addressed with nutrition intervention, or can you at least lessen the signs and symptoms? -Will measuring the signs and symptoms indicate if the problem is resolved or improved and are the signs and symptoms specific enough that you can monitor and document resolution or improvement of the diagnosis? -Does the nutrition assessment data support a particular nutrition diagnosis with typical etiology and signs and symptoms?

Question 26

Identifying the etiology leads to the selection of nutrition _____ aimed at resolving the underlying cause of the nutrition problem when possible; if that is not possible, it should be targeted at minimizing symptoms as much as possible

Answer 26

Interventions

Question 27

If the assessment indicates that no nutrition problem currently exists that warrants a nutrition intervention, what should be written?

Answer 27

No nutrition diagnosis at this time

Question 28

What critical thinking skills are needed when writing a nutrition diagnosis?

Answer 28

-Finding patterns and relationships among data and possible causes -Making inferences (if ____ continues, then ____ is likely to happen) -Stating the problem clearly and being objective -Rule in or out specific diagnoses; prioritize the relative importance of problems

Question 29

A nutrition ____ is a purposely planned action designed with the intent of changing a behavior, risk factor or condition for an individual, group, or community

Answer 29

Intervention

Question 30

Nutrition interventions are based on the nutrition ____ and provide the basis upon which outcomes are measured and evaluated

Answer 30

Diagnosis

Question 31

What are the four categories of nutrition interventions?

Answer 31

-Food delivery -Education -Counseling -Coordination of care with other providers

Question 32

_____ cultural knowledge is an essential element in program planning

Answer 32

Institutionalized

Question 33

What should be done when planning a nutrition intervention?

Answer 33

-Prioritize nutrition diagnosis -Consult EAL and other practice guidelines -Determine patient-focused outcomes for each diagnosis -Confer with caregivers -Define time and frequency of care -Identify resources needed

Question 34

____ is the action phase when the intervention is communicated and carried out

Answer 34

Implementation

Question 35

The ___ ___ ___ contains systematically reviewed scientific evidence used in making food and nutrition practice decisions; integrates the best available evidence with professional expertise and client values to improve outcomes; explains what interventions are most effective

Answer 35

Evidence Analysis Library

Question 36

What critical thinking skills are needed to plan and carry out a nutrition intervention?

Answer 36

-Setting goals and prioritizing -Defining nutrition prescriptions or plan -Making interdisciplinary connections -Initiating interventions -Specifying time and frequency of care

Question 37

___ prevention programs work to reduce exposure to a promoter of disease (early screening for risk factors like diabetes)

Answer 37

Primary

Question 38

Primary prevention programs are also known as ____ ____

Answer 38

Health promotion

Question 39

_____ prevention programs require recruiting those with elevated risk factors into a treatment program to reduce impact of a condition that has already occurred

Answer 39

Secondary

Question 40

Secondary prevention programs are ___ ___ programs and slow the progress of a condition to restore health

Answer 40

Risk reduction

Question 41

_____ prevention programs intervene to reduce severity of a condition and/or manage complications as disease progresses

Answer 41

Tertiary

Question 42

Tertiary prevention programs are ____ efforts

Answer 42

Rehabilitation

Question 43

The Federal Trade Commission is responsible for regulating the information on...

Answer 43

-Internet -TV -Radio

Question 44

What is another agency that is responsible for monitoring health fraud?

Answer 44

The National Council Against Health Fraud

Question 45

When evaluating information, ask questions based on the _____ checklist

Answer 45

CARS

Question 46

What is included in the CARS checklist?

Answer 46

-Credibility (check credentials of the author) -Accuracy (info is current, factual, and comprehensive) -Reasonableness (info is fair, balanced, and consistent) -Support (is supporting documentation cited for scientific statements)

Question 47

What are some different formats for notes in medical records?

Answer 47

-POMR (problem-oriented medical record) -PES (problem, etiology, symptoms) -SAP (screen, assessment, plan) -ADIME (assessment, diagnosis, intervention, monitoring, and evaluation)

Question 48

HIPAA stands for...

Answer 48

Health Information Portability and Accountability Act

Question 49

HIPPA requires that all permanent legal documents be written in ____ pen or types

Answer 49

Black

Question 50

HIPPA guidelines require that documentation is...

Answer 50

-Complete -Clear -Concise -Objective -Legible -Accurate

Question 51

HIPPA requires that ____ entries are identified and the actual date/time be recorded, as well as the time it should have been documented

Answer 51

Late

Question 52

When ___ ____ are not chosen correctly, contact the person who wrote order corrections

Answer 52

Diet orders

Question 53

How should an error be fixed in medical charts?

Answer 53

-Draw a single line through the error, enter the data and initials -Write the correction, date, and initial -Never use white-out, thick markers, or remove and original and replace it with the copy -For the omitted information, beside the original entry, write "see addendum", enter date and initial

Question 54

Discharge plans begin on day ____ of a hospital stay

Answer 54

1

Question 55

All patient information is ____

Answer 55

Confidential