Deck 10: Overview of Nutrition Diagnosis and Intervention

Question 1

Which of the following has a negative influence on patient acceptance and intake of meals and food in the hospital?

A)Patient selection of menus
B)Improper food temperatures
C)Eating with others
D)Nurse's communication of the diet

Answer 1

B
Poor acceptance of meals in the hospital may be caused by improper food temperatures, unfamiliar foods, changes in the eating schedule, the patient's medical condition, or the effects of medical therapy.Having the option of selecting menu items, eating with others, and positive communications from nurses and other health care team members can help improve patient intake.

Question 2

"Inadequate energy intake" is an example of

A)"S" of a PES statement.
B)nutrition diagnosis.
C)nutrition symptom.
D)"E" of a PES statement.

Answer 2

B
PES statement refers to "problem" or diagnosis, "etiology," and "signs or symptoms." Inadequate energy intake is an example of a nutrition problem or diagnosis.

Question 3

Which of the following identifies a patient's health care preferences in regard to end-of-life issues?

A)Discharge planning
B)Disease management
C)Case management
D)Advance directives

Answer 3

D
Advance directives are legal guidelines established by a patient that designate personal health care intervention preferences or identify a person to make decisions when the patient does not have the capacity to do so.Discharge planning is a team approach to preparing for the continuity of health care after the patient leaves the hospital.Disease management is a disease-specific approach to preventing the progression of a disease while providing care in the outpatient setting.Case management encompasses discharge planning and disease management in regard to the achievement of patient health goals.

Question 4

Which of the following is a system of paying for the care of a patient based on their diagnosis?

A)Utilization management
B)Patient-focused care
C)Case management
D)DRG

Question 5

Which of the following statements is TRUE regarding The Joint Commission?

A)Accreditation by The Joint Commission is required by hospitals.
B)To maintain accreditation, a hospital must undergo a Joint Commission survey every 5 years.
C)The Joint Commission specifies that a qualified dietitian must be involved in establishing a hospital's nutrition care process.
D)The three sections of the "Accreditation Manual for Hospital" are patient-focused functions, staff-focused functions, and structures with functions.

Question 6

Which of the following is NOT one of the benefits of electronic health records?

A)Easier accessibility for health care team members
B)Improved legibility of documentation
C)Easier to change and update forms used for documentation
D)Increased efficiency in documentation and providing care

Question 7

The nutritional value of the average clear liquid diet is

A)no protein and 500 to 700 kcal.
B)5 to 10 g protein and 500 to 600 kcal.
C)20 to 30 g protein and 100 to 1200 kcal.
D)40 to 50 g protein and 500 to 700 kcal.

Question 8

A newly admitted patient is observed to have poorly fitting dental plates.Which type of diet would be most appropriate for this patient?

A)General or regular house diet
B)Liquid diet
C)Consistency-modified diet
D)Diet increased in energy value

Question 9

Nutrition risk screening using the EHR is best done by

A)a physician.
B)an RDN.
C)the admitting health professional.
D)the patient.

Question 10

Which of the following identifies the essential elements and activities that should occur in a patient's care?

A)Case management
B)Critical pathway
C)Utilization review
D)DRG

Question 11

Utilization management is

A)a system to protect personal health information.
B)a system of cost efficiency.
C)a critical pathway.
D)a medical staffing system.

Question 12

The Joint Commission requires the identification of nutrition risk of hospital patients to occur within

A)12 hours of admission.
B)24 hours of admission.
C)48 hours of admission.
D)24 hours of admission, except on the weekend.

Question 13

Which of the following is NOT true of a sentinel event?

A)It is an unanticipated event that involves serious injury or death.
B)It marks a point in the care of the patient that will extend their DRG.
C)The outcomes of the event must be documented in the medical record.
D)It can be psychologic injury.

Question 14

Which of the following requires that health care providers ensure the protection of their patients' privacy?

A)TJC
B)MCOs
C)HIPAA
D)CMS

Question 15

During which step of the nutrition care process should patient-centered goals and objectives be identified?

A)Nutrition assessment
B)Nutrition diagnosis
C)Nutrition intervention
D)Nutrition monitoring and evaluation

Question 16

Which type of diet reflects a modification of the regular hospital diet by rearrangement of the number or frequency of meals?

A)High-fiber diet
B)Sodium-restricted diet
C)Allergy diet
D)Diet for diabetes

Question 17

What is another name for the practice guidelines that define the appropriate and consistent care for a patient with a specific diagnosis or medical problem?

A)Standards of care
B)Critical pathway
C)Evidence-based practice
D)Discharge planning

Question 18

When providing nutritional care for the terminally ill patient, dietary restrictions

A)should be maintained throughout the illness.
B)are rarely appropriate and should not be used.
C)should be followed to the best of the patient's ability.
D)should be focused on preventing disease progression.

Question 19

Which documentation style has been proposed to reflect the nutrition care process?

A)PES
B)Focus charting
C)SOAPIER
D)ADIME