CDM Study Set Exam Questions and
Answers 100% Pass
describe the importance of charting nutritional information in the medical record -
✔✔helps to remember details of the client's nutritional status, but also provides all
other health care professionals to the client's nutritional status
nutritional information that is noted in medical records may change the type of
treatment that other providers are prescribing
charting it may also bring attention to other problems that other providers may have
missed
refer to your previous note to track trends and see progress
(ex: if they eat less it may be why they seem weak during physical therapy
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,identify contacts who will give you the best idea of a client's nutritional status - ✔✔most
of the information should come from the client themselves if possible
anyone who lives in the house, client's caregiver, any other member of the healthcare
team, medical records
communication with entire team is key to understanding their nutritional status
what information should be included in a nutritional progress note (8 things) - ✔✔food
allergies and intolerances, food likes and dislikes, typical eating habits, percentage of
food intake from each meal, current weight and BMI, nutritionally relevent lab work,
nutritional diagnosis, and plan for treatment
give examples of nonverbal responses that you should be looking for when
interviewing a client - ✔✔where do they look when speaking, are they fidgeting, do
they wait for someone else to answer for them
make note of their appearance that could be related to nutrition (weak/weight loss)
discuss the purpose of an electronic health record (EHR) and what can be found (6) -
✔✔document any interaction with the client and any treatment that the client receives,
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,available for other healthcare professionals involved in treatment to communicate with
each other, document client's condition and progress
past medical history, demographics, progress notes from other healthcare professionals,
prescribed treatments, medications, and relevant images
list questions you should ask a client to best evaluate their nutritional status - ✔✔food
allergies, food likes and dislikes, typical eating habits, who does the grocery shopping,
who does the cooking, how many meals and snacks are eaten in a day, any recent
weight changes, supplement intake, energy levels
food diaries are very helpful (weeks worth is ideal, but 24 hour recall is fine) also
available by caregiver
explain the importance of keeping client information confidential - ✔✔can be shared
with healthcare worker if it is their job, but you need permission otherwise. if it is heard
and does not concern you as a healthcare worker, do not repeat.
identify critical issues that would make a client be considered a risk (7) - ✔✔has
concerns that could cause nutritional concerns, risks such as low food intake, not being
able to hold down food, having gastrointestinal disease that impacts nutrient
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, absorption, having a disability making it hard to cook/chew/swallow, malnutrition,
evidence of an eating disorder, recent weight loss of >10% body weight over 6 months
explain the process of completing a Minimum Data Set (MDS) - ✔✔used by healthcare
team to assess client, different sections are filled out by different members of healthcare
team
CDM - section K Oral/Nutritional Status
-filled out with information you gather from interviewing client, reading medical chart,
discussion with other members of healthcare team,
Section K:
1. swallowing ability (observable or need speech path referral)
2. height and weight (cdm or registered nurse)
3. weight loss (gathered by client or in medical record
4. nutritional approaches (any nutritional interventions)
5. feeding tubes (record how much formula the client needs through artificial means)
explain the difference between subjective and objective information in the medical chart
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Answers 100% Pass
describe the importance of charting nutritional information in the medical record -
✔✔helps to remember details of the client's nutritional status, but also provides all
other health care professionals to the client's nutritional status
nutritional information that is noted in medical records may change the type of
treatment that other providers are prescribing
charting it may also bring attention to other problems that other providers may have
missed
refer to your previous note to track trends and see progress
(ex: if they eat less it may be why they seem weak during physical therapy
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 1
,identify contacts who will give you the best idea of a client's nutritional status - ✔✔most
of the information should come from the client themselves if possible
anyone who lives in the house, client's caregiver, any other member of the healthcare
team, medical records
communication with entire team is key to understanding their nutritional status
what information should be included in a nutritional progress note (8 things) - ✔✔food
allergies and intolerances, food likes and dislikes, typical eating habits, percentage of
food intake from each meal, current weight and BMI, nutritionally relevent lab work,
nutritional diagnosis, and plan for treatment
give examples of nonverbal responses that you should be looking for when
interviewing a client - ✔✔where do they look when speaking, are they fidgeting, do
they wait for someone else to answer for them
make note of their appearance that could be related to nutrition (weak/weight loss)
discuss the purpose of an electronic health record (EHR) and what can be found (6) -
✔✔document any interaction with the client and any treatment that the client receives,
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 2
,available for other healthcare professionals involved in treatment to communicate with
each other, document client's condition and progress
past medical history, demographics, progress notes from other healthcare professionals,
prescribed treatments, medications, and relevant images
list questions you should ask a client to best evaluate their nutritional status - ✔✔food
allergies, food likes and dislikes, typical eating habits, who does the grocery shopping,
who does the cooking, how many meals and snacks are eaten in a day, any recent
weight changes, supplement intake, energy levels
food diaries are very helpful (weeks worth is ideal, but 24 hour recall is fine) also
available by caregiver
explain the importance of keeping client information confidential - ✔✔can be shared
with healthcare worker if it is their job, but you need permission otherwise. if it is heard
and does not concern you as a healthcare worker, do not repeat.
identify critical issues that would make a client be considered a risk (7) - ✔✔has
concerns that could cause nutritional concerns, risks such as low food intake, not being
able to hold down food, having gastrointestinal disease that impacts nutrient
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 3
, absorption, having a disability making it hard to cook/chew/swallow, malnutrition,
evidence of an eating disorder, recent weight loss of >10% body weight over 6 months
explain the process of completing a Minimum Data Set (MDS) - ✔✔used by healthcare
team to assess client, different sections are filled out by different members of healthcare
team
CDM - section K Oral/Nutritional Status
-filled out with information you gather from interviewing client, reading medical chart,
discussion with other members of healthcare team,
Section K:
1. swallowing ability (observable or need speech path referral)
2. height and weight (cdm or registered nurse)
3. weight loss (gathered by client or in medical record
4. nutritional approaches (any nutritional interventions)
5. feeding tubes (record how much formula the client needs through artificial means)
explain the difference between subjective and objective information in the medical chart
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 4
