Basic Nutrition and Diet Therapy Chapter 17 Exam Questions and Answers 100% Correct

Basic Nutrition and Diet Therapy Chapter 17 Exam Questions and Answers 100% Correct In the area of nutrition care, the ______ carries the major responsibility of medical nutrition therapy. - Answers registered dietitian Working closely with the physician, the dietitian determines individual - Answers nutrition therapy needs and a plan of care. Nurses are in a unique position to provide additional nutrition support by reffering patients to the - Answers dietitian when necessary. _____ is a specific nutrition service and procedure that is used to treat an illness, injury, or condition; it involves an in-depth nutrition assessment of the patient, nutrition diagnosis, nutrition intervention (which includes diet therapy, counseling, and the use of specialized nutrition supplements), and nutrition monitoring and evalutation. - Answers Medical nutrition therapy. ______ a health care professional who treats the effects of disease, injury, and congenital disorders through the application of scientifically based exercise principles that have been adapted to enhance the strength, endurance, and mobility of individuals with functional limitations or for those patients who require extended physical conditioning. - Answers kinesiotherapist The dietitian determines nutrition needs, plans and manages nutrition therapy, evaluates the plan of care, and records results. Throughout this entire process, the nurse helps to - Answers develop, support, and carry out the plan of care. Successful care depends on the close teamwork of the dietitian and the nurse. A nursing diagnosis may include several issues that are nutrition related, such as - Answers diarrhea, malnutrition, failure to thrive, and fluid volume deficit. Unfortunately, ____ is common in hospital settings. - Answers malnutrition. Many factors are involved in malnutrition for example, - Answers lack of appetite because of pain, medicine-induced anorexia, surgery, emotional and psychologic distress). Patients may also have reduced food intake because of - Answers conflicts with medical procedures or appointments during mealtimes. The nurse may be able to help resolve such conflicts by coordinating meal-delivery times with a consideration of the patient's scheduled procedures. Patients who are discharged without a proper interpretation of their prognosis or plan of continued care may be - Answers noncompliant and experience unnecessary stress, confusion, medical complications, and hospital readmission. Learning about the patient's nutrition needs should begin with - Answers hospital admission or initial contact, carry through the entire period of care, and continue in the home environment, with the support of community resources as needed. To assess nutrition status and provide person-centered care, as much - Answers information as possible about the patient's situation is collected. Data obtained during the nutrition assessment are organized into five categories: - Answers Food-/Nutrition-related history Anthropometric measurements Biochemical Data, Medical tests, and procedures Nutrition focused physical findings Client history Clinicians should be aware that _______ energy intake is quite common and that this may affect dietary assessment and recommendations. - Answers underreporting. Specific questioning about various supplements (e.g. vitamins, minerals, multivitamin/mineral combinations, and herbs) is more likely to - Answers yield accurate answers and to provide insight into overall consumption. Patients often do not report - Answers supplement intake. Allergies and intolerances should be noted so that - Answers alternative recommendations meet nutrition needs without causing negative reactions. The ______ or ____ of energy expenditure is another important consideration when providing nutrient recommendations. - Answers overreporting, underreporting Practive taking correct _____to avoid errors, and maintain proper equipment and careful technique. - Answers anthropometric measurements Height, weight, and body mass index are the most common _____ that are used in clinical practice, and they are provide basic nutrition risk parameters. - Answers anrthropometric measurements Depending on the situation, _____ ___ ____ and ____ ____ may be taken as well. - Answers Body composition measurements and waist circumference. How to measure height: Use a fixed ___ ___ against the wall, if possible, or use the moveable measuring rod on a platform clinic scale. - Answers measuring stick Children who are younger than 2 years old should be measured while they are ____ _____ with a stationary headboard and a movable footboard. - Answers lying down Alternative measures for non-ambulatory patients provide estimates for people who are - Answers confined to a bed, who cannot stand up straight, or who have lower-body amputations. Weight patients at - Answers consistent times (e.g. in the early morning after the bladder is emptied and before breakfast.) Rapid unintentional weight loss is significantly associated with - Answers increased health risks. (recent weight gain should be noted as well.) They body mass index is calculated by using both - Answers weight and height measurements, and it is a helpful assessment tool throughout the life cycle. Body mass index and body composition measurements indicate the risk for - Answers overweight and obesity (i.e. body fatness), but they do not evaluate where excess fat is stored. The location of body fat is an important factor in nutrition assessment, because not all body fat is the same. An important study published in 2002 found that individuals who store body fat in the abdominal region have significantly more - Answers health risks than their counterparts of the same weight who store fat more in the hip and thigh regions. The National Institutes of Health guidelines state that, for a lowered health risk, waist circumference should be less than - Answers 102 cm for men and less than 88 cm for women. Waist circumference assessment is important for both overweight and normal-weight individuals, because it indicates the - Answers risk for chronic diseases (e.g. type 2 diabetes), even among individuals of normal weight. Examples of biochemical tests pertinent to nutrition include the following: - Answers Plasma proteins Liver enzymes Blood urea nitrogen and serum electrolytes Urinary urea nitrogen excretion Creatinine height index Complete blood count Fasting glucose Total lymphocyte count. Plasma proteins - Answers serum albumin and prealbumin Liver enzymes - Answers evaluate liver function