Dietetics Questions with correct Answers 2023

Dietetics Questions with correct Answers 2023 To Be an RD BS or MS from accredited program -DPD, CP programs are accredited by the Accreditation Council of Nutrition and Dietetics Education (ACEND) -2024—MS required to sit for RD exam Verification Statement -Completed all course requirements with at least a 'C' -Obtained your degree -Generated and sent to you by DPD program director -1200+ hours of Supervised Practice Completed in a Dietetics Internship (DI) Or ISPP (Individualized Supervised Practice Program) -Pass RD exam ACEND Standards Lists knowledge and skills for DPD graduates -Also knowledge and skills for DI graduates ACEND Standards -Covers five areas -Scientific and Evidence Base of Practice: integration of scientific information and research into practice -Professional Practice Expectations: beliefs, values, attitudes and behaviors for the professional dietitian level of practice. -Clinical and Customer Services: development and delivery of information, products and services to individuals, groups and populations -Practice Management and Use of Resources: strategic application of principles of management and systems in the provision of services to individuals and organizations -Support Knowledge: knowledge underlying the requirements specified above. -Scientific and Evidence Base of Practice: integration of scientific information and research into practice -Professional Practice Expectations: beliefs, values, attitudes and behaviors for the professional dietitian level of practices -Clinical and Customer Services: development and delivery of information, products and services to individuals, groups and populations -Practice Management and Use of Resources: strategic application of principles of management and systems in the provision of services to individuals and organizations -Support Knowledge: knowledge underlying the requirements specified above. Other 'Dietetics Professionals' Dietetic Technician, Registered (AS-DTR) 2 years from accredited program, AA or AAS 450 hours of supervised practice and exam Other 'Dietetics Professionals' or BS-DTR 4 years DPD grad Exam without internship Nutritionists MS or PhD without RD status AND Membership Education Networking Peer-reviewed journal A recognized expert group Lobbying efforts Reimbursement Collaboration Other benefits Important Issues for the Future Dietetics Education Healthcare Reform Reimbursement Evidence Based Practice Interdisciplinary Practice Informatics Many more... State and Local Groups -All AND members are members of their state affiliate Can also choose to join district association -South Central -Twin Cities -Head of the Lakes -Northwest -Southeast Commission on Dietetic Registration (CDR) -Administers RD exam -Sets standards for certifications -Sets requirements for continuing education Continuing Education Currently, 75 hours every 5 years Beginning in 2016, competencies will be added -Competencies defined in 9 general and several more specific areas -How will they be measured??? Writing Personal Statements The DICAS letter is limited to 1000 words and needs to address (in this order): -Why do you want to enter the dietetics profession? -Discuss experiences that have helped to prepare you for your career. -What are your short-term and long-term goals? -What are your strengths and weaknesses or areas needing improvement? Personal Statements AKA -Letters of intent (different than Declaration of Intent) -Cover letters -Letters of application Why Join AND? Information Resources Scientific and practical information necessary for career success. -Access to EAL -Access to PubMed - A service of the National Library of Medicine, PubMed provides access to more than 11 million citations from Med-Line and additional life science journals—and more Advocacy and Representation -ANDPAC -Your voice in Washington, the media and industry policy debates. -AND Member Advantage Programs -optional programs and services. Education -Stay informed and earn continuing professional education credit through conferences, workshops, Journal articles and the online education center. Networking -An active community of professionals sharing knowledge, skills and ideas. -Become a member of a Dietetic Practice Group -29 different practice groups -Newsletters, publications, list-serves, seminars, etc. Public Health/Community, Oncology Nutrition, Weight Management, Dietitians in Nutrition Support, Pediatric Nutrition, Hunger and Environmental Nutrition, Vegetarian Nutrition, Women's Health and Reproductive Nutrition, Nutrition in Complementary Care, Research, Clinical Nutrition Management, Dietetic Educators of Practitioners, School Nutrition Services, Dietitians in Business, Nutrition Entrepreneurs, HIV/AIDS, Sports, Cardiovascular and Wellness Nutritionists...... Registration -Nationally Recognized Professional -CDR - Commission on Dietetics Registration - a part of AND -RD means you passed the test! -Don't ever give up your RD! RD vs RDN -RDN is Registered Dietitian Nutritionist -New in spring 2013 -Can use either -Adding 'Nutritionist' is supposed to convey inclusion of wellness aspects of nutrition Applying to Take the Test 1. You finish everything required by your internship program director - you become "Registration Eligible" 2. The internship directors forward your information to CDR (usually immediately) electronically & hard copy 3. CDR sends an acknowledgement of receipt to the director (within 6 days) 4. CDR checks everything out 5. CDR forwards your information to ACT (1 day) 6. You are mailed a letter of eligibility from CDR (2-3 days) 7. ACT receives your information and sends you an application and booklet about the test (2-3 days) 8. You return your application and fee to ACT (variable) 9. ACT then mails you "Authorization to Test" letter (2-3 days) - this is good for 1 year 10. You receive the letter and call to schedule an appointment The RD Exam -Computer Based since September 1999 -The questions can distinguish between an examinee who is ready to practice vs one who is NOT ready to practice How does it work? Test pool has a large number of questions 1. A test item is selected and presented to you 2. You respond to the item 3. The computer scores your response and considers evidence toward a decision And on and on--at least 125 times! 4. If enough evidence has been collected to make a decision then testing ends OR 5. If there is not enough evidence to make a decision, it asks more question Exam Specifics Principles of Dietetics- 12% -Food Science, Nutrient Composition of Foods -Nutrition and Supporting Sciences Nutrition Care - 50% -Nutrition Screening and Assessment -Nutrition Diagnosis -Nutrition Intervention (and Planning) -Nutrition Monitoring and Evaluation Management of F&N Programs and Services - 21% -Functions of Management -Human Resources -Financial Management -Marketing and Public Relations -Quality Improvement -Immediate Score Reporting -Retesting in 45 days if necessary -Available throughout the year at over 250 Sylvan testing centers Nationwide -In MN: Bloomington, Duluth, Rochester, St. Cloud, Woodbury -Monday - Friday, some Saturdays and Sundays OK I Passed, What's Next? Write Your Professional Portfolio "To foster and facilitate self-directed lifelong learning and provide the practitioner with tools to assist in professional development" 75 hours of continuing education every 5 years So What's A License? Anyone providing nutritional advice or care must be licensed in Minnesota -Unless you work for a hospital or clinic that has given you clinical privileges -Protects the public Anyone with an RD can be granted a license Others need to be tested or have other credentials Licensure board can take complaints about people practicing without a license and take action against them. Which means.... Licensed Dietitians and Licensed Nutritionist have now been added to the list of healthcare providers physicians can delegate to follow patient care protocols that also include a predetermined physician prescribed drug. Note: Even though this has been a highly valued and widely used practice for many years, it was not legal in Minnesota until now. Note: State law trumps employers or organizations policies or internal legal opinions . Protocols are essential clinical tools that: -Improve patient safety, outcomes, and standard of care -Reduce risk of medical errors and patient complications. -Control exposure and liability for practitioners, colleagues, health care organizations, business insurers -Are integral to many areas of practice - diabetes, cystic fibrosis, tube feedings, TPN, dialysis, to name a few. ANY protocol that references ANY prescription drug is impacted. Protocols are essential clinical tools that: Why Important to Professionals -Clarifies and legalizes existing, valued and long-established patient care policies and procedures. -Recognizes our professional competencies, contributions and skill sets. Allows advanced practice at the highest level. Protocols are essential clinical tools that: Other aspects -Added incentive to secure and maintain licensed status in Minnesota. -No Exceptions - anyone following a protocol that includes reference to prescription drugs must be licensed by the State of Minnesota. Who else is listed as protocol delegate? Already listed are: nurse, physician assistant, pharmacist, medical student or resident How many Licensed dietitians (LDs) and Licensed nutritionists (LNs) are in Minnesota? Of the approx 2000 Registered Dietitians in Minnesota, over 1400 are LDs and approx 80 are LNs. Why are LNs included? Minnesota's Licensure statute, has always included LDs & LNs since originally signed into law in 1994. The majority of LNs are also RDs. What about use of the new Academy credential RDN with Minnesota Licensure? -Minnesota's Licensure statute, has always included LDs & LNs since originally signed into law in 1994. The majority of LNs are also RDs. -Licensure and credentialing are separate functions. The Academy oversees credentialing (RD, RDN) while the State of Minnesota oversees Licensure (verifying qualifications, appropriate practice, etc). Therefore - continue to use your preferred Academy credential plus LD or LN. Does this mean LDs and LNs are able to prescribe drugs? Not at all. The law is clear that the physician prescribes drugs. We are not qualified or interested in prescribing or dispensing drugs. Beyond the RD, LD -CDR certifies specialists in 5 areas -Also a certificate in Weight Management -Other boards certify diabetes educators (CDE), nutrition support (CNSC), & more... Ethics is the Struggle Between... "Right & Wrong" "Moral & Immoral" "Just & Unjust" Ethics: (eth/iks) 1. The study of standards of conduct and moral judgment. 2. The study of the general nature of morals and of the specific moral choices to be made by a person. 3. The rules or standards governing the conduct of a person or the members of a profession. The Code consists of Five Categories 1. Fundamental Principles 2. Responsibilities to the Public 3. Responsibilities to Clients 4. Responsibilities to the Profession 5. Responsibilities to Colleagues and Other Professionals Nineteen Principles Functions of the Code of Ethics The code is intended to: Protect the profession and the credential Influence public and private policy Improve professional practice Educate dietetics practitioners about ethical decision making Meet the guidelines of the accrediting agency for the Commission on Dietetic Registration Misconceptions about the Code of Ethics The Code is not intended to: -Identify and reprimand all unqualified dietitians and dietetic technicians -Be a punitive force to take away credentials Academy Ethics Committee Ethics Committee was established in 1982 Composed of three members who each serve 3 year terms -One appointed by the Academy President -One appointed by the Speaker, HOD -One appointed by chair of CDR -One new member is added each year Access to the Ethics Committee -Any member or non-member can make a complaint. -Complaints are not anonymous but are confidential. -If a complaint is made, it is forwarded to the member for a response. -The Ethics Committee then reviews the complaint and discusses the response in executive session. Ethics Case Management Procedure -The enforcement procedures are intended to permit a fair resolution of disputes on ethical practices in a manner that protects the rights of individuals while promoting understanding of ethical practice. -The Ethics Committee has the authority and the flexibility to determine the best way to resolve a dispute, including educational means where appropriate. Ethics Case Management Procedure What happens next... -Case may be dismissed -Further information may be requested -Person may be contacted with specific actions for educational intervention -Membership in the Academy of Nutrition and -Dietetics may be censured, placed on probation, suspended, or revoked -RD or DTR credential or specialist credential may be suspended or revoked -Ethics Committee uses a defined policy and procedure handbook to guide its decisions. Four brief scenarios follow demonstrating situations nutrition and dietetics students may experience that can be evaluated using the Code of Ethics for the Profession of Dietetics. SCENARIO 1—REQUESTING THE USE OF A CLASSMATE'S MEMBER NUMBER AND PASSWORD SCENARIO 2—ACADEMIC INTEGRITY SCENARIO 3—PLAGIARISM SCENARIO 4—PROFESSIONALISM ON FACEBOOK What is a "scope of practice"? It is ...a terminology used by state licensing boards for various professions that defines the procedures, actions, and processes that are permitted for the licensed individual. The scope of practice is limited to that which the law allows for specific education and experience, and specific demonstrated competency. Each state has laws, licensing bodies, and regulations that describe requirements for education and training, and define scope of practice. More definitions "Legal scopes of practice for the health care professions establish which professionals may provide which health care services, in which settings, and under which guidelines or parameters. With few exceptions, determining scopes of practice is a state-based activity. State legislatures consider and pass the practice acts, which become state statute or code. State regulatory agencies, such as medical and other health professions' boards, implement the laws by writing and enforcing rules and regulations detailing the acts." And from the Academy... "...a range of roles, activities, and regulations within which nutrition and dietetics practitioners perform. ...focuses on food and nutrition and related services developed, directed, and provided by RDs to protect the public, community, and populations; enhance the health and well-being of patients/clients, and delivers quality products, including MNT..." Scope of Practice Part of Quality Management Revised in 2012/13 Defined terms The Scope of Dietetics Practice "The Scope" or the SODP: -gives structure to all the tools that together describe the full range of safe, sanctioned dietetics practice. -provides step-by-step processes to help RDs and DTRs methodically work with a variety of resources to achieve their individual professional goals The Scope (SODP) is Statutory And Individual -For individual, depends on education, experience, skills, and level of competence A scope of practice is important because -it defines key characteristics of that practice. -presents authority to practice. -guides the profession into the future. -A scope of practice also examines and expands practice by providing guidance in making practice changes and -acting as a key to unlock a door to new opportunities. -delineates roles Who uses the SODP? -Members and Credentialed Dietetics Practitioners -To evaluate practice; to seek expanded privileges; those seeking to carve out new roles for dietetics practice -Administrators -To reduce institutional risks and improve patient safety -Human Resources Departments -To evaluate compensation practices -Educators -To teach professional accountability -Students -To guide career development -Managers -To make hiring decisions; to expand department's scope of care; to assure care is provided by sanctioned professionals Legislators and Regulators -as a basis for initiating regulatory reform 2008 Standards of Practice (SOP) -Defines supervision of DTR -RD is accountable for all aspects of NCP in any setting, but can assign certain pieces to others -RD answers to patients/clients, administrators, licensing boards, legal system -Actual supervision is up to the facility applying regulations, standards, local laws and DTR/RD team Two Companion Pieces -Standards of Practice (SOP) -Focuses on nutrition care and steps of the nutrition care process (NCP) -Standards of Professional Performance (SOPP) -Focuses on 'domains of professionalism' Standards of Practice?? -Describe a MINIMUM level of competence for RDs and DTRs who provide direct patient, client, or resident care -Standards of Practice for RDs or DTRs in Nutrition Care -For those providing direct care, SOPs are: -a guide to practice -an approach to practice -They are standards ---NOT legal regulations Standards of Professional Performance?? -Describe competent level of professional behaviors for all practitioners in nondirect care aspects of roles: -Provision of Services -Application of Research -Communication and Application of Knowledge -Management of Resources -Quality in Practice -Continued Competence and Accountability How Can You Use the SOP/SOPP? -Identify areas where increased knowledge or skills needed to ensure competence -Identify continuing education opportunities -Identify areas of professional growth & development -Identify skills needed to elevate level of practice Using the SOP/SOPP OK -Identifying competencies -Self-assess skills and knowledge -Foundation for public accountability -Planning services and resources -Help w/ development of programs and pathways Using the SOP/SOPP Not OK -As sole source for institutional credentialing & privileging -Adverse or exclusionary decisions about privileging, benefits, etc. -Medical advice -Substitute for professional judgment Who Cares?? Regulatory agencies like CMS use standards written by professional organizations to assess competency. Watchwords in healthcare: -Standards -Accountability -Competency Add