RD Exam Domain II: Nutrition Care for Individuals and Groups Certification Exam with complete solution

Nutrition Care Process --as standardized, consistent structure and framework used to provide nutrition care -actual nutrition care is individualized critical thinking - -reasoning process where ideas are produced and evaluated -integrates facts, informed opinions, active listening, and observations -includes ability to conceptualize, think rationally, creatively, be inquiring, and think autonomously nutrition screening - -use of preliminary nutrition assessment techniques to identify people who are malnourished or who are at risk for malnutrition -all health care team members can participate -review client's hx, labs, weight, physical signs -if no nutrition problem exists, document discharge from nutrition care is appropriate -joint commission: nutrition risk in hospital pts must be identified within 24 hours nutrition screening effectiveness - -mechanism must be accurate based on 1. specificity (ID pts without a condition) 2. sensitivity (ID pts with condition) -mechanism must be effective as related to the chances that positive health outcomes will be achieved with the intervention Subjective Global Assessment - -Screening tool -hx -intake -GI symptoms -functional capacity-physical appearance -edema -weight change Mini Nutritional Assessment - -screening tool -independence -medications -# of full meals consumed each day -protein intake -f/v intake -fluid intake -mode of feeding Nutrition Screening Initiative - -screening tool -elderly Nutrition assessments - -initiated by referral/screening for nutrition risk factors -makes comparisons between data collected and reliable standards -on-going, dynamic process that involves continual reassessment and analysis -provides basis for nutrition diagnosis