NTR 604 EXAM QUESTIONS WITH
COMPLETE ANSWERS
Common nutrient deficits in the elderly (5) - Answer--Vitamin D (elderly -
institutionalized or homebound)
not outside as much & skin can't synthesize as well
-Thiamin - poor intake
-Vitamin B6 - age related changes related to metabolism and absorption
-Vitamin B12 -due to pernicious anemia, gastritis, and age related malabsorption
-Fluid - risk of dehydration
Consequences of undernutrition in nursing home (4) - Answer--unintended wt loss
-protein energy malnutrition
-pressure ulcers
-dehydration
criteria for HIV wasting syndrome (4) - Answer--unintentional wt loss of 10% body wt
over 6 mons
-loss of 5% LBM w/in 6 mons
-body cell mass <35% and BMI <27 in men
-body cell mass <23% and BMI 27 in women
dehydration can lead to (5) - Answer--acute confusion
-urinary tract infection
-pressure ulcer
-constipation
-adverse drug responses
Health care proxy (4) - Answer--person chosen to make medical decisions if pt is unable
to
-legal document
-all adult healthy or sick
-goes into effect only when the person is declared unable to make their own healthcare
decisions
High homocysteine levels are common with low - Answer-folate
how can we prevent osteoporosis (4) - Answer--roles of vit D
-calcium
-weight bearing exercise
-hormonal therapy
HTN recommendations (4) - Answer--decrease sodium intake
-increase physical activity
, -mod alcohol consumption
-increase f/v and dairy rich in potassium and calcium
intervention goals for CKD stages 1-4 (7) - Answer--minimize tissue catabolism
-maintain nutritional status
-weight
-appetite
-electrolyte balance
-LBM
-postpone dialysis as long as possible
Intervention for impaired appetite (10) - Answer--liberalized diet
-freedom in food selection
-eating with others - congregate meals
-providing assistance/specialized utensils/finger foods
-flavor enhancers
-nutrient dense snacks
-commercial supplements - ensure
-pleasant eating environment
-praise
-stimulants
menopause put women at risk for what two conditions - Answer-osteoporosis and heart
disease
MOLST form - living will (5) - Answer--medical document
-current medical orders regarding treatment and end of life care
-patient of any age with advanced illness
-effective once signed
Na+ recommendation CKD stages 1-5 - Answer-no more than 2000mg/day
nutrition strategies in public health (4) - Answer-Risk factor must have a strong
association w/the development of chronic disease (obesity, heart disease)
-risk factor affects a significant number of people
-risk factor is modifiable (to be reduced)
-risk factor has modification -when changed or reduced results in decreased risk of
mortality
Obesity recommendations (5) - Answer--weight (wt) mgmt
-prevent wt gain
-decrease calories, increase PA
-multi-disciplinary team - physician, dietitian, behavior therapist and exercise
physiologist
-maintain healthy body wt after wt loss
COMPLETE ANSWERS
Common nutrient deficits in the elderly (5) - Answer--Vitamin D (elderly -
institutionalized or homebound)
not outside as much & skin can't synthesize as well
-Thiamin - poor intake
-Vitamin B6 - age related changes related to metabolism and absorption
-Vitamin B12 -due to pernicious anemia, gastritis, and age related malabsorption
-Fluid - risk of dehydration
Consequences of undernutrition in nursing home (4) - Answer--unintended wt loss
-protein energy malnutrition
-pressure ulcers
-dehydration
criteria for HIV wasting syndrome (4) - Answer--unintentional wt loss of 10% body wt
over 6 mons
-loss of 5% LBM w/in 6 mons
-body cell mass <35% and BMI <27 in men
-body cell mass <23% and BMI 27 in women
dehydration can lead to (5) - Answer--acute confusion
-urinary tract infection
-pressure ulcer
-constipation
-adverse drug responses
Health care proxy (4) - Answer--person chosen to make medical decisions if pt is unable
to
-legal document
-all adult healthy or sick
-goes into effect only when the person is declared unable to make their own healthcare
decisions
High homocysteine levels are common with low - Answer-folate
how can we prevent osteoporosis (4) - Answer--roles of vit D
-calcium
-weight bearing exercise
-hormonal therapy
HTN recommendations (4) - Answer--decrease sodium intake
-increase physical activity
, -mod alcohol consumption
-increase f/v and dairy rich in potassium and calcium
intervention goals for CKD stages 1-4 (7) - Answer--minimize tissue catabolism
-maintain nutritional status
-weight
-appetite
-electrolyte balance
-LBM
-postpone dialysis as long as possible
Intervention for impaired appetite (10) - Answer--liberalized diet
-freedom in food selection
-eating with others - congregate meals
-providing assistance/specialized utensils/finger foods
-flavor enhancers
-nutrient dense snacks
-commercial supplements - ensure
-pleasant eating environment
-praise
-stimulants
menopause put women at risk for what two conditions - Answer-osteoporosis and heart
disease
MOLST form - living will (5) - Answer--medical document
-current medical orders regarding treatment and end of life care
-patient of any age with advanced illness
-effective once signed
Na+ recommendation CKD stages 1-5 - Answer-no more than 2000mg/day
nutrition strategies in public health (4) - Answer-Risk factor must have a strong
association w/the development of chronic disease (obesity, heart disease)
-risk factor affects a significant number of people
-risk factor is modifiable (to be reduced)
-risk factor has modification -when changed or reduced results in decreased risk of
mortality
Obesity recommendations (5) - Answer--weight (wt) mgmt
-prevent wt gain
-decrease calories, increase PA
-multi-disciplinary team - physician, dietitian, behavior therapist and exercise
physiologist
-maintain healthy body wt after wt loss
