RD EXAM: MNT UPDATED ACTUAL
Exam Questions and CORRECT Answers
NCP - CORRECT ANSWER - Nutrition Care Process. A standardized, consistent structure
and framework used to provide nutrition care. This is different from standardized care, which
infers that all patients receive the same care.
NCP Steps - CORRECT ANSWER - ADIME
1. Assess, 2. Diagnose, 3. Intervention, 4. Monitor & Evaluate
Critical thinking - CORRECT ANSWER - integrates facts, informed opinions, active
listening, and observations. It is a reasoning process where ideas are produced and evaluated. It
includes the ability to conceptualize, think rationally, think creatively, be inquiring, and think
autonomously.
Nutrition screening - CORRECT ANSWER - 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.
Brief 5-10 minutes.
Nutrition screening review - CORRECT ANSWER - client's history, lab results, weight,
physical signs
For nutrition screening to be effective - CORRECT ANSWER - the mechanism must be
accurate based on: specificity (can it ID patients without a condition), sensitivity (can it ID those
who have the condition.
Mechanism must be effective as related to the chances that positive health outcomes will be
achieved with the intervention.
,If no emerging nutrition problem exists - CORRECT ANSWER - document that discharge
from nutrition care is appropriate
The Joint Commission and nutrition screening - CORRECT ANSWER - nutrition risk
identified in hospitalized patient within 24 hours of admission, but does not mandate a method of
screening
Nutrition screening includes - CORRECT ANSWER - 1. Subjective Goal Assessment
2. Mini Nutritional Assessment
3. Nutrition Screening Initiative
Subjective Goal Assessment - CORRECT ANSWER - History, intake, GI symptoms,
functional capacity, physical appearance, edema, weight change
NO lab values, just talking
Mini Nutritional Assessment - CORRECT ANSWER - Evaluates independence,
medication therapy, number of full meals consumed each day, protein intake, fruits and
vegetables, fluid, mode of feeding.
Often done in older population.
Nutrition Screening Initiative - CORRECT ANSWER - Elderly
Nutrition assessment of individuals - CORRECT ANSWER - Initiated by
referral/screening of individuals or groups for nutritional risk factors.
Assessment makes comparisons between data collected and reliable standards.
,Assessment is an on-going, dynamic process that involves continual reassessment and analysis of
patient/client/group needs.
Assessment provides the basis for nutrition diagnosis.
Critical thinking skills needed in nutrition assessment include - CORRECT ANSWER - 1.
Observe verbal/nonverbal cues that can guide effective interviewing methods
2. Determine appropriate data to collect
3. Select tools and procedures and apply in valid, reliable ways
4. Distinguish relevant from irrelevant, and important from unimportant data
5. Validate, organize and categorize the data
Nutrition assessment component - CORRECT ANSWER - 1. Review: review data for
factors that affect nutritional and health status
2. Cluster: assessment data clustered for comparison with characteristics of a suspected
diagnosis; food and nutrition related history, anthropometrics, lab/medical tests (biochemical),
nutrition-focused physical findings, client history
3. These indicators are compared to identified standards and criteria for interpretation and
decision-making
Indicators in nutrition assessment - CORRECT ANSWER - are clearly defined markers
that can be observed and measured.
Also used to monitor and evaluate the progress towards nutrition outcomes
What indicators are compared against - CORRECT ANSWER - nutrition care criteria
Documentation in nutrition assessment - CORRECT ANSWER - date and time, pertinent
data and comparison with standards, patient's perceptions, values and motivation related to
problem; changes in patient's level of understanding, behaviors, outcomes; reason for discharge
, Dietary intake assessment - CORRECT ANSWER - 1. Diet history
2. Food recall
3. 24 hour recall
4. Food frequency lists
Diet history - CORRECT ANSWER - present patterns of eating. Do not ask leading
questions.
Food record - CORRECT ANSWER - exact record of everything eaten in a specific period
of time
24 hour recall - CORRECT ANSWER - mental recall of everything eaten in previous 24
hours.
Quick tool to estimate a sample daily intake.
Clinical setting.
Food frequency lists - CORRECT ANSWER - how often an item is consumed.
Community setting. QUICK way to determine intakes of LARGE NUMBERS of people.
People do this by themselves.
Pertinent medical and family history - CORRECT ANSWER - provides insight into
nutrition-related problems
Physical findings - CORRECT ANSWER - anthropometrics (body structure)
desireable body weight
Exam Questions and CORRECT Answers
NCP - CORRECT ANSWER - Nutrition Care Process. A standardized, consistent structure
and framework used to provide nutrition care. This is different from standardized care, which
infers that all patients receive the same care.
NCP Steps - CORRECT ANSWER - ADIME
1. Assess, 2. Diagnose, 3. Intervention, 4. Monitor & Evaluate
Critical thinking - CORRECT ANSWER - integrates facts, informed opinions, active
listening, and observations. It is a reasoning process where ideas are produced and evaluated. It
includes the ability to conceptualize, think rationally, think creatively, be inquiring, and think
autonomously.
Nutrition screening - CORRECT ANSWER - 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.
Brief 5-10 minutes.
Nutrition screening review - CORRECT ANSWER - client's history, lab results, weight,
physical signs
For nutrition screening to be effective - CORRECT ANSWER - the mechanism must be
accurate based on: specificity (can it ID patients without a condition), sensitivity (can it ID those
who have the condition.
Mechanism must be effective as related to the chances that positive health outcomes will be
achieved with the intervention.
,If no emerging nutrition problem exists - CORRECT ANSWER - document that discharge
from nutrition care is appropriate
The Joint Commission and nutrition screening - CORRECT ANSWER - nutrition risk
identified in hospitalized patient within 24 hours of admission, but does not mandate a method of
screening
Nutrition screening includes - CORRECT ANSWER - 1. Subjective Goal Assessment
2. Mini Nutritional Assessment
3. Nutrition Screening Initiative
Subjective Goal Assessment - CORRECT ANSWER - History, intake, GI symptoms,
functional capacity, physical appearance, edema, weight change
NO lab values, just talking
Mini Nutritional Assessment - CORRECT ANSWER - Evaluates independence,
medication therapy, number of full meals consumed each day, protein intake, fruits and
vegetables, fluid, mode of feeding.
Often done in older population.
Nutrition Screening Initiative - CORRECT ANSWER - Elderly
Nutrition assessment of individuals - CORRECT ANSWER - Initiated by
referral/screening of individuals or groups for nutritional risk factors.
Assessment makes comparisons between data collected and reliable standards.
,Assessment is an on-going, dynamic process that involves continual reassessment and analysis of
patient/client/group needs.
Assessment provides the basis for nutrition diagnosis.
Critical thinking skills needed in nutrition assessment include - CORRECT ANSWER - 1.
Observe verbal/nonverbal cues that can guide effective interviewing methods
2. Determine appropriate data to collect
3. Select tools and procedures and apply in valid, reliable ways
4. Distinguish relevant from irrelevant, and important from unimportant data
5. Validate, organize and categorize the data
Nutrition assessment component - CORRECT ANSWER - 1. Review: review data for
factors that affect nutritional and health status
2. Cluster: assessment data clustered for comparison with characteristics of a suspected
diagnosis; food and nutrition related history, anthropometrics, lab/medical tests (biochemical),
nutrition-focused physical findings, client history
3. These indicators are compared to identified standards and criteria for interpretation and
decision-making
Indicators in nutrition assessment - CORRECT ANSWER - are clearly defined markers
that can be observed and measured.
Also used to monitor and evaluate the progress towards nutrition outcomes
What indicators are compared against - CORRECT ANSWER - nutrition care criteria
Documentation in nutrition assessment - CORRECT ANSWER - date and time, pertinent
data and comparison with standards, patient's perceptions, values and motivation related to
problem; changes in patient's level of understanding, behaviors, outcomes; reason for discharge
, Dietary intake assessment - CORRECT ANSWER - 1. Diet history
2. Food recall
3. 24 hour recall
4. Food frequency lists
Diet history - CORRECT ANSWER - present patterns of eating. Do not ask leading
questions.
Food record - CORRECT ANSWER - exact record of everything eaten in a specific period
of time
24 hour recall - CORRECT ANSWER - mental recall of everything eaten in previous 24
hours.
Quick tool to estimate a sample daily intake.
Clinical setting.
Food frequency lists - CORRECT ANSWER - how often an item is consumed.
Community setting. QUICK way to determine intakes of LARGE NUMBERS of people.
People do this by themselves.
Pertinent medical and family history - CORRECT ANSWER - provides insight into
nutrition-related problems
Physical findings - CORRECT ANSWER - anthropometrics (body structure)
desireable body weight
