MNT EXAM 1 QUESTIONS WITH CORRECT ANSWERS |LATEST UPDATE 100%
SOLVED| GRADED A+
risk factors for malnutrition 1. involuntary weight loss or gain of 10% or more of usual body
weight within 6 mo. or 5% w/in 1 month
2. body weight of 20% over/under desirable weight
3. presence of chronic disease or increased metabolic requirements
4. altered diets, or enteral or parenteral nutrition
5. recent surgery, illness or trauma
6. inadequate nutrient intake, ie impaired ability to ingest, digest or absorb nutrients for longer
than 7 days
7. See table 4-2 on page 133 in Krause
key data routinely available as part of a standard nutrition screen 1. serum albumin
2. admitting diagnosis
3. current diet order (CL or NPP> 5 days, EN or PN, other)
4. height, weight, BMI, weight change
5. problems w/chewing, swallowing, appetite
6. nausea, vomiting, diarrhea, constipation
7. number & % of meals consumed per day
8. supplements & medications
9. cultural, economic, religious factors
,4 steps of the Nutrition Care Process 1. Assessment - gather data, critical thinking
2. Nutrion diagnosis - identify and label a nutrition problem
3. Intervention - how to address the problem
4. Monitoring & evaluation - measure outcomes, progress towards goals, follow-up,
adjustments to plan
Step 1 - Assessment gather data, critical thinking
- diet history
- medical history, PMH, current nx, medications, etc
- anthropometric data
- biochemical data
- psychosocial history
- exercise history, other health habits
- identify medical problems & issues that may impact nutritional status
- prioritize the problems
- assess educational needs of patient
- analyze data to identify nutritional needs
Step 2 - Nutrition Diagnosis Identify & label a nutrition problem
- organize & evaluate data using professional judgement
,- identify & label an actual occurrence, risk of/potential for developing a nutritional problem
that dietetics professionals are responsible for treating independently
Step 3 - Intervention How to address the problem
- collect additional info
- establish goals, make plan
- modify diet/nutrition support as needed
- counsel/educate as appropriate
- provide referrals
- schedule follow-up
Step 4 - monitoring & evaluation Measure outcomes, progress towards goals, follow-up,
adjustments to plan
- monitor intake, tolerance & adequacy of NS or dietary regimen
- assess knowledge after education by evaluating behavioral changes
- monitor biochemical/anthropometric data
- monitor progress toward goals
- adjust goals as needed
- documentation is integral part of each step
Characteristics of a nutrition screen - that would make it effective 1. simple & can be
completed quickly
, 2. relies on data that are routinely gathered in a particular setting
3. includes collection & interpretation or relevant data on risk factors
4. is cost-effective
5. determines the need for a nutrition assessment
how might MNT reduce the cost of healthcare costs in the hospital setting - reduce
secondary complications from hospital stay (bed sores, muscle wasting, etc) ***
- shorten hospital stay (LOS)
- reduce readmissions
how might MNT reduce healthcare costs in home care setting? - as a means of preventing
hospitalizations (ie. adequate nutrition to support their disease process)
how might MNT reduce healthcare costs in long-term care setting? MNT as a means of
sustaining health and wellness & not letting anything worsen (i.e. maintenance of geriatric
patients' nutritional needs in nursing home)
how might MNT reduce healthcare costs in outpatient setting? giving the patient the tools
he/she needs to maintain their nutritional needs at home, without ending in the hospital (ie.
diabetes management)
SOLVED| GRADED A+
risk factors for malnutrition 1. involuntary weight loss or gain of 10% or more of usual body
weight within 6 mo. or 5% w/in 1 month
2. body weight of 20% over/under desirable weight
3. presence of chronic disease or increased metabolic requirements
4. altered diets, or enteral or parenteral nutrition
5. recent surgery, illness or trauma
6. inadequate nutrient intake, ie impaired ability to ingest, digest or absorb nutrients for longer
than 7 days
7. See table 4-2 on page 133 in Krause
key data routinely available as part of a standard nutrition screen 1. serum albumin
2. admitting diagnosis
3. current diet order (CL or NPP> 5 days, EN or PN, other)
4. height, weight, BMI, weight change
5. problems w/chewing, swallowing, appetite
6. nausea, vomiting, diarrhea, constipation
7. number & % of meals consumed per day
8. supplements & medications
9. cultural, economic, religious factors
,4 steps of the Nutrition Care Process 1. Assessment - gather data, critical thinking
2. Nutrion diagnosis - identify and label a nutrition problem
3. Intervention - how to address the problem
4. Monitoring & evaluation - measure outcomes, progress towards goals, follow-up,
adjustments to plan
Step 1 - Assessment gather data, critical thinking
- diet history
- medical history, PMH, current nx, medications, etc
- anthropometric data
- biochemical data
- psychosocial history
- exercise history, other health habits
- identify medical problems & issues that may impact nutritional status
- prioritize the problems
- assess educational needs of patient
- analyze data to identify nutritional needs
Step 2 - Nutrition Diagnosis Identify & label a nutrition problem
- organize & evaluate data using professional judgement
,- identify & label an actual occurrence, risk of/potential for developing a nutritional problem
that dietetics professionals are responsible for treating independently
Step 3 - Intervention How to address the problem
- collect additional info
- establish goals, make plan
- modify diet/nutrition support as needed
- counsel/educate as appropriate
- provide referrals
- schedule follow-up
Step 4 - monitoring & evaluation Measure outcomes, progress towards goals, follow-up,
adjustments to plan
- monitor intake, tolerance & adequacy of NS or dietary regimen
- assess knowledge after education by evaluating behavioral changes
- monitor biochemical/anthropometric data
- monitor progress toward goals
- adjust goals as needed
- documentation is integral part of each step
Characteristics of a nutrition screen - that would make it effective 1. simple & can be
completed quickly
, 2. relies on data that are routinely gathered in a particular setting
3. includes collection & interpretation or relevant data on risk factors
4. is cost-effective
5. determines the need for a nutrition assessment
how might MNT reduce the cost of healthcare costs in the hospital setting - reduce
secondary complications from hospital stay (bed sores, muscle wasting, etc) ***
- shorten hospital stay (LOS)
- reduce readmissions
how might MNT reduce healthcare costs in home care setting? - as a means of preventing
hospitalizations (ie. adequate nutrition to support their disease process)
how might MNT reduce healthcare costs in long-term care setting? MNT as a means of
sustaining health and wellness & not letting anything worsen (i.e. maintenance of geriatric
patients' nutritional needs in nursing home)
how might MNT reduce healthcare costs in outpatient setting? giving the patient the tools
he/she needs to maintain their nutritional needs at home, without ending in the hospital (ie.
diabetes management)
