ALL DOMAINS JEAN INMAN DOMAIN 1,2,3 AND 4
LATEST COMPLETE EXAMS QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
What is the Nutrition Care Process? (NCP) - ANSWER: A standardized, consistent
structure and framework used to provide nutrition care
What are the 4 steps of the NCP? - ANSWER: 1. Assess, diagnose, intervene, monitor,
and evaluate (ADIME)
Each step of the ADIME requires ______ thinking - ANSWER: critical
Nutrition screening is use of preliminary nutrition assessment techniques to identify
people who are... - ANSWER: malnourished or at risk for malnutrition
Who can participate in nutrition screening? - ANSWER: ALL HEALTH CARE TEAM
MEMBERS - not a part of the four step process, but serves a supportive role
How long does nutrition screening take? - ANSWER: Brief (5-10 mins)
The Joint Commission states that nutrition risk identified in hospitalized patients
within _____ hrs of admission - ANSWER: 24
Joint commission does not mandate a METHOD of... - ANSWER: screening
What are the 7 screening tools? - ANSWER: -*SGA* (Subjective Global Assessment)
-*MNA* (Mini Nutritional Assessment, *elderly*)
-*NSI* (Nutrition Screening Initiative, *elderly*)
-*GNRI* (Geriatric Nutritional Risk Index, *elderly*)
-*MST* (Malnutrition Screening Tool-acute, hospitalized adult pt's)
-*NRS* (Nutrition Risk Screening- medical & surgical hospitalized pt's)
-*MUST* (Malnutrition Universal Screening Tool)
*SGA* (Subjective) looks at - ANSWER: *NO lab values*: talking, looking
*SGA* (Subjective Global Assessment) - ANSWER: history, intake, weight change, *GI
symptoms*, *functional capacity*, *physical appearance*, *edema*, & *primary
diagnosis*
Which 3 nutrition *screening tools* are specifically used for *elderly* patients? -
ANSWER: *MNA* (Mini Nutritional Assessment)
*NSI* (Nutrition Screening Initiative)
& *GNRI* (Geriatric Nutritional Risk Index)
NRS (Nutrition Risk Screening, also technically for pt's >70 yrs)
,*MNA* (Mini Nutritional Assessment) - ANSWER: specifically for ELDERLY pt's (*≥65
yrs*)- evaluates *independence*, *medications*, *# of full meals* consumed each
day, *protein intake*, fruits & vegetables, *fluid*, mode of feeding
*MNA*, *NSI* & *GNRI* - ANSWER: *Mini Nutritional Assessment*, *Nutritional
Screening Initiative* & *Geriatric Nutritional Risk Index* (screening tools used for
ELDERLY pt's)
*GNRI* (Geriatric Nutritional Risk Index) - ANSWER: *serum albumin*, weight
changes
*MST* (Malnutrition Screening Tools) - ANSWER: *acute, hospitalized adult*
population- evaluates:
recent weight loss
recent poor dietary intake/appetite
*NRS* (Nutrition Risk Screening) - ANSWER: *medical-surgical hospitalized* patients,
>70 yrs; evaluates
*BMI*
% weight loss
intake
*MUST* (Malnutrition Universal Screening Tool) - ANSWER: BMI, unintentional
weight loss, *effect of ACUTE disease* on *intake* for *>5 days*
Nutrition assessment is initiated by... - ANSWER: referral/screening of individuals or
groups for nutritional risk factors
makes *comparisons* between *data collected* & reliable *standards*
is an *on-going, dynamic process* that involves *continual reassessment* & analysis
of patient/client/group needs - ANSWER: nutrition *assessment*
______ provides the *basis* for the *nutrition diagnosis* - ANSWER: nutrition
*ASSESSMENT*
What are the 3 components of *assessment*? - ANSWER: *review*, *cluster*,
*identify*
-REVIEW data for factors that affect nutritional/health status
-CLUSTER data for comparison with characteristics of suspected dx
-compare indicators to IDENTIFIED standards
Assessment data is *clustered* for... - ANSWER: *comparison* with characteristics
of a suspected dx- clustered into:
-*food/nutrition related hx*
-*anthropometrics*
,-*lab/medical tests*
-*nutrition-focused physical findings*
-*client hx*
Assessment data indicators are compared to... - ANSWER: identified standards and
criteria for interpretation and decision-making
Assessment measures... - ANSWER: indicators and compares against criteria
Indicators are... - ANSWER: clearly defined markers that can be observed and
measured
Indicators are *also used* to *monitor and evaluate* progress towards... - ANSWER:
nutrition outcomes
What are *indicators compared against*? - ANSWER: *Nutrition care criteria*
What are *indicators* (in the NCP)? - ANSWER: *what we will measure during
assessment*: i.e. intake, height, weight
*24-hr recall* is useful in what setting? - ANSWER: *clinical* setting
Food frequency lists measure... - ANSWER: how often an item is consumed
*Food frequency* lists are useful in what setting? - ANSWER: *Community*
*Food frequency* lists are a *quick* way to determine intakes on... - ANSWER:
*LARGE NUMBERS of people*
*Food frequency lists* are what type of assessment? - ANSWER: *POPULATION
assessment*
Anthropometric measurements = - ANSWER: body structure
What does the Hamwi equation estimate? - ANSWER: Desirable body weight
Women IBW - MEDIUM !! frame - ANSWER: 100# for first 5 feet + 5# for each
additional inch
Women IBW - SMALL !! frame - ANSWER: Subtract 10%
Women IBW - LARGE !! frame - ANSWER: Add 10%
Men IBW - MEDIUM !! frame - ANSWER: 106# for first 5 feet + 6# for each additional
inch
Men IBW - SMALL !! frame - ANSWER: Subtract 10%
, Men IBW - LARGE !! frame - ANSWER: Add 10%
IBW with amputations: *entire leg* (AKA) - ANSWER: *16%* (10-16%)of body wt
IBW with amputations: *lower leg* with foot (*BKA*) - ANSWER: *6%* of body wt
IBW with amputations: *entire arm* - ANSWER: *5%* of body wt
IBW with amputations: *forearm* with hand - ANSWER: *2.3%* of body wt
Adjusted IBW for amputations = - ANSWER: (100-% amputation)/100 x IBW for
original ht
IBW for spinal cord injury: *QUADRIPLEGIC* (all 4 limbs paralyzed, neck-down) -
ANSWER: Reduce by *10-15%*
IBW for spinal cord injury: *paraplegic* (2 limbs paralyzed) - ANSWER: Reduce by *5-
10%*
% wt change stresses what? - ANSWER: SIGNIFICANCE of wt changes:
>2% in 1 week
>5% in 1 month
>7.5% in 3 months
>10% in 6 months
>20% in 1 year
% wt change ASSESSES... - ANSWER: NUTRITIONAL RISK !!
*TSF* - *triceps skinfold thickness* measures... - ANSWER: body *fat* reserves,
*CALORIE reserves*
*TSF* (triceps skinfold thickness, fat) *standards* for M & F - ANSWER: M *12.5*mm
F *16.5*mm
*AMA* - *arm muscle area* measures - ANSWER: skeletal *muscle* mass,
*SOMATIC protein*
*somatic* vs *visceral* protein - ANSWER: somatic= *skeletal muscle*
visceral= *NON-muscular* protein making up *organs*, structural components &
*blood* (e.g. transport/storage proteins, albumin, transferrin, CRP, etc)
When is *AMA* (arm muscle area) important to measure? - ANSWER: in *growing
children* (useful in identifying possible *PEM*)
LATEST COMPLETE EXAMS QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|AGRADE
What is the Nutrition Care Process? (NCP) - ANSWER: A standardized, consistent
structure and framework used to provide nutrition care
What are the 4 steps of the NCP? - ANSWER: 1. Assess, diagnose, intervene, monitor,
and evaluate (ADIME)
Each step of the ADIME requires ______ thinking - ANSWER: critical
Nutrition screening is use of preliminary nutrition assessment techniques to identify
people who are... - ANSWER: malnourished or at risk for malnutrition
Who can participate in nutrition screening? - ANSWER: ALL HEALTH CARE TEAM
MEMBERS - not a part of the four step process, but serves a supportive role
How long does nutrition screening take? - ANSWER: Brief (5-10 mins)
The Joint Commission states that nutrition risk identified in hospitalized patients
within _____ hrs of admission - ANSWER: 24
Joint commission does not mandate a METHOD of... - ANSWER: screening
What are the 7 screening tools? - ANSWER: -*SGA* (Subjective Global Assessment)
-*MNA* (Mini Nutritional Assessment, *elderly*)
-*NSI* (Nutrition Screening Initiative, *elderly*)
-*GNRI* (Geriatric Nutritional Risk Index, *elderly*)
-*MST* (Malnutrition Screening Tool-acute, hospitalized adult pt's)
-*NRS* (Nutrition Risk Screening- medical & surgical hospitalized pt's)
-*MUST* (Malnutrition Universal Screening Tool)
*SGA* (Subjective) looks at - ANSWER: *NO lab values*: talking, looking
*SGA* (Subjective Global Assessment) - ANSWER: history, intake, weight change, *GI
symptoms*, *functional capacity*, *physical appearance*, *edema*, & *primary
diagnosis*
Which 3 nutrition *screening tools* are specifically used for *elderly* patients? -
ANSWER: *MNA* (Mini Nutritional Assessment)
*NSI* (Nutrition Screening Initiative)
& *GNRI* (Geriatric Nutritional Risk Index)
NRS (Nutrition Risk Screening, also technically for pt's >70 yrs)
,*MNA* (Mini Nutritional Assessment) - ANSWER: specifically for ELDERLY pt's (*≥65
yrs*)- evaluates *independence*, *medications*, *# of full meals* consumed each
day, *protein intake*, fruits & vegetables, *fluid*, mode of feeding
*MNA*, *NSI* & *GNRI* - ANSWER: *Mini Nutritional Assessment*, *Nutritional
Screening Initiative* & *Geriatric Nutritional Risk Index* (screening tools used for
ELDERLY pt's)
*GNRI* (Geriatric Nutritional Risk Index) - ANSWER: *serum albumin*, weight
changes
*MST* (Malnutrition Screening Tools) - ANSWER: *acute, hospitalized adult*
population- evaluates:
recent weight loss
recent poor dietary intake/appetite
*NRS* (Nutrition Risk Screening) - ANSWER: *medical-surgical hospitalized* patients,
>70 yrs; evaluates
*BMI*
% weight loss
intake
*MUST* (Malnutrition Universal Screening Tool) - ANSWER: BMI, unintentional
weight loss, *effect of ACUTE disease* on *intake* for *>5 days*
Nutrition assessment is initiated by... - ANSWER: referral/screening of individuals or
groups for nutritional risk factors
makes *comparisons* between *data collected* & reliable *standards*
is an *on-going, dynamic process* that involves *continual reassessment* & analysis
of patient/client/group needs - ANSWER: nutrition *assessment*
______ provides the *basis* for the *nutrition diagnosis* - ANSWER: nutrition
*ASSESSMENT*
What are the 3 components of *assessment*? - ANSWER: *review*, *cluster*,
*identify*
-REVIEW data for factors that affect nutritional/health status
-CLUSTER data for comparison with characteristics of suspected dx
-compare indicators to IDENTIFIED standards
Assessment data is *clustered* for... - ANSWER: *comparison* with characteristics
of a suspected dx- clustered into:
-*food/nutrition related hx*
-*anthropometrics*
,-*lab/medical tests*
-*nutrition-focused physical findings*
-*client hx*
Assessment data indicators are compared to... - ANSWER: identified standards and
criteria for interpretation and decision-making
Assessment measures... - ANSWER: indicators and compares against criteria
Indicators are... - ANSWER: clearly defined markers that can be observed and
measured
Indicators are *also used* to *monitor and evaluate* progress towards... - ANSWER:
nutrition outcomes
What are *indicators compared against*? - ANSWER: *Nutrition care criteria*
What are *indicators* (in the NCP)? - ANSWER: *what we will measure during
assessment*: i.e. intake, height, weight
*24-hr recall* is useful in what setting? - ANSWER: *clinical* setting
Food frequency lists measure... - ANSWER: how often an item is consumed
*Food frequency* lists are useful in what setting? - ANSWER: *Community*
*Food frequency* lists are a *quick* way to determine intakes on... - ANSWER:
*LARGE NUMBERS of people*
*Food frequency lists* are what type of assessment? - ANSWER: *POPULATION
assessment*
Anthropometric measurements = - ANSWER: body structure
What does the Hamwi equation estimate? - ANSWER: Desirable body weight
Women IBW - MEDIUM !! frame - ANSWER: 100# for first 5 feet + 5# for each
additional inch
Women IBW - SMALL !! frame - ANSWER: Subtract 10%
Women IBW - LARGE !! frame - ANSWER: Add 10%
Men IBW - MEDIUM !! frame - ANSWER: 106# for first 5 feet + 6# for each additional
inch
Men IBW - SMALL !! frame - ANSWER: Subtract 10%
, Men IBW - LARGE !! frame - ANSWER: Add 10%
IBW with amputations: *entire leg* (AKA) - ANSWER: *16%* (10-16%)of body wt
IBW with amputations: *lower leg* with foot (*BKA*) - ANSWER: *6%* of body wt
IBW with amputations: *entire arm* - ANSWER: *5%* of body wt
IBW with amputations: *forearm* with hand - ANSWER: *2.3%* of body wt
Adjusted IBW for amputations = - ANSWER: (100-% amputation)/100 x IBW for
original ht
IBW for spinal cord injury: *QUADRIPLEGIC* (all 4 limbs paralyzed, neck-down) -
ANSWER: Reduce by *10-15%*
IBW for spinal cord injury: *paraplegic* (2 limbs paralyzed) - ANSWER: Reduce by *5-
10%*
% wt change stresses what? - ANSWER: SIGNIFICANCE of wt changes:
>2% in 1 week
>5% in 1 month
>7.5% in 3 months
>10% in 6 months
>20% in 1 year
% wt change ASSESSES... - ANSWER: NUTRITIONAL RISK !!
*TSF* - *triceps skinfold thickness* measures... - ANSWER: body *fat* reserves,
*CALORIE reserves*
*TSF* (triceps skinfold thickness, fat) *standards* for M & F - ANSWER: M *12.5*mm
F *16.5*mm
*AMA* - *arm muscle area* measures - ANSWER: skeletal *muscle* mass,
*SOMATIC protein*
*somatic* vs *visceral* protein - ANSWER: somatic= *skeletal muscle*
visceral= *NON-muscular* protein making up *organs*, structural components &
*blood* (e.g. transport/storage proteins, albumin, transferrin, CRP, etc)
When is *AMA* (arm muscle area) important to measure? - ANSWER: in *growing
children* (useful in identifying possible *PEM*)
