MNT Test 2 Chapter 11
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| 1. What are the four steps in the NCP? (pages 253-254) | Step 1. Nutrition Assessment
Step 2. Nutrition Diagnosis
Step 3. Nutrition Intervention
Step 4. Monitoring and Evaluation
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| 2. What is a PES statement? (page 255) | Simple and clear statement (Problem, Etiology, Signs and Symptoms)
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| 3. What are the two steps in Intervention? (pages 255, 258) | Planning and Implementation
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| 4. What criteria should intervention goals meet? (page 258) | The what where when and how of the care plan
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| 5. What is TJC’s requirement for nutrition screening? (page 259) | That Nutrition Screening be completed with 24 hours of admission to acute care, but does not mandate a method to accomplish screening.
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| 6. What is TJC’s requirement for establishing appropriate nutrition care? (page 260) | screening of patients for nutritional needs, developing a ncp, ordering and communicating the diet order, preparing and distributing the diet order, monitoring the process and continually reassessing and improving the ncp
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| 7. What is a POMR? (page 260) | (Problem-oriented medical records) It is organized according to the patient’s primary problems.
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| 8. What is ADIME? (page 260) | (Assessment, Diagnosis, Interventions, Monitoring, Evaluation Format) Used by many nutrition departments to reflect steps of the NCP.
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| 9. Identify the 12 guidelines for documentation in a hospital setting. (pages 260, 266) | See handout
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| 10. What is an EHR? (page 266) | (Electronic Health Record) Describes information systems that contain all the health information for an individual
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| 11. When will all health care providers use EHR’s? (page 266) | By 2014
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| 12. Discuss customization of the EHR. (page 267) | Customization capabilities vary depending on vendor contracts. RDs managing nutrition services must be involved in EHR system decisions at the very beginning, prior to communication of a request for proposals to potential vendors.
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| 13. How does HIPAA protect your health information? (page 268) | It defined and developed national standards that maintain the privacy of protected health information.
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| 14. What is a DRG? (page 268) | Diagnostic-related groups (Method of reimbursement), A facility receives payment for a patients admission based on the principal diagnosis, secondary diagnosis (comorbid conditions), surgical procedure (if appropriate), and age and gender of patient.
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| 15. What are standards of care? (page 268) | Are sets of recommendations serve as a guide for defining appropriate care for a patient with a specific diagnosis or medical problem.
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| 16. What are critical pathways? (page 268) | AKA care maps, identify essential elements that should occur in the patient’s care and define a timeframe in which each activity should occur to maximize patient outcomes.
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| 17. What is utilization management? (page 268) | A system that strives for cost efficiency by elimination or reducing unnecessary test, procedures, and services.
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| 18. Identify 7 ways a hospital diet may be adjusted. (page 270) | See handout
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| 19. The regular or general diet contains how many calories? (page 270) | 1600 – 2200 kcals
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| 20. Identify consistency modifications and when these are appropriate. (page 270) | May be needed for patients who have limited chewing or swallowing ability
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| 21. The average clear liquid diet contains how many calories and grams of protein? (page 271) | 500 – 600 kcals and 5 – 10 grams of protein
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| 22. Identify 5 factors which affect patient acceptance of food and meals. (page 271) | change in eating schedule, unfamiliar foods, temperature, patients medical condition, effects of medical therapy
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| 23. What is the appropriate diet restriction for a terminally ill patient? (page 272) | No restrictions, no therapy
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| 24. What are advance directives? (page 272) | The patient can advise family and health care team members of his or her individual preferences with regard to end-of-life issues.
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