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Jean Inman Domain II_ Diagnosis and Intervention - Questions with Explanations of Answers
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Jean Inman Domain II_ Diagnosis and Intervention - Questions with Explanations of Answers

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  • June 16, 2024
  • 3
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • jean inman domain ii diagnosis and intervention

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Jean Inman Domain II: Diagnosis and
Intervention
3 nutrition diagnosis domains - ✅✅-clinical (NC)
intake (NI)
behavioral-environmental (NB)

Clinical NC - ✅✅ -nutritional findings/problems that relate to medical/physical
condition
-functional balance- physical or mechanical change that interferes/prevents desired
nutritional results; swallowing difficulties, altered GI fn
-biochemical balance- change in capacity to metabolize nutrients due to medications,
surgery, or indicated by lab values
-weight balance- chronic or changed wt status when compared to UBW:
underweight, involuntary wt loss, overweight

Intake NI - ✅✅-ACTUAL PROBLEMS RELATED TO INTAKE
1. CALORIC ENERGY BALANCE: actual or estimated changes in energy
(hypermetabolism, hypometabolism, increased energy expenditure)
2. ORAL OR NUTRITION SUPPORT INTAKE: inadequate or excessive compared
with goal
3. FLUID INTAKE BALANCE: inadequate or excessive compared with goal
4. BIOACTIVE SUBSTANCES: supplements, alcohol, functional foods
5. NUTRIENT BALANCE: intake of nutrients compared with desired levels

Behavioral-environmental NB - ✅✅ -Problems related to knowledge, access to food
and food safety
-Knowledge and beliefs: knowledge deficit, harmful beliefs, disordered eating
pattern, undesirable food choices
-Physical activity balance and function: inactivity, excessive exercise, impaired ability
to prepare foods
-Food safety and access

PES - ✅✅ --One problem (diagnostic label)
-One etiology (root cause) linked to problem by "Related to"
-Assessment of signs (objective data) and sxs (subjective data) linked to etiology by
"as evidenced by"

Ex of PES statement - ✅✅ -Chewing difficulty (P) related to oral surgery (E) as
evidenced by missing teeth (S).
* Select most important and urgent problem to be addressed

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