MNT EXAM 1 STUDY GUIDE QUESTIONS AND
ANSWERS
What does a person's nutritional state indicate? - ANSWER The degree to
which the individual's physiologic nutrient needs are met--balance between food
intake and nutrient requirements.
What are the five domains of dietary risk factors that we look for? - ANSWER
1. Patterns of food and nutrition consumption, such as excessive or insufficient
intake of calories and protein, difficulty swallowing, and NPO levels above 3d.
2. Psychological and social variables, including limited literacy, cultural norms,
and addiction.
3. Physical problems such as obesity, compromised skin integrity, and
pregnancy.
4. Abnormal laboratory readings (albumin, lipid profile, hematocrit)
5. Medications include prolonged use, polypharmacy, drug-nutrient interactions,
and adverse effects.
[Full list in Table 4-2, p. 133 Krause.]
The five most widely utilized screening tools in a clinical setting: - ANSWER
Factors to consider include a history of weight loss, nutrition support, poor
intake, and chronic use of modified diets.
Skin breakdown.
What is a nutrition assessment, and what does it entail? What is the purpose? -
ANSWER An RD does a comprehensive evaluation of nutrition.
RD makes use of medical, health, social, and nutritional histories, as well as
physical exams, anthropometric measures, and laboratory data.
, The goal of the nutrition assessment is to evaluate data from the nutrition
screening and include additional information in order to make a professional
decision on nutrition status.
What are the five nutrition assessment domains? - ANSWER 1. Food and
nutrition history
2. Anthropometric measures.
3. Biochemical results, medical testing, and procedures.
4. Nutrition-related physical findings
5. Client history, including personal, social, and family medical history.
What are the objectives of the Nutrition Assessment? - ANSWER 1. To identify
individuals who need aggressive nutrition care.
2. Restore or sustain a person's nutritional wellbeing.
3. Identify the proper MNT for each individual. 4. Monitor efficacy (according
to Marg but not in the book).
What is the purpose of the Nutrition Diagnosis. What does it include? What is it
used as a foundation for? - ANSWER The Nutrition Diagnosis aims to detect,
prioritize, and document nutrition issues or needs.
Includes a short and straightforward PES statement (Problem, Etiology, Signs,
and Symptoms).
Ex: Inadequate energy intake is related to calorie intake not matching calorie
needs, as seen by a 20-pound weight loss in 20 days.
The nutrition diagnostic serves as the foundation for setting treatment goals.
What are the three DOMAINS of Nutritional Diagnostics? If there are multiple
diagnoses, which one is given priority? - ANSWER 1. Intake*: Too much or too
little of a food or nutrient compared to the actual and/or estimated (NI).
2. Clinical: Nutritional issues related to medical or physical ailments (NC).
3. Behavioral-environmental: Knowledge (NB 1.1), attitudes, beliefs, physical
environment, food access, or food safety.
*As an RD, I prioritize INTAKE diagnoses because they are specific to our job
as health care providers.