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ASPEN Adult Nutrition Support Core Curriculum - Chapter Questions with Correct Answers
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ASPEN Adult Nutrition Support Core Curriculum - Chapter Questions with Correct Answers which of the following nutrition interventions have been shown to improve clinical outcomes and quality of life in institutionalized older adults? A. diet modification and liberalization B. modification of ...

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  • 2 oktober 2024
  • 102
  • 2024/2025
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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

ASPEN Adult Nutrition Support Core
Curriculum - Chapter Questions with
Correct Answers

which of the following nutrition interventions have been shown to improve clinical

outcomes and quality of life in institutionalized older adults?




A. diet modification and liberalization

B. modification of dining environment

C. provision of aides to improve functional status and increased independence at meals

D. honoring food preference and providing snacks and fortified foods

E. All of the above - Answer✔✔-E. all of the above

which of the following nutrition support interventions has demonstrated the best

outcomes in frail, community-dwelling older adults in post-operative orthopedic surgery

populations?



A. oral nutrition supplement

B. IV hydration

C. EN

D. PN - Answer✔✔-A. oral nutrition supplement




1/102

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
- oral nutrition supplements display the best outcomes in this population

- EN, PN, and IV hydration have demonstrated limited success in achieving positive

outcomes in older adults

what is the most reasonable justification to initiate EN in an individual with advanced

dementia?



A. decreased morbidity

B. specific and limited goal

C. improved mortality

D. improved quality of life - Answer✔✔-B. specific and limited goal



- EN has not been shown to be an effective intervention to decrease mortality, improve

morbidity outcomes, or improve QOL in patients with advanced dementia

- however, according to the AND, specific and realistically achievable goal may be a

reason to initiate tube feeding in and older adult with advanced dementia

of the following, which is the best currently known nutrition intervention to minimize

negative outcomes associated with sarcopenia?



A. protein supplementation

B. amino acid supplementation

C. protein adequacy

D. omega-3 fatty acid adequacy - Answer✔✔-C. protein adequacy


2/102

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024



- adequacy of protein intake seems to be the most importance nutrition-related factor in

preserving lean body mass in older adults

- the type of protein, essential AA supplementation, and omega-3 fatty acid

supplementation may all play roles in preventing sarcopenia

what is the most accurate way to determine energy requirements for obese patients in

ICU requiring EN support?



A. harris-benedict

B. IC

C. mifflin-st jeor

D. penn state equation - Answer✔✔-B. Indirect calorimetry



- most predictive equations were validated in patients without extremes of weight or age

- overestimation of energy requirements when using actual body weight and

underestimation when using IBW led to inadvertent overfeeding and underfeeding,

respectively

- efforts to account for altered body composition by using corrections for actual body

weight have led to even more confusion

- for this reason, IC should be used when available

according to most recent ASPEN and SSCM guidelines, what is the EN feeding strategy

based on energy requirements for obese people?


3/102

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024



A. hypo caloric with normal protein

B. hypo caloric with low protein

C. hypo caloric with high protein

D. hypercaloric with high protein - Answer✔✔-C. hypo caloric with high protein



- BMI >30: goal of EN should not exceed 60-70% of target energy requirements

- estimated protein requirements may be 2.0 gm/kg/day of IBW for pts with class 1-2

obesity and 2.5 gm/kg/day for pats with class 3 obesity

which of the following is criterion for selection patients to undergo gastric bypass

surgery?



A. BMI >/=35 and no history of substance abuse or psychiatric disorders

B. BMI equal to or greater than 35 and obesity-associated co-morbidities

C. BMI equal to or greater than 30 and obesity associated comobidities

D. BMI equal to or greater than 30 and inability to achieve weight control with low

calorie diets - Answer✔✔-B. BMI equal to or greater than 35 and obesity-associated

co-morbidities



- candidate if BMI >/=40 or >/=35 with co-morbidities and more conservative efforts at

weight loss have not resulted in adequate weight control




4/102

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