(Test Bank) Nutrition Therapy and Pathophysiology

Nelms, 3

Medicine

Test Bank

3rd Edition

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Test Bank for Nutrition Therapy and Pathophysiology, The downloadable file consists of 460 pages, and the total size of the file is 6.56 MB. Purchase now only for highly discounted price.

Author(s): Nelms

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Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 1 Test Bank for Nutrition Therapy and Pathophysiology, 3rd Edition by Nelms True / False 1. The Scope of Practice encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform. a. True b. False ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: The Registered Dietitian in Clinical Practice 2. Hospice facilities focus on integrated, multidisciplinary assistance for recovery from acute or chronic illness and/or surgical procedures. a. True b. False ANSWER: False DIFFICULTY: Bloom's: Remember REFERENCES: The Registered Dietitian in Clinical Practice 3. With a minimum of 1,000 hours of related practice and at least 90 continuing education credits, a registered dietitian may become a lactation consultant. a. True b. False ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 4. Medical doctors are commonly responsible for the initial nutrition screening of patients and for notifying the dietitian if a patient’s intake is inadequate. a. True b. False ANSWER: False DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 5. Some states provide Medicaid benefits for nutrition services, but there is significant variability between states. a. True b. False Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 2 ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 6. To provide optimal nutritional care, all aspects of a patient’s life must be considered. a. True b. False ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 7. Evidence -based practice can best be defined as purposeful, self-regulatory judgment that results in interpretation, analysis, evaluation, and inference upon which that judgment is based. a. True b. False ANSWER: False DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 8. The cognitive processes that a dietitian goes through to make clinical judgments are known as practice standards. a. True b. False ANSWER: False DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 9. The steps of the decision -making process do not necessarily take place in a particular sequence. a. True b. False ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 10. The AND’s Code of Ethics and Standards of Professional Performance requires that outcomes are measurable and evidence -based. a. True b. False ANSWER: True DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 3 Multiple Choice 11. A hospital that is owned or managed by the community or a religious organization rather than a group of investors is classified as: a. private profit. b. veterans/military. c. private not for profit. d. public not for profit. e. public for profit. ANSWER: c DIFFICULTY: Bloom's: Remember REFERENCES: The Registered Dietitian in Clinical Practice 12. What is an example of a tool used by a dietitian to track his or her professional progress as part of the Practice Management and Advancement Standard? a. Scope of Practice for the RD and DTR b. CDR Professional Development Portfolio c. Nutrition Care Process Reference Manual d. Scope of Practice Decision Tool e. Dietetics Career Development Guide ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: The Registered Dietitian in Clinical Practice 13. Reviewing productivity reports, hiring and training employees, and developing policies are all major tasks of the: a. clinical nutrition manager. b. dietetic assistant. c. clinical dietitian. d. diet clerk. e. dietetic technician (DTR) ANSWER: a DIFFICULTY: Bloom's: Remember REFERENCES: The Registered Dietitian in Clinical Practice 14. Processing diet orders, checking menus against standards, and setting up standard nourishment are all major tasks of the: a. dietetic technician (DTR) b. clinical nutrition manager. c. clinical dietitian. Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 4 d. diet clerk. e. registered dietitian nutritionist. ANSWER: d DIFFICULTY: Bloom's: Remember REFERENCES: The Registered Dietitian in Clinical Practice 15. What is an advantage of working as a registered dietitian in a long-term care facility over other settings? a. Shorter working hours due to decreased need for services b. More leadership positions available among health professionals at the same facility c. More flexibility to take paid holidays and time off on weeken ds d. More hours available for menu planning e. Greater autonomy and flexibility with scheduling ANSWER: e DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 16. One primary role of the pediatric RD is to: a. provide information about community resources for nutrition services. b. educate the child about maintaining an appropriate diet for his age. c. assist pediatric patients with performing activities of daily living. d. optimize nutrition while promoting growth and development. e. assess for and prescribe enteral feedings and total parenteral nutrition. ANSWER: d DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 17. A registered dietitian is assessing a patient who reports that it is challenging to eat because she cannot pick up the fork or knife. Who would the RD consult with regard to this issue? a. physical therapist b. occupational therapist c. nurse d. diet clerk e. social worker ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 18. In a neurological setting where swallowing problems are common, the dietitian would have to work closely with which member of the interdisciplinary team? Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 5 a. pharmacist b. physical therapist c. speech -language pathologist d. nurse e. social worker ANSWER: c DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 19. Which professional would most likely be involved with changing the amount of nutrients delivered via parenteral nutrition support? a. nurse b. occupational therapist c. pharmacist d. social worker e. speech -language pathologist ANSWER: c DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 20. A patient needs assistance with buying food after he is discharged from the hospital. Which professional should be consulted? a. pharmacist b. social worker c. medical doctor d. nurse e. speech -language pathologist ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams 21. A patient needs a prescription for total parenteral nutrition to ensure adequate electrolyte balance. This is the responsibility of the: a. nurse. b. social worker. c. occupational therapist. d. speech -language pathologist. e. medical doctor. ANSWER: e DIFFICULTY: Bloom's: Understand Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 6 REFERENCES: Other Health Professionals —Interdisciplinary Teams 22. Of those insured Americans under age 65, what percent of people have private insurance? a. 15% b. 33% c. 46% d. 64% e. 78% ANSWER: d DIFFICULTY: Bloom's: Remember REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 23. Approximately what percentage of the U.S. population did not have health insurance in 2012? a. 4% b. 15% c. 24% d. 39% e. 55% ANSWER: b DIFFICULTY: Bloom's: Remember REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 24. Under the Affordable Care Act (ACA), nutrition services are expected to expand. Why is this? a. Dietitians will need to conduct fewer screening exams. b. There will be a decreased need for treatment of malnutrition. c. There will be more requirements for preventative services. d. Families will be required to pay for nutrition services. e. Individual state programs will no longer serve low-income Americans. ANSWER: c DIFFICULTY: Bloom's: Apply REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 25. The dietitian’s knowledge base: a. is fulfilled upon graduation from an accredited school. b. remains at a level of minimum standards based on the Accreditation Standards for Didactic Programs in Nutrition. c. constantly expands and evolves in order to apply to new practice developments. d. is diminishing due to current evidence -based practices. e. is considered insufficient until s/he has finished a dietetics internship. ANSWER: c Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 7 DIFFICULTY: Bloom’s: Analyze REFERENCES: Developing Critical Thinking Skills and Professional Performance 26. One step used in the scientific method competency is to: a. assess all options before collecting data. b. weigh the options against standard sets of criteria. c. consider the consequences of a decision. d. test the hypothesis through experimentation. e. make a final conclusion. ANSWER: d DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance 27. The dietitian’s continuing education and reflection on the practice are examples of which component of critical thinking? a. specific knowledge base b. experience c. competence d. attitudes e. intellectual standards ANSWER: a DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 28. Learning from patients, observations, and interactions with other health professionals are examples of which component of critical thinking? a. specific knowledge base b. competence c. experience d. attitudes e. intellectual standards ANSWER: c DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 29. The ability to identify problems and make decisions regarding the most appropriate solutions is an example of which component of critical thinking? a. specific knowledge base b. competence c. experience Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 8 d. attitudes e. intellectual standards ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 30. The decision -making process includes: a. identifying a phenomenon. b. formulating a hypothesis. c. weighing each option against a set of criteria. d. testing a hypothesis through experimentation. e. evaluating a hypothesis. ANSWER: c DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance 31. A dietitian has completed an assessment on a patient and determined that he is not meeting his intake needs. The patient is prescribed a nutritional supplement. A few days later, the dietitian visits him to see if he is drinking the provided supplement. During this visit, the dietitian is: a. identifying a phenomenon. b. testing a hypothesis. c. formul ating a hypothesis. d. describing a phenomenon. e. evaluating the hypothesis. ANSWER: e DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance 32. The incorporation of systematically reviewed scientific findings into food and nutrition practice is known as: a. scientific inquiry. b. research methods. c. evidence -based practice. d. continuing education. e. data-driven analysis. ANSWER: c DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 33. What is a systematically developed statement based on scientific evidence that assists practitioner and patient decisions about appropriate health care for specific clinical circumstances? Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 9 a. guideline b. diagnostic c. evidence -based rule d. scientific analysis e. decision report ANSWER: a DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 34. What term refers to a series of clinical judgments that result in an informal judgment or a formal diagnosis? a. problem solving b. decision making c. diagnostic reasoning d. critical thinking e. evidence -based practice ANSWER: c DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 35. A patient has cirrhosis of the liver. The dietitian plans specific nutrition interventions for her, and continues to monitor her and observe for clinical and laboratory values that are consistent with cirrhosis. This type of thinking is most reflective of: a. risk taking. b. diagnostic reasoning. c. problem solving. d. decision making. e. continuing education. ANSWER: b DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance 36. A clinical dietitian attends a nutrition conference and another dietitian presents her research in a specific area of nutrition science. The clinical dietitian then implements what she has learned into practice at her facility. This is an example of: a. evidence -based practice. b. outcomes research. c. nutritional diagnosis. d. the nutrition coding process. e. the decision -making process. ANSWER: a Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 10 DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance 37. The dietitian’s values, fairness, and responsibility in reaching solutions are most indicative of which component of critical thinking? a. specific knowledge base b. attitudes c. experience d. competence e. intellectual standards ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 38. Admitting limitations, rethinking a situation, and seeking additional knowledge illustrate which type of attitude? a. creativity b. risk taking c. fairness d. curiosity e. humility ANSWER: e DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 39. Evaluation of care that focuses on the status of participants after receiving care is known as: a. the scientific method. b. outcomes research. c. nutritional diagnosis. d. the nutrition coding process. e. medical problem solving. ANSWER: b DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 40. Application of intellectual standards focuses on: a. a rigorous approach to critical thinking. b. utilizing personal beliefs to make decisions. c. continuing education to promote effective practice. d. limited use of clinical education and extensive personal knowledge. Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 11 e. an understanding of values and beliefs. ANSWER: a DIFFICULTY: Bloom's: Analyze REFERENCES: Developing Critical Thinking Skills and Professional Performance 41. What is one type of intellectual standard that universally applies to critical thinking? a. humility b. confidence c. accuracy d. fairness e. curiosity ANSWER: c DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 42. The practice of always asking “why?” and finding out as much information as possible before making a judgment most illustrates which attitude? a. creativity b. curiosity c. discipline d. integrity e. fairness ANSWER: b DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 43. An entry -level dietitian’s level of critical thinking will most likely involve: a. following rules set forth by authorities. b. avoiding the use of critical thinking for decision -making. c. assuming that the judgments of more seasoned dietitians are correct. d. disconnecting from authorities and using her own judgment. e. allowing others to make critical decisions until she is in a management position. ANSWER: a DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance Case Study Multiple Choice Ms. Lopez is a widowed 68-year-old Nicaraguan woman, and an immigrant who has lived in the United States for ten years. She lives in a second -floor walk -up apartment with her daughter and son- in-law and their four children. Ms. Lopez is admitted to the hospital, is diagnosed with a stroke, and Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 12 has weakness in her left side. She complains of coughing when she drinks and feels that food sometimes gets caught in her throat. She has diabetes and high blood pressure and is on several oral medications. She does not, however, check her sugar because she does not feel comfortable pricking her finger. Her body mass index (BMI) is 33. Ms. Lopez is undocumented and uninsured. 44. Assessing whether Ms. Lopez’s left-sided weakness is affecting her ability to perform activities of daily living is the job of which member of the interdisciplinary team? a. occupational therapist b. nurse c. social worker d. speech -language pathologist e. medical doctor ANSWER: a DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams PREFACE NAME: Ms. Lopez 45. Assessing whether Ms. Lopez has any difficulty swallowing is the job of which member of the interdisciplinary team? a. pharmacist b. nurse c. social worker d. speech -language pathologist e. medical doctor ANSWER: d DIFFICULTY: Bloom's: Understand REFERENCES: Other Health Professionals —Interdisciplinary Teams PREFACE NAME: Ms. Lopez 46. The dietitian has assessed Ms. Lopez and identified a potential problem with her food and fluid intake because of her stroke. What best describes the next step of the scientific method of problem solving in this situation? a. Formulate a hypothesis. b. Evaluate a hypothesis. c. Collect data about the phenomenon. d. Test the hypothesis. e. Identify the phenomenon. ANSWER: c DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance PREFACE NAME: Ms. Lopez Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 13 47. The dietitian recommends a soft food diet and the physician has ordered a swallowing study for Ms. Lopez. After 24 hours on the diet, the dietitian checks with the staff to determine if Ms. Lopez has been finishing her food and contacts the physician to determine the outcome of the swallowing study. This process of monitoring and following up best illustrates: a. evidence -based practice. b. outcomes research. c. medical problem solving. d. scientific reasoning. e. diagnostic reasoning. ANSWER: e DIFFICULTY: Bloom's: Analyze REFERENCES: Developing Critical Thinking Skills and Professional Performance PREFACE NAME: Ms. Lopez 48. A diabetic educator works with the clinical dietitian to help Ms. Lopez learn to check her blood glucose levels. Ms. Lopez is still unsure about pricking her finger for the glucose test and asks the dietitian to explain why she must be responsible for this. The dietitian explains to Ms. Lopez the importance of blood sugar testing and backs up the information given by the diabetic educator. The response of the dietitian best describes which attitude? a. creativity b. confidence c. perseverance d. risk taking e. precision ANSWER: b DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance PREFACE NAME: Ms. Lopez 49. The dietitian should ensure that a nutritional diagnosis is ____ and ____ the assessment data collected. a. error -free; critical of b. open -ended; critical of c. open -ended; consistent with d. plausible; critical of e. plausible; consistent with ANSWER: e DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 14 50. The attitude of thinking independently is best demonstrated by: a. listening to both sides of a discussion. b. admitting limitations. c. asking for help when needed. d. not settling for quick solutions. e. basing decisions on your own conclusions. ANSWER: e DIFFICULTY: Bloom's: Apply REFERENCES: Developing Critical Thinking Skills and Professional Performance Completion 51. A(n) _______________ health care facility is often owned or managed by the county or state government. ANSWER: public not for profit DIFFICULTY: Bloom's: Remember REFERENCES: The Registered Dietitian in Clinical Practice 52. The three components of the Scope of Practice are Practice Management and Advancement, Practice Resources, and _______________. ANSWER: Practice Standards DIFFICULTY: Bloom's: Understand REFERENCES: The Registered Dietitian in Clinical Practice 53. Examples of _______________ include the National Guideline Clearinghouse and the Evidence Analysis Library. ANSWER: Practice Resources DIFFICULTY: Bloom's: Understand REFERENCES: The Registered Dietitian in Clinical Practice 54. A health professional who requires a four-year post-bachelor degree, an internship and residency, and licensing to practice, is a(n) _______________. ANSWER: medical doctor, physician DIFFICULTY: Bloom's: Remember REFERENCES: Other Health Professionals —Interdisciplinary Teams 55. A licensed health professional who compounds and dispenses medications is called a(n) _______________. ANSWER: pharmacist DIFFICULTY: Bloom's: Remember REFERENCES: Other Health Professionals —Interdisciplinary Teams Chapter 01 - Role of the Dietitian in the Health Care System Copyright Cengage Learning. Powered by Cognero. Page 15 56. Currently, the system of health care in the United States is structured around _______________. ANSWER: health insurance DIFFICULTY: Bloom's: Understand REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 57. The _______________ extends the availability of health insurance to all Americans. ANSWER: Affordable Care Act (ACA), ACA, Affordable Care Act DIFFICULTY: Bloom's: Understand REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 58. Individual state _______________ programs are expanding to serve lower -income Americans. ANSWER: Medicaid DIFFICULTY: Bloom's: Understand REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 59. Under the _______________, children 3–18 years old and their families will be able to see an RD for nutrition counseling. ANSWER: Alliance Healthcare Initiative DIFFICULTY: Bloom's: Remember REFERENCES: Health Care Services and Reimbursement for Medical Nutrition Therapy (MNT) 60. Nutritional care requires _______________ among members of the entire health care team. ANSWER: collaboration DIFFICULTY: Bloom's: Understand REFERENCES: Developing Critical Thinking Skills and Professional Performance 61. Five components have been identified as essential in critical thinking: specific knowledge base, experience, competencies, attitudes, and _______________. ANSWER: standards DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 62. The path to becoming an RD requires both _______________ and _______________. ANSWER: education; practice practice; education DIFFICULTY: Bloom's: Remember REFERENCES: Developing Critical Thinking Skills and Professional Performance 63. The dietitian must reflect on her or his practice in order to anticipate and react appropriately to _______________.