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19. The Nutrition Prescription is included in which step of the Nutrition Care Process? O A. Assessment 12. Identify the problem below that is not a nutrition diagnosis? O A. Inadequate carbohydrate intake O B. Diagnosis OC. Intervention OB. Food and Nutrition related knowledge deficit OC. Not ready for diet/Lifestyle change OD. Type 2 Diabetes Mellitus with gastroparesis OD. Monitoring and Evaluation 11. Identify the etiology portion of the PES statement Inadequate Energy Intake related to decreased ability to consume sufficient energy secondary to chronic COPD as evidenced by consuming less than 75% of estimated needs for one month, weight loss of 5% in one month, reported lack of appetite. O A. Inadequate Energy Intake OB. Etiology is not documented OC. decreased ability to consume sufficient energy secondary to chronic COPD OD. consuming less than 75% of estimated needs for one month, weight loss of 5% in one month, reported lack of appetite. Case Study A 42-year old female with medical diagnosis of Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, and Obesity. BMI 38 has been referred to the RDN for outpatient Medical Nutrition Therapy services. The patient was newly diagnosed one month ago following routine tab work and reports a family history of diabetes and heart disease. Patient takes a statin, fish oil supplement, a daily multivitamin, and was started on metformin upon diagnosis. She is a single parent of 2 children works varying shifts and frequently relies on frozen meals and convenience options. She is not routinely exercising at this time. Hemoglobin Alc8.096 Total Cholesterol 212 mg/dl. Low-density lipoprotein 140 mg/dL High-density lipoprotein 32 mg/dL Triglycerides 172 mg/dl. 24hour food recall revealed: • Breakfast: 1 large glass orange juice, bagel with 3 tbsp cream cheese, 1 banana, yogurt • Lunch: 1 energy drink, 1 single serve bag of chips, 1 small candy bar • Dinner: 1 regular soda3 pieces of frozen pepperoni pizza, 2 cheese sticks with dipping sauce • Snacks: potato chips, mixed fruit cup. C chocolate ice cream • Beverages: water, orange juice, apple juice, coffee, energy drinks/regular soda . She confirms this is accurate representation of a typical day however she does at time skip meals related to her work schedule 24. Which domain and nutrition diagnosis is appropriate for the case above? O A. Behavioral-Environmental, Not ready for diet and Lifestyle Change OB. Clinical, Environmental Disordered eating pattern O C. Intake, Excessive carbohydrate intake OD. Clinical, Overweight/Obesity
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