during nutritional counseling it is most important to

ATI RN

Proctored Nutrition ATI

1. During nutritional counseling, what is the most important step to take?

A. Consult the patient's family
B. Formulate a sample diet plan before presenting it to the patient
C. Include members of the dental team in the dietary formulation
D. Include the patient in the formulation of the dietary plan

Correct answer: D

Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.

2. Much of the research investigating probiotics and intestinal illness has focused on the prevention and treatment of _____.

A. irritable bowel syndrome
B. Crohn's disease
C. diverticulitis
D. infectious diarrhea

Correct answer: D

Rationale: The correct answer is 'D: infectious diarrhea.' Research has extensively explored the use of probiotics in the prevention and treatment of infectious diarrhea. Probiotics can aid in restoring the balance of gut flora, thereby reducing symptoms. Choices A, B, and C are incorrect because while probiotics may have some benefits for these conditions, the primary focus of research in relation to probiotics and intestinal illness has been on infectious diarrhea.

3. A factor contributing to the risk for dehydration in the older adult is that _____.

A. drinking fluids causes loss of bladder control
B. older adults do not seem to notice mouth dryness as readily as younger people
C. increased fluid intake will decrease the intake of nutrient-dense foods
D. changes in intestinal motility contribute to excess fluid loss

Correct answer: C

Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.

4. A healthcare professional is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the healthcare professional that the client is experiencing Fluid Volume Deficit?

A. Hct 53%
B. Potassium 3.5
C. Sodium 145
D. HbA1c 5

Correct answer: A

Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit. Hct measures the percentage of red blood cells in the blood and increases when there is a decrease in plasma volume, as seen in fluid volume deficit. Choices B, C, and D do not directly relate to fluid volume status. Potassium and sodium levels are more indicative of electrolyte imbalances, while HbA1c reflects average blood sugar levels over the past 2-3 months and is not specific to fluid volume status.