Certified Dietary Manager Exam Secrets Study Guide, Exams of Nutrition

Download Certified Dietary Manager Exam Secrets Study Guide and more Exams Nutrition in PDF only on Docsity! Certified Dietary Manager Exam Secrets Study Guide A CDM receives a diet order that does not match diets offered by the facility. What should the CDM do? - who is responsible to request change should be determined by facilities policies and procedures, if no policy exists confer with RDN A client complains to family members that they hate the food. The client is on a 2 gm lower sodium diet. What should the CDM do first? - -Meet with client -Discuss what their diet is/why -Relay info to RDN and RN -Discuss liberalizing diet with physician -Follow up with client -Document A client on an 1800 diabetic diet consistently has high blood glucose levels. During meal times the client is observed eating other's desserts. What is most appropriate for CDM to do? - -explain diet order to client order and why -If they still insist on eating others desserts let them -Document conversation Bc research has not shown benefits for restricting sodium, cholesterol, fat, and carbs in older adults the RDN and CDM should - individualize diets for older adults in healthcare communities to the least restricted diet What are the CMS guidelines - -client centered -liberalized diets should be the norm -interview clients -quantifiable objectives for highest level of functioning client may be expected to attain Diet orders must be written by - physician Why is it important to have a diet manual in the facility? - -establish a common resource with practice guidelines for all healthcare professionals to use as a guide when providing nutrition care or clients Menus for older adults with Alzheimers should be - individualized according to the person's ability and stage of disease, liberalized The best reason for liberalizing diets for a facility is - -can enhance quality of life and nutritional status of older adults in LTC -beneficial to minimize restrictions -general diets may improve outcomes The most relevant basis for weight related interventions in an older adult admitted to a healthcare community would be - usual body weight before admission The priority for nutrition care for most older adults living in healthcare communities is to - -prevent weight loss and malnutrition -weight loss stabilization and adequate nutrition What is the focus of the New Dining Standard Practices - person centered care at mealtime in LTC What is the primary role of the CDM regarding the diet order - -assists clients to translate clinical treatment into appropriate food choices -providing needed diets from foodservice dept -interpretation and implementation of diet order When changing facility approved diets to reflect the carb counting diet, what needs to be done first before the new menus are put in place? - -meet with RDN to determine calories count and how many carbs to be used for meals and snacks -make regular menu fit carb counting diet -educate clients/family/staff -follow up with clients Why is it important to recognize and understand medical terminology - to interpret the diet order and other client info in the medical record Steps in developing a NCP - 1. Gather Nutrition Screening/Identify Nutrition Problems 2.Assess the client 3. Complete Nutrition Screening/Assessment/MDS/Care Plan 4.Determine and Agree on Goals 5.Identify Specific Steps and Approaches 6.Communicate goals and objectives If a client who is overweight is not concerned about their weight the care plan should - not address the problem on the care plan If a client has no sig changes in the level of functioning the care plan must be reviewed how often - every quarter/90 days One key task in selecting interventions and planning step is - identify and implement interventions and treatments to address individuals physical functioning and psychosocial needs/concerns/problems and risks Should the CDM sign the MDS form - Yes they should sign with name title and date The MDS is - -starting point of the RAI