A nurse is developing a care plan for an older adult in a ...

[chads108]

A nurse is developing a care plan for an older adult in a long-term care facility that has a nutri-tional problem. Which of the following interventions are appropriate to ensure adequate nutri-tion? (Select all that apply.)
 
  a. Assign a nursing aide to feed the resident to ensure adequate consumption of meals
  b. Supervise the resident during meals
  c. Provide a pleasant eating environment
  d. Provide nutritional supplements for the resident
  e. Assess the resident for ability to feed himself/herself

Question 2

An older adult's nutritional status is screened by a nurse using the Mini Nutritional Assessment (MNA). The older adult scores a score of 10 on the screening portion of the tool. The best ac-tion by the nurse is to:
 
  a. refer the patient to a dietician.
  b. complete the assessment portion of the tool.
  c. conduct a 72-hour calorie count.
  d. initiate nutritional supplements between meals.

[Jbrasil]

Answer to Question 1

ANS: B, C, D, E
Nurses hold an important role in ensuring adequate nutrition. Interventions that support this goal include supervision of eating, modification of the environment to be pleasing for eating, and as-sessing the individual for issues related to performance at mealtimes. Feeding a resident is not indicated unless it is known that the resident cannot feed himself/herself. It is important to pro-mote independence as much as possible.

Answer to Question 2

ANS: B
The MNA is both a screening tool and a detailed assessment. It is validated for use in individuals over age 65 and intended for use by professionals. If an individual scores less than a 12 on the screening portion of the tool, then the assessment portion must be completed. The assessment portion needs to be completed before any interventions or referrals are taken, as the information that is obtained in the assessment will guide the choice of interventions.

[chads108]

Thank you

[Jbrasil]

Happy to help you