The Patient-Generated Subjective Global Assessment tool a. ...

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The Patient-Generated Subjective Global Assessment tool
 
  a. should not be used as a basis for interven-tions because the data are subjective.
  b. provides a method for assessing the psy-chosocial effects of cancer on the patient.
  c. allows for early detection of patients who have potential or actual nutritional defi-cits.
  d. allows patients to evaluate their own nu-tritional status without the input of a reg-istered dietitian.

Question 2

A meal that a patient with immunosuppression who needs to follow a low-bacterial diet should avoid is
 
  a. Caesar salad dressing with alfalfa sprouts.
  b. breakfast cereal with milk.
  c. homemade bread with butter.
  d. chicken breast sandwich with mayonnaise.

Question 3

Patients who receive bone marrow transplants often require parenteral nutrition. Some oral intake is important to help
 
  a. achieve adequate nutrient intakes.
  b. provide nutrients that cannot be infused.
  c. maintain the integrity of the small intes-tine.
  d. maintain a sense of normalcy for the pa-tient.

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Answer to Question 1

C
The Patient-Generated Subjective Global Assessment tool allows for early detection of patients who have potential or actual nutritional deficits. Some parts of the form are completed by the patient, but others are completed by the registered dietitian and the results are scored and eva-luated by a registered dietitian. The data are subjective, but are vital in recognizing early signs of malnutrition and initiating early intervention. The form does not evaluate psychosocial status.

Answer to Question 2

A
Patients with immunosuppression who need to follow a low-bacterial diet should avoid Caesar salad dressing made with raw eggs and alfalfa sprouts. Commercial dressings are safe and the other salad ingredients would be safe as long as they are washed. Breakfast cereal, pasteurized milk, homemade or store-bought bread, butter, cooked chicken, and mayonnaise may all be in-cluded as part of a low-bacterial diet.

Answer to Question 3

C
Some oral or enteral intake is important for patients receiving bone marrow transplants and pa-renteral nutrition to help maintain the integrity of the small intestine. It is possible to achieve adequate intakes using parenteral nutrition; all nutrients can be infused if parenteral nutrition is carefully planned. Oral intake does help maintain some normalcy for the patient, but this is not the main reason for using it.