Practice Test GeeksCSG - Certified Specialist in Gerontological Nutrition Practice Test
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Care Planning for Older Adults Flashcards

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  1. A 90-year-old nursing home resident with well-controlled type 2 diabetes is losing weight on a 1,800 kcal consistent-carbohydrate diet. What is the most appropriate care plan change?

    Answer: Liberalize the diet to a regular diet with consistent meal timing

    Liberalized diets are recommended for frail older adults in long-term care to improve intake and quality of life while monitoring glucose.

  2. According to the American Geriatrics Society, what is the recommended approach for a person with advanced dementia who has eating difficulties?

    Answer: Careful hand feeding

    AGS recommends careful hand feeding because tube feeding does not improve survival, aspiration, or comfort in advanced dementia.

  3. A resident with decision-making capacity refuses a prescribed pureed diet recommended after a swallow study. What should the care plan reflect?

    Answer: Document informed refusal, educate on risks, and plan risk-reduction strategies

    Residents have the right to refuse; the team documents informed choice and mitigates risk.

  4. Which form translates a seriously ill patient's treatment preferences, including artificial nutrition, into actionable medical orders?

    Answer: POLST

    POLST (Physician Orders for Life-Sustaining Treatment) is a portable medical order set covering artificial nutrition preferences.

  5. Which framework standardizes texture-modified foods and thickened liquids across care settings using levels 0-7?

    Answer: IDDSI

    The International Dysphagia Diet Standardisation Initiative uses a 0-7 continuum for drinks and foods.

  6. Within the Nutrition Care Process, which step involves tracking indicators to determine whether goals are being met?

    Answer: Nutrition Monitoring and Evaluation

    Monitoring and Evaluation measures progress toward expected outcomes and prompts care plan revision.

  7. Which federal F-tag addresses a nursing facility's obligation to maintain acceptable parameters of nutritional status and hydration?

    Answer: F692

    F692 covers nutrition and hydration status maintenance.

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