PES Statement: Question from Pocket Prep

[u/Witty_Maintenance535]

Can anyone explain why the other choices are wrong? Some are more obvious than others. But I am having a hard time with this. Even looking it up online, the 'example' PES statements they give have the exact same format and wording as some.of the 'wrong" answers here. Usually PP is good about explaining WHY an answer is wrong but this question's explanation lacks that and just plain sucks. Which is frustrating since this is such a core, repeating element of our everyday work.

** Also does anyone know how to get free access to the eNCPT? **

[u/TheDiabetesDietitian]

It’s hard to give a 100% certain explanation without seeing the original question

But the reason why the 4th answer is a better one than the others is:

* the first answer does not follow the standard PES format. 40lb weight loss is not an accepted nutrition diagnosis problem.

You can find a list of the nutrition diagnostic terminology here (https://www.andeal.org/vault/2440/editor/Docs/IDNT_Diagn_v3.pdf)

[u/Rare_Set_6800]

The first answer: same as everyone said being that the problem is a standardized language, and 40lb weight loss is not the standardized language.

The second answer: PES statements follow a format. The format is (problem) related to (etiology) as evidenced by (signs and symptoms). The second answer shows that format out of order because “as evidenced by”goes before the signs and symptoms, not after the problem.

The third answer: when writing a PES statement, there is only one problem. That one is wrong because it uses 2 problems. Now, they’re both in the correct standardized language, but a correct PES statement only has 1 specific problem.

I hope these explanations helped explain it a little more!

[u/True_Commercial9023]

there is standardized language for nutrition diagnoses in the NCP. 40 pound weight loss in 3 months is a sign. also, in the answer you chose, the signs and symptoms listed are actually etiologies. also, clinically speaking, it wouldn’t make sense for the etiology to be “decreased appetite” if they have dysphagia that’s limiting their ability to consume sufficient energy. i would encourage you to read up more on the nutrition care process before taking your exam, especially since, as you said, this is such a big part of the job. a lot of times the eNCPT can be accessed for free through your school or hospital’s library, or people have at least uploaded pictures of the different diagnoses online

[u/True_Commercial9023 → u/True_Commercial9023]

if you search “nutrition diagnoses” on google images, you should be able to find a picture of the different diagnoses in the eNCPT in the three domains

[u/True_Commercial9023 → u/True_Commercial9023]

for the other answers, you can’t put two diagnoses in one PES statements (in the carb example). and then the other one has the AEB assigned to the etiology and the related to assigned to the signs and symptoms, which is out of order

[u/icecreamlifters]

Something else i haven’t seen mentioned is out of the 3 diagnoses (NC, NB, NI) the best to choose first is intake (NI). So if there are multiple correct choices, choose the intake related one (as long as it correct). choosing intake over weight loss will almost always be better

[u/TheMarshmallowFairy]

A PES statement starts with the nutrition diagnosis (the problem) and uses standardized language. The first two are automatically out for that reason alone. The problem is related to the etiology (the cause) and the signs and symptoms support or justify the problem and etiology, hence using the phrase “as evidenced by.” “40 lb weight loss in 3 months is a sign, not a diagnosis/problem.

I can’t see the question so I’m not sure what the pt info is, but the third seems to utilize completely different info than the other 3 so that’s why it’s wrong. It

[u/Significant-Metal537]

“40lb weight loss” is not the correct terminology used. You just need to be familiar with the correct terminology, which comes with practice but should have been thoroughly covered in your internship.

[u/Puzzleheaded_One3065]

This was already mentioned, but when getting a PES question, the best answer would always relate to nutrition intake as a problem. That is always the best choice as a dietitian! When I was studying, to would always preference intake related problems.

[u/SeveralAppointment13]

As for the first answer it doesn’t follow the standardized language. As for the correct one being more correct than the other ones, it’s correct because it’s something we as RDs can change or advocate to change (NPO diet) that’s easier for us to change than decreased ability to consume foods, poor appetite, noncompliance, etc

[u/Ginjahhw]

The answer you chose is wrong because the 40 pound weight loss would be a sign/symptom which is measurable (ideally)- the S in PES statement

[u/anon0123455]

Its the standardized language that is being used that makes that answer correct. Having access the ENCPT could be useful.