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.
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.
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