You are observing a student on B placement undertaking a consultation with a service user who was admitted 4 days ago to the gastroenterology ward with acute vomiting and severe abdominal pain. The service user is currently undergoing investigation and does not yet have a confirmed diagnosis and there are no plans for discharge at this time. He has no previous medical history. Whilst the vomiting is now under control, the abdominal pain remains. He has been referred to the dietetic service due to a MUST score of 3 (his BMI is now 17kg/m2 and his recent weight loss is 10%). Since admission, he has been eating very little, and also dislikes the hospital food. During the student’s assessment of the service user, the student gathers detailed information on weight history and is able to collect other anthropometric data from the nursing notes. The student performs well in gathering and understanding the current clinical picture, is able to interpret the blood biochemistry, although forgets to record blood glucose level, and carefully reviews the food record charts that have been collected since admission to hospital, both qualitatively and quantitatively. During the consultation, you note that the student doesn’t enquire regarding the home situation of the patient e.g. family circumstances, cooking facilities, who does the cooking, etc. All other aspects of the ‘assessment’ step of the N&D Care Process are performed to an acceptable standard. You need to decide how to score the student with regard to competency B3 for this consultation. Do you: *
