Using an NPK fertilizer on a stressed tree will just stimulate topgrowth without adding the other products that protect the tree from pests. This is why I am always pushing the "organic" emultions. (for the greeneis out there; you should see the annalysis on these thing. Fish and seaweed accumulate some interesting metals out there!) By using these broad spectrum products we provide all the parts of Mr Hopkins CaFe. This is especialy true with older landscape trees where we have removed all the shead material for ages, not paying Dr. Shigo's Taxes to the soil. NPK fert is the junkfood of the plant world.
As for the acorn crop, it could be a cyclycle thing. Some trees will have bumper crops then run thin for a few years. This is not to say that there is not a problem, but if there are no other signs of decline, such as chlorosis, early fall color, tip dieback, I would not jump to a decline or stress senario.