Chapter 40: Obesity

Chapter 40: Obesity

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which statement by the nurse is most likely to help a 22-yr-old patient with extreme obesity in losing weight on a 1000-calorie diet?

a.	“It will be necessary to change lifestyle habits permanently to maintain weight loss.”
b.	“You are likely to notice changes in how you feel after a few weeks of diet and exercise.”
c.	“You will decrease your risk for future health problems such as diabetes by losing weight now.”
d.	“Most of the weight that you lose during the first weeks of dieting is water weight rather than fat.”

 

 

ANS:  B

Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A 22-yr-old patient is unlikely to be motivated by future health problems. Telling a patient that the initial weight loss is water will be discouraging, although this may be correct. Changing lifestyle habits is necessary, but this process occurs over time, and discussing this is not likely to motivate the patient.

 

DIF:    Cognitive Level: Analyze (analysis)                                  REF:   881

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

2. After the nurse teaches a patient about the recommended amounts of foods from animal and plant sources, which menu selections indicate that the initial instructions about diet have been understood?

a.	3 oz of lean beef, 2 oz of low-fat cheese, and a sliced tomato
b.	3 oz of roasted pork, a cup of corn, and a cup of carrot sticks
c.	Cup of tossed salad and nonfat dressing topped with a chicken breast
d.	Half cup of tuna mixed with nonfat mayonnaise and a half cup of celery

 

 

ANS:  B

This selection is most consistent with the recommendation of the American Institute for Cancer Research that one third of the diet should be from animal sources and two thirds from plant source foods. The other choices all have higher ratios of animal origin foods to plant source foods than would be recommended.

 

DIF:    Cognitive Level: Apply (application)           REF:               883

TOP:   Nursing Process: Evaluation            MSC:  NCLEX: Health Promotion and Maintenance

 

3. Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification program?

a.	Having the adults write down the caloric intake of each meal
b.	Asking the adults about situations that tend to increase appetite
c.	Suggesting that the adults plan rewards, such as sugarless candy, for achieving their goals
d.	Encouraging the adults to eat small amounts frequently rather than having scheduled meals

 

 

ANS:  B

Behavior modification programs focus on how and when the person eats and de-emphasize aspects such as calorie counting. Nonfood rewards are recommended for achievement of weight-loss goals. Patients are often taught to restrict eating to designated meals when using behavior modification.

 

DIF:    Cognitive Level: Apply (application)           REF:               883

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse is coaching a community group for individuals who are overweight. Which participant behavior is an example of the best exercise plan for weight loss?

a.	Walking for 40 minutes 6 or 7 days/week
b.	Lifting weights with friends 3 times/week
c.	Playing soccer for an hour on the weekend
d.	Running for 10 to 15 minutes 3 times/week

 

 

ANS:  A

Exercise should be done daily for 30 minutes to an hour. Exercising in highly aerobic activities for short bursts or only once a week is not helpful and may be dangerous in an individual who has not been exercising. Running may be appropriate, but a patient should start with an exercise that is less stressful and can be done for a longer period. Weight lifting is not as helpful as aerobic exercise in weight loss.

 

DIF:    Cognitive Level: Analyze (analysis)                                  REF:   883

TOP:   Nursing Process: Evaluation            MSC:  NCLEX: Health Promotion and Maintenance