Chapter 41: Nursing Management: Obesity

Chapter 41: Nursing Management: Obesity

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. The nurse is developing a weight loss plan for a 21-year-old patient who is morbidly
obese. Which statement by the nurse is most likely to help the patient in losing weight on
the planned 1000-calorie diet?
a. “It will be necessary to change lifestyle habits permanently to maintain weight
loss.”
b. “You will decrease your risk for future health problems such as diabetes by losing
weight now.”
c. “Most of the weight that you lose during the first weeks of dieting is water weight
rather than fat.”
d. “You are likely to start to notice changes in how you feel with just a few weeks of
diet and exercise.”
ANS: D
Motivation is a key factor in successful weight loss and a short-term outcome provides a
higher motivation. A 21-year-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: Application REF: 951
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. After the nurse has completed teaching a patient about the recommended amounts of
foods from animal and plant sources, which of these menu selections indicates that the
initial instructions about diet have been understood?
a. 3 oz of pork roast, a cup of corn, and a sliced tomato
b. A chicken breast and a cup of tossed salad with nonfat dressing
c. A 6 oz can of tuna mixed with nonfat mayonnaise and chopped celery
d. 3 oz of roast beef, 2 oz of low-fat cheese, and a half-cup of carrot sticks
ANS: A
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: Application REF: 952-953 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Health Promotion and Maintenance
Test Bank 41-2
3. When working with an obese patient who is enrolled in a behavior modification program,
which nursing action is appropriate?
a. Having the patient write down the caloric intake of each meal
b. Asking the patient about situations that tend to increase appetite
c. Encouraging the patient to eat small amounts throughout the day rather than
having scheduled meals
d. Suggesting that the patient have a reward, such as a piece of sugarless candy, after
achieving a weight-loss goal
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: Application REF: 953
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
4. Which patient behavior indicates that an overweight patient has understood the nurse’s
teaching about 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: Application REF: 952-953 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Health Promotion and Maintenance