Chapter 41 Nursing Management Obesity
Chapter 41: Nursing Management: Obesity
Test Bank
MULTIPLE CHOICE
1. Which statement by the nurse is most likely to help a morbidly obese 22-year-old man in
losing weight on a 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. “You are likely to notice changes in how you feel with just a few weeks of diet and exercise.” d. “Most of the weight that you lose during the first weeks of dieting is water weight rather than fat.”
ANS: C
Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A 22-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: Apply (application)
REF:
914
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 tomato slice
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:
914
Test Bank
MULTIPLE CHOICE
1. Which statement by the nurse is most likely to help a morbidly obese 22-year-old man in
losing weight on a 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. “You are likely to notice changes in how you feel with just a few weeks of diet and exercise.” d. “Most of the weight that you lose during the first weeks of dieting is water weight rather than fat.”
ANS: C
Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A 22-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: Apply (application)
REF:
914
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 tomato slice
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:
914