Deck 16: Weight Management

Question 1

A nurse is caring for a client who has been diagnosed as obese. During conversation, the client tells the nurse that he often cannot stop himself from eating large amounts of chips and ice cream in a single sitting. The client admits feeling ashamed after eating, and often feels uncomfortably full. Which disorder should the nurse suspect?
1)Anorexia nervosa
2)Bulimia
3)Binge-eating disorder
4)Body image disturbance

Answer 1

3

Question 2

During screening, a client tells a nurse that she often cannot stop herself from eating large amounts of junk food. The client admits to using laxatives to "clear out her system" after such episodes so that she does not feel overly full. Which disorder should the nurse suspect?
1)Anorexia nervosa
2)Bulimia
3)Binge-eating disorder
4)Body image disturbance

Answer 2

2

Question 3

During assessment, a client notes that he is following a special diet for weight loss. The diet occurs in four phases that help decrease carbohydrate intake, which he believes cause him to gain weight. The client is:
1)Avoiding gluten.
2)Eating a Paleo diet.
3)Using the Atkins diet.
4)Binge eating and purging.

Answer 3

3

Question 4

A nurse is caring for an obese client who has excess weight around their buttocks, hips, and thighs. How should the nurse classify this excess weight?
1)Abdominal obesity
2)Gluteal-femoral obesity
3)Obese class 2
4)Obese class 3

Question 5

A nurse is caring for a female client with 12% body fat. Which should the nurse expect in this individual? Select all that apply.
1)Cardiac abnormalities
2)Amenorrhea
3)Decreased risk for osteoporosis
4)Increased risk for infection
5)Increased life expectancy

Question 6

A nurse is caring for a client who is trying to lose weight. The client notes that when food is available, he will always eat it. He hates "leaving wasted food on the plate." Which behavioral modification strategy would be most useful?
1)Keep a food diary.
2)Drink a glass of water before each meal.
3)Practice relaxation techniques.
4)Use smaller plates at meals.

Question 7

A nurse is caring for a morbidly obese client. When planning to transport the client, the nurse states "It will take four of us to move this client." This is an example of a ____________ problem facing someone with high body fat.
1)Predjudicial
2)Psychological
3)Medical
4)Cultural

Question 8

A client is on a weight-loss plan developed by the dietitian. Previously, the client had a gastric balloon placed in his stomach. The client also takes in a reduced amount of kilocalories per day, takes 30 to 40 minute walks each day, and keeps a food diary. Which weight-loss treatment options are the client participating in? Select all that apply.
1)Dietary therapy
2)Pharmacotherapy
3)Behavior therapy
4)Physical activity
5)Weight-loss surgery

Question 9

A nurse is caring for a client who has been diagnosed as obese. Which of the following statements made by the client indicates that he or she understands the condition?
1)My body has accumulated excess body fat in adipose fat tissue.
2)I expended more than 500 kilocalories per week, which resulted in weight gain.
3)I took in 500 kilocalories less than I expended per week, so I gained weight.
4)When I lose weight, I will not likely lose lean body mass.

Question 10

A nurse is educating a client who has been following the Atkins diet. Which information should the nurse share? Select all that apply.
1)The brain needs carbohydrates to function properly.
2)In phase 1 of Atkins, you consume almost 100 grams less of carbohydrates than what is needed.
3)Twenty percent to 30% of the kilocalories you consume should be carbohydrates.
4)Phase 4 of the Atkins diet is the only phase when you receive adequate nutrition.
5)You should be wary of diets that call for total elimination of any food group.

Question 11

A nurse is caring for a client who is suspected of having anorexia nervosa. Which symptoms should the nurse expect the client to exhibit? Select all that apply.
1)Amenorrhea
2)Constipation
3)Eats quickly
4)Excessive hair loss
5)Decreased resting energy expenditure

Question 12

The female triad is a syndrome that refers to which interrelated components? Select all that apply.
1)Disordered eating
2)Amenorrhea
3)Body image disturbance
4)Osteoporosis
5)Purging

Question 13

During assessment, a client mentions to a nurse that he is following a special diet for weight loss. The diet encourages him to restrict his diet to only items that were available to hunters and gatherers, including grass-fed meats and seasonal fruits. The client is:
1)Avoiding gluten.
2)Eating a Paleo diet.
3)Using the Atkins diet.
4)Binge-eating and purging.

Question 14

A nurse is caring for a client with a BMI of 18.
1)The client is expressing prejudice.
2)The client has a body image disturbance.
3)The client has abdominal obesity.
4)The client may face weight-related medical problems.
5) The client complains that he or she is fat, unattractive, and needs to lose weight. Which of the following does the nurse recognize about this client?

Question 15

Which are considered behavioral modifications that support weight loss by slowing down one's rate of consumption? Select all that apply.
1)Write down food that is consumed.
2)Drink a glass of water before each meal.
3)Swallow food before putting more food on the utensil.
4)Chart progress.
5)View exercise as a way to control hunger.

Question 16

A client mentions to a nurse that she is following a special diet for weight loss. The diet eliminates all forms of wheat and barley that stimulate the appetite and cause weight gain. The client is:
1)Avoiding gluten.
2)Eating a Paleo diet.
3)Using the Atkins diet.
4)Binge-eating and purging.

Question 17

A client has been prescribed orlistat for use as part of a weight-loss plan. Which is a side effect of this medication?
1)Soft stools
2)Nausea
3)Xerostomia
4)Dizziness

Question 18

To support weight loss, a client limits all food intake to one place in the home, plans food intake for each day, uses small plates for meals, and views exercise as a means to control hunger. The client is using which categories of behavior modification? Select all that apply.
1)Self-monitoring
2)Stimulus control
3)Slower eating
4)Cognitive strategy
5)Rewarding oneself

Question 19

A nurse is educating an obese client on weight loss. Which of the following statements made by the client indicate teaching has been successful? Select all that apply.
1)I have a lower risk of becoming protein-depleted during weight loss.
2)If I lose more than 2 pounds per week, it will likely be a loss of lean muscle tissue.
3)I'm more likely to lose body protein due to decreased intake rather than exercise.
4)The quicker I lose weight, the harder it will be to conserve lean muscle tissue.
5)The length of time I diet and my beginning fat content determine how much lean body mass I'll lose.

Question 20

To lose 1 pound per week, one must eat __________ fewer kilocalories per day for 7 days.
1)100
2)200
3)400
4)500