Deck 9: Energy Balance

Question 1

The nurse prepares educational material for a high school class that explains how the components of food are metabolized to create energy. Which type of energy should the nurse explain is created by the metabolism of food?

A) Lactic acid
B) Calcium carbonate
C) Adenosine triphosphate
D) Potassium biphosphate

Answer 1

Adenosine triphosphate

Question 2

An adolescent client with anorexia nervosa asks why eating small amounts of food is a problem. Which response should the nurse make to this client?

A) "Eating enough food is more important than the quality of the food."
B) "Adolescent females must consume at least 3,000 kcal/day to prevent weight loss."
C) "Food contains chemical energy needed to power our bodies and maintain body temperature."
D) "There is no set amount of food we should consume daily, it depends on the individual's appetite."

Answer 2

"Food contains chemical energy needed to power our bodies and maintain body temperature."

Question 3

The nurse prepares educational material on nutrition for a community group. Which food item should the nurse explain has the most amount of calories per gram?

A) Fats
B) Protein
C) Alcohol
D) Carbohydrates

Answer 3

Fats

Question 4

The nurse is calculating the amount of calories a client should consume daily to meet energy needs. What should the nurse consider when making this calculation? (Select all that apply.)

A) Food source
B) Client's appetite
C) Basal metabolic rate
D) Client's body weight
E) Thermic effect of food

Question 5

A client is concerned about losing weight after joining a gym. Which response should the nurse make to this client?

A) "When you exercise you always lose weight."
B) "You were overweight to begin with so don't worry unless it becomes a problem."
C) "Eat a couple of candy bars before you exercise to give you extra energy and maintain your weight."
D) "Exercise requires extra energy and extra calories, so to maintain your weight you will need to eat more."

Question 6

A critically ill client has a fever. By which percent should the nurse adjust the energy expenditure calculation for every degree F for this client?

A) 5%
B) 7%
C) 12%
D) 15%

Question 7

The nurse is planning care for a critically ill client with a fever. For which reasons should the nurse adjust the energy expenditure calculation for this client? (Select all that apply.)

A) Weight
B) Appetite
C) Anorexia
D) Shivering
E) Increased temperature

Question 8

A female client with a BMI of 35 believes the weight gain is caused by menopause. Which response should the nurse make to this client?

A) "Many women gain significant amounts of weight following menopause."
B) "This may be a good time to discuss diet programs, since you are obviously overweight."
C) "Being overweight is a concern, but since you are healthy otherwise we can just watch for a while to see what happens."
D) "Women tend to gain weight as they get older, but increased exercise and cutting back on fats and sugar could help prevent other medical problems in the future."

Question 9

An adolescent with a BMI of 28 asks the school nurse for help in losing weight. Which approach should the nurse recommend for the client to reach a negative energy balance and weight loss?

A) Eating only fruits and vegetables
B) Reducing food portions to one-half of normal and exercising daily
C) Drinking only liquid dietary supplements for one month to change her metabolic rate
D) Decreasing calorie intake and increasing physical activity to promote a slow weight loss

Question 10

During regular parent-teacher conferences, the school nurse learns that many overweight students spend time at home working at the computer and watching television. Which action should the nurse take to help the students with the weight issue?

A) Plan a nutrition class for parents after school
B) Include information on obesity in health classes
C) Have a local athlete speak to students about staying fit
D) Volunteer to supervise after-school games at the playground several days a week

Question 11

An older client recovering from a serious illness would like to gain back the weight lost while hospitalized. Which action should the nurse recommend to help this client achieve positive energy expenditure? (Select all that apply.)

A) Limit alcohol consumption
B) Avoid unnecessary strenuous activity
C) Decrease intake of nutrient rich foods
D) Increase the amount of food consumed daily
E) Enhance caloric intake with high protein nutritional supplements

Question 12

A middle-aged female client is upset about not losing weight despite being active with household chores throughout the day. Which response should the nurse make to this client?

A) "As people age they tend to naturally gain weight."
B) "In order to lose weight you must increase physical exercise and reduce calories."
C) "Doing housework only utilizes about 3 calorie/min compared with 6.1 calories/min walking."
D) "Doing housework uses the same amount of calories/min as swimming, so it is a good way to lose weight."