Deck 20: Weight Management

Question 1

The nurse prepares an educational seminar about eating disorders for a community group. Which should the nurse emphasize as a common risk factor for the development of eating disorders among adolescents?

A) Fad diets
B) Peer pressure
C) Bullying in school
D) Weight loss programs

Answer 1

Peer pressure

Question 2

A recently widowed client has lost 20 lbs. over the last few months. Which question should the nurse ask when assessing the client about this weight loss?

A) "Who cooks for you at home?"
B) "Would you like me to set up meals on wheels?"
C) "How are you adjusting to the loss of your spouse?"
D) "Can you afford to buy food on your social security income?"

Answer 2

"How are you adjusting to the loss of your spouse?"

Question 3

A middle-aged female client with a BMI of 29 and a history of hypertension and coronary heart disease reports binging on fast food when experiencing stress. What should the nurse include when counseling this client?

A) Start on medication to treat hypertension
B) Only keep fruits and vegetables in the house to avoid eating junk foods
C) Increase daily exercise and not worrying about occasional binges with fast food.
D) Attend a behavior modification class to learn new coping strategies to help resist eating when stressed.

Answer 3

Attend a behavior modification class to learn new coping strategies to help resist eating when stressed.

Question 4

A client being treated for several health problems is gaining weight. For which health problems might prescribed medications be causing this client's increase in body weight? (Select all that apply.)

A) Asthma
B) Epilepsy
C) Hypothyroidism
D) Raynaud's disease
E) Rheumatoid arthritis

Question 5

The mother of an adolescent is upset and criticizes the client's lack of self-control. What should the nurse include when responding to the mother?

A) Closely monitor food intake and restrict high calories foods
B) Criticism results in low self-esteem and can promote eating disorders
C) During puberty children gain weight but lose it again during adolescence
D) Talk with the teachers and make sure that junk food is not eaten when at school

Question 6

A client reports being on a popcorn diet to lose weight. What should the nurse include when responding to this client?

A) Restricting food choices is an excellent way to lose weight
B) Popcorn diets work by filling the stomach without adding calories
C) Weight loss is best accomplished by following a balanced diet with exercise
D) Popcorn is a natural food containing all the nutrients needed for a balanced diet

Question 7

A client reports giving upon on a weight loss plan because of feeling hungry all of the time. Which substitution should the nurse suggest for this client?

A) Ice cream in place of yogurt
B) Low fat in place of skim milk
C) Pretzels in place of potato chips
D) A bagel instead of two English muffin halves

Question 8

The nurse prepares teaching for a client recovering from metabolic surgery. The nurse should encourage the client to continue to take vitamin and mineral supplements to avoid the development of which health problems?

A) Diabetes, weight gain, and vitamin D deficiency
B) Hypertension, dementia, and vitamin C deficiency
C) Low levels of iron, hyperlipidemia, and vitamin A deficiency
D) Anemia, metabolic bone disease, and vitamin B12 deficiency

Question 9

The nurse prepares to assess a client recovering from metabolic surgery. For which reason should this client's bone mineral density be closely monitored?

A) Low levels of vitamin B12 cause bones to lose density
B) Clients are advised to avoid milk and milk products after surgery
C) Vitamin D is only absorbed in the stomach, not in the lower jejunum
D) Metabolic bone disease is more likely in clients who lose weight rapidly

Question 10

A client who had a biliopancreatic diversion about one year ago demonstrates an attitude change. After learning that the client stopped taking prescribed vitamin and mineral supplements, which problem should the nurse suspect that this client is experiencing?

A) Vitamin B3 deficiency that resulted in pellagra
B) Vitamin B6 deficiency that resulted in increased stress
C) Vitamin D deficiency that results in bone demineralization
D) Vitamin C deficiency that resulted in wet beri beri

Question 11

A client asks for a diet to lose 80 lbs. How should the nurse respond to this request?

A) "Losing 80 pounds is easy, it's keeping it off that is difficult."
B) "If you were really motivated you would not be asking for help."
C) "Come back when you can show me that you are ready to lose weight."
D) "Weight loss is about more than diet alone and must also include behavioral change to be successful"

Question 12

The nurse plans care for a client with anorexia nervosa. Which should the nurse identify as a focus for this client?

A) High-calorie, high-fat foods to promote weight gain
B) Emphasize a strict eating program and daily exercise
C) Improvement in eating behaviors and psychological and emotional health
D) Quick weight gain and providing a comprehensive explanation of the problem

Question 13

The nurse is assessing a client diagnosed with an eating disorder. Which findings indicates that the client is experiencing bulimia nervosa? (Select all that apply.)

A) BMI is 17
B) Lanugo noted
C) Absent gag reflex
D) Potassium level is 3.3 mEq/L
E) Apical pulse is 56 beats per minute

Question 14

An adolescent client is losing weight and is following a vegetarian eating plan. What should the nurse suspect is occurring with this client?

A) Anorexia nervosa
B) Loss of weight due to diet
C) Natural weight loss due to peer pressure
D) Loss of weight because of a growth spurt

Question 15

A client with a BMI of 33 is experiencing increasing fatigue which is attributed to a sedentary job and lifestyle. Which question should the nurse ask when beginning to assess this client and current body weight?

A) "How do you feel about your current weight status?"
B) "Do you have other family members who are obese?"
C) "Do you think that being obese contributes to your fatigue?"
D) "Have you noticed that you are more tired now that you have gained an extra 50 pounds?"

Question 16

An older client with a BMI of 33 has hypertension and hyperlipidemia. What should the nurse emphasize when discussing this client's weight and health problems?

A) Considering metabolic surgery for weight loss
B) A no-fat diet to decrease fat and cholesterol intake
C) Adhering to a low-protein diet to ensure weight loss
D) The role of weight loss and exercise in blood pressure regulation