Nutritional Disorders, Obesity, and Bariatric Management
unit within the Adult Medical-Surgical Nursing
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Exam
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Which statement best describes the etiology of obesity?
a. Obesity primarily results from a genetic predisposition.
b. Psychosocial factors can override the effects of genetics in the etiology of
obesity.
c. Obesity is the result of complex interactions between genetic and
environmental factors.
d. Genetic factors are more important than environmental factors in the
etiology of obesity.
Correct answer: c
Rationale: The cause of obesity involves significant genetic and biologic
susceptibility factors that are highly influenced by environmental and psychosocial
factors.
The obesity classification that is most often associated with cardiovascular
health problems is
a. primary obesity.
b. secondary obesity.
c. gynoid fat distribution.
d. android fat distribution.
Correct answer: d
Rationale: Individuals with fat located primarily in the abdominal area (i.e., whose
body is apple-shaped) are at greater risk for obesity-related complications (e.g.,
heart disease) than are those whose fat is primarily located in the upper legs (i.e.,
whose body is pear-shaped). Individuals whose fat is distributed over the abdomen
and upper body (i.e., neck, arms, and shoulders) are classified as having android
obesity.
Health risks associated with obesity include (select all that apply)
a. colorectal cancer.
b. rheumatoid arthritis.
c. polycystic ovary syndrome.
d. nonalcoholic steatohepatitis.
e. systemic lupus erythematosus.
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Correct answers: a, c, d
Rationale: Health risks associated with obesity include cardiovascular disease
(related to increased low-density lipoprotein levels, increased triglyceride levels, and
decreased high-density lipoprotein levels), hypertension, sleep apnea, obesity
hypoventilation syndrome, reduced chest wall compliance, increased work of
breathing, decreased total lung capacity and functional residual capacity, type 2
diabetes mellitus (i.e., hyperinsulinemia and insulin resistance), osteoarthritis,
hyperuricemia, gout, gastroesophageal reflux disease, gallstones, nonalcoholic
steatohepatitis, fatty liver and cirrhosis, cancer (mainly breast, endometrial, kidney,
colorectal, pancreas, esophagus, and gallbladder), psychosocial problems
(employment, education, and health care), low self-esteem, withdrawal from social
interactions, and major depression.
The best nutritional therapy plan for a person who is obese is
a. the Zone diet.
b. the Atkins diet.
c. Sugar Busters.
d. foods from the basic food groups.
Correct answer: d
Rationale: Restricted food intake is a cornerstone for any weight loss or maintenance
program. A good weight loss plan should include foods from the basic food groups.
This bariatric surgical procedure involves creating a stoma and gastric pouch
that is reversible, and no malabsorption occurs. What surgical procedure is
this?
a. Vertical gastric banding
b. Biliopancreatic diversion
c. Roux-en-Y gastric bypass
d. Adjustable gastric banding
Correct answer: d
Rationale: With adjustable gastric banding (AGB), the stomach size is limited by an
inflatable band placed around the fundus of the stomach. The band is connected to a
subcutaneous port and can be inflated or deflated to change the stoma size to meet