10/14/2024 11:14 PM
Lewis Med Surg Chapter 40 - Nursing
Management Obesity Exam Questions And
Correct Answers
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." - answer✔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.
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
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 - answer✔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.
Which nursing action is appropriate when coaching obese adults enrolled in a behavior
modification program?
a. Having the adults write down the caloric intake of each meal
b. Asking the adults about situations that tend to increase appetite
c. Suggesting that the adults plan rewards, such as sugarless candy, for achieving their goals
d. Encouraging the adults to eat small amounts frequently rather than having scheduled meals -
answer✔ANS: B