ALH chapter 17
The nurse has assessed a client and found an unusual amount of tooth decay. Which disorder does the nurse anticipate the client may have?
Bulimia nervosa
A client who weighs 210 pounds asks the nurse for advice on weight loss. Which reduction in daily calorie intake will the nurse recommend for the client to achieve a 2 pound per week weight loss?
1000
To lose 1 pound per week, a person must reduce their intake by how many calories per day?
500
Which condition is characterized by self-imposed fasting or severe self-imposed dieting?
Anorexia nervosa
Which of the following diets would have the fewest recommended servings of fruits and grains?
Atkins diet
When providing education regarding options for weight loss for people who are obese, the nurse will report which intervention is the most effective for severe obesity?
Bariatric surgery
A client with a BMI of 27 asks if the overweight classification applies to them. The nurse informs the client that the term overweight refers to BMIs within which range?
Between 25.0 and 29.9
The nurse is caring for a client who has been diagnosed with an eating disorder. The client is obese and often eats alone. The nurse identifies these characteristics as being consistent with which eating disorder?
Binge-eating disorder
The nurse is caring for a client who often cannot control their eating and gorges on large amounts of food. The client does not purge after bingeing. Which eating disorder does the nurse identify as in alignment with this behavior?
Binge-eating disorder
Which of the following is a similarity between anorexia nervosa and bulimia nervosa?
Both are treated with behavioral counseling.
Which of the following is a similarity between anorexia nervosa and bulimia nervosa?
Both can cause changes in heart rhythms.
The nurse educator is teaching a class on eating disorders. Which of the following teaching points is TRUE?
Bulimia nervosa may be suspected during a dental exam.
The nurse is teaching a client who has had bariatric surgery to avoid concentrated sugars. Which item will the nurse recommend the client avoid?
Corn syrup
The nurse recognizes that the client is using an ineffective weight loss strategy when the client tells the nurse they have made which change to their eating habits?
Drinking juice between meals
The nurse is providing nutritional recommendations to a client who has been diagnosed with anorexia nervosa. Which recommendation will the nurse include?
Eat small, attractive, frequent meals
When assisting a client to construct a weight-loss plan, the nurse will emphasize that setting goals serve which purpose?
Establishing targets
The nurse is seeing a client who has a BMI of 42. The nurse recognizes that this client is in which weight category?
Extremely obese
Which of the following is a difference between bulimia nervosa and binge eating disorder?
In binge eating disorder, patients binge without purging.
The school nurse is leading a workshop on eating disorders for a group of high school students. Which characteristic do the students identify as a commonality between anorexia nervosa (AN) and bulimia nervosa (BN)?
Include a distorted body image
The nurse is providing information to a client who is considering bariatric surgery. Which of the following explanation should the nurse use to describe this intervention to the client?
It works by decreasing absorption of fat, protein, and carbohydrates
The nurse is teaching a community nutrition workshop on the topic of successful weight maintenance. Which information about proven strategies for successful weight maintenance will the nurse share?
Limit TV viewing to less than 10 hours/week
A client has a BMI of 38 and has angina and diabetes. In addition to diet, physical activity, and behavior modification, which other treatment(s) is/are indicated?
Medication and surgery
Which diet is associated with a decrease in body mass index (BMI), hemoglobin A1c, fasting glucose, and fasting insulin?
Mediterranean
The nurse is providing education to a client who has been prescribed a weight-loss medication. Which medication does the nurse identify as decreasing fat absorption?
Orlistat
The nurse has calculated a client's body mass index (BMI) as part of a health assessment. The client's BMI is 25. The nurse will inform this client that their BMI is associated with which weight classification?
Overweight
The nurse is providing preoperative teaching to a client who has elected to have bariatric surgery for weight loss. The nurse explains that adjustable gastric banding and Roux-en-Y gastric bypass share which commonality?
Reduce stomach size
A patient needs to lose weight. Which of the following behavior modification strategies should the nurse recommend?
Serve food from stove to plate rather than family style.
The nurse is providing a patient with suggestions to help with weight loss. Which of the following behavior modification strategies should the nurse recommend?
Shop from a list to resist impulse buying.
The nurse works in a center that specializes in the treatment of eating disorders and regularly performs physical assessments for clients with anorexia nervosa and bulimia nervosa. Which physical consequence does the nurse note to be more typical of clients with bulimia nervosa than anorexia nervosa?
Swollen salivary glands in cheeks
The two most common forms of surgical procedures for weight loss are:
adjustable gastric banding and Roux-en-Y gastric bypass.
A client tells the nurse that she has not menstruated in four months. Her BMI is 17. She eats very little and exercises three times a day because she wants to lose weight to feel more attractive. The nurse should suspect which of the following?
anorexia nervosa
A client was diagnosed with an eating disorder and complains of dizzy spells with standing, diarrhea, and constantly feeling cold. This client most likely has which disorder?
anorexia nervosa
Which of the following is a condition of self-imposed fasting or severe self-imposed dieting?
anorexia nervosa
A client has bulimia nervosa. Which of the following interventions would the nurse include in the client's treatment plan?
balanced meals
In order to ensure a client adheres to exercise, which of the following is the BEST recommendation the nurse can make ?
be more active throughout the day
Which of the following is an eating disorder characterized by recurrent episodes of bingeing and purging?
bulimia nervosa
The nurse is seeing a client who is worried she will develop obesity. The nurse is correct in explaining to the client that obesity occurs when which of the following conditions are in place?
calorie intake is more than calorie expenditure.
The nurse is aware that nutrition theory does not always apply to practice. Which of the following is the MOST important factor in determining the successful outcome of nutrition therapy?
client motivation
The nurse is encouraging a client to reduce negative self-talk while trying to achieve a weight loss goal. The nurse is encouraging which type of intervention?
cognitive restructuring
The nurse identifies that a client lives in an obesogenic environment if which the client tells the nurse he chooses which of the following?
elevators over stairs.
The mechanism of action of appetite suppressant drugs includes:
keeping food from leaving the stomach.
Which of the following is a condition characterized by severe shifts in fluid and electrolytes from the extracellular to intracellular fluid in a person who is severely malnourished after the person starts eating again?
refeeding syndrome
The nurse is seeing a client who is interested in using stimulus control involves for weight loss. How should the nurse described this intervention?
removing or changing behavior triggers.
A client has been dieting for years. She will lose weight then regain more weight than she lost then repeat the cycle, and permanent weight loss does not seem attainable. The nurse explains that a more appropriate goal may be:
weight maintenance.
Bulimia nervosa is characterized by bingeing on foods in which of the following situations?
with large or small quantities of soft, fatty foods
