Chapter 17: Nutrition for Obesity and Eating Disorders
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
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 two most common forms of surgical procedures for weight loss are:
adjustable gastric banding and Roux-en-Y gastric bypass.
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 is on a diet in which he eats a lot of meat, cheese, and oil but is restricting his consumption of fruits, vegetables, grains, and sweets. He should be concerned that which of the following will increase?
LDL cholesterol
Which of the following diets is MOST likely to be recommended for a patient with bulimia nervosa?
the Zone diet
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
A client with a BMI of 31.5 expresses discouragement after the health care provider recommended losing weight to reduce the risk of weight-related complications. The client asks, "How much weight do I need to lose to make a difference?" How should the nurse respond?
"Reducing your weight by just a few percent can make a big difference."
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.
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
Which age groups have lower percentages of obesity for women than for men? <Image: Figure 14.1>
20 to 39 and 40 to 59
To lose 1 pound per week, a person must reduce their intake by how many calories per day?
500
Which of the following diets would have the fewest recommended servings of fruits and grains?
Atkins diet
A patient needs to lose weight. Which of the following behavior modification strategies should the nurse recommend?
Allow occasional planned indulgences.
Which condition is characterized by self-imposed fasting or severe self-imposed dieting?
Anorexia nervosa
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 can cause changes in heart rhythms.
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 expresses a desire to start eating healthier yet reports having to eat out frequently due to job responsibilities. Which teaching will the nurse provide?
Caloric intake must be reduced by 500 cal/day to lose 1 pound weekly
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.
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
A client is an identical twin. The client's BMI is 38, while the twin's BMI is 21. Which factor does the nurse question as being a contributor to the weight difference between the twins?
Genetics
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
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
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
Which of the following is an actual difference between weight-loss medications?
Orlistat inhibits fat absorption, and phendimetrazine does not.
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
Which characteristic differentiates bulimia nervosa from anorexia nervosa?
Recognizes behavior as abnormal
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
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 is providing care for a client who had a Roux-en-Y gastric bypass procedure yesterday. Which item will the nurse remove from the client's dietary tray?
Soy milk
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
A client has bulimia nervosa. Which of the following interventions would the nurse include in the client's treatment plan?
balanced meals
Which of the following is an eating disorder characterized by recurrent episodes of bingeing and purging?
bulimia nervosa
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
Which of the following should be consumed in the first few months after bariatric surgery?
cooked fruits and vegetables to increase fiber and phytochemicals
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 nurse is seeing a client who is 14-year-old has a BMI of 35. The client has elected to begin taking weight loss medication. Which of the following drugs is approved for this client?
orlistat
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
