BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) , 912
Chapter 48: Assessment and Management of Patients with Obesity
1. 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.
Ans: C
Feedback:
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.
2. 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
Ans: B
Feedback:
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.
3. Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification
program?
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 913
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
Ans: B
Feedback:
Behavior modification programs focus on how and when the person eats and de-emphasize aspects such
as calorie counting. Nonfood rewards are recommended for achievement of weight-loss goals. Patients
are often taught to restrict eating to designated meals when using behavior modification.
4. The nurse is coaching a community group for individuals who are overweight. Which participant behavior is
an example of the best exercise plan for weight loss?
A) Walking for 40 minutes 6 or 7 days/week
B) Lifting weights with friends 3 times/week
C) Playing soccer for an hour on the weekend
D) Running for 10 to 15 minutes 3 times/week
Ans: A
Feedback:
Exercise should be done daily for 30 minutes to an hour. Exercising in highly aerobic activities for short
bursts or only once a week is not helpful and may be dangerous in an individual who has not been
exercising. Running may be appropriate, but a patient should start with an exercise that is less stressful
and can be done for a longer period. Weight lifting is not as helpful as aerobic exercise in weight loss.
5. A few months after bariatric surgery, a 56-year-old man tells the nurse, My skin is hanging in folds. I think I
need cosmetic surgery. Which response by the nurse is most appropriate?
A) The important thing is that you are improving your health.
B) The skinfolds will disappear once most of the weight is lost.
C) Cosmetic surgery is a possibility once your weight has stabilized.
NURSINGTB.COM
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) , 912
Chapter 48: Assessment and Management of Patients with Obesity
1. 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.
Ans: C
Feedback:
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.
2. 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
Ans: B
Feedback:
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.
3. Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification
program?
NURSINGTB.COM
, BRUNNER AND SUDDARTHS TEXTBOOK OF MEDICAL SURGICAL NURSING 14TH EDITION HINKLE TEST BANK
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 913
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
Ans: B
Feedback:
Behavior modification programs focus on how and when the person eats and de-emphasize aspects such
as calorie counting. Nonfood rewards are recommended for achievement of weight-loss goals. Patients
are often taught to restrict eating to designated meals when using behavior modification.
4. The nurse is coaching a community group for individuals who are overweight. Which participant behavior is
an example of the best exercise plan for weight loss?
A) Walking for 40 minutes 6 or 7 days/week
B) Lifting weights with friends 3 times/week
C) Playing soccer for an hour on the weekend
D) Running for 10 to 15 minutes 3 times/week
Ans: A
Feedback:
Exercise should be done daily for 30 minutes to an hour. Exercising in highly aerobic activities for short
bursts or only once a week is not helpful and may be dangerous in an individual who has not been
exercising. Running may be appropriate, but a patient should start with an exercise that is less stressful
and can be done for a longer period. Weight lifting is not as helpful as aerobic exercise in weight loss.
5. A few months after bariatric surgery, a 56-year-old man tells the nurse, My skin is hanging in folds. I think I
need cosmetic surgery. Which response by the nurse is most appropriate?
A) The important thing is that you are improving your health.
B) The skinfolds will disappear once most of the weight is lost.
C) Cosmetic surgery is a possibility once your weight has stabilized.
NURSINGTB.COM
