Exam (elaborations)
CSOWM (2
- Course
- Institution
Exam of 16 pages for the course NUR 321 - problems with excretion - renal system p at NUR 321 - problems with excretion - renal system p (CSOWM (2)
[Show more]
Seller
Follow
modockochieng06
Content preview
CSOWM:Evidenced-based lifestyle therapy for treatment of obesity should include 3 components
- ANS-meal plan, physical activity,& behavior
<150 minutes of exercise/week has _________ effect on weight loss - ANS-minimal
> amounts of weight loss than 3-5% will cause additional reductions in what labs? -
ANS-reduce BP, improve LDL-C and HDL-C, reduce need for meds to control BP, BG,
lipids, and reduce triglycerides.
11-13 targetd behaviors for obesity prevention in children - ANS-11. encouraged
exclusive breastfeeding to 6 months, introduce solids at 12 months.
12. promote 60 minutes of moderate physical activity/day
13. limit consumption of energy dense foods.
2nd stage of obesity treatment in children: - ANS-2. structured wt management - step 1
(prevention plus) + specific goals: planned supervised exercise, food logs/television
logs, structure meal times with no snacks, etc.
3rd stage of obesity treatment in children: - ANS-3. comprehensive multidisciplinary
intervention - increase intensity of behavior change and frequency of visits (weekly visits
for 8-12 wks minimum)
Focus to improve: home enviro, negative energy balance from diet and exercise,
parental participation ages <12, etc.
4th stage of obesity treatment in children: - ANS-4. tertiary care intervention- stage 3 +
maturity to understand risk/willingness
A. medications: Sibutramine (SRI) >= 16 yr old, orilistat >=12 yrs old
B. V. low cal diet
C. bariatric surgery (F >= 13 yrs old, M>= 15 yrs old)
6-10 targeted behaviors for obesity prevention in children - ANS-6. eat meals together
as family
7.limit portion size
8. calcium rich diet
9. increase fiber
10. balance macronutrient content
,A dose-response of exercise to weight loss exists; if PA>150 mins/wk results in modest
weight loss (2-3 kg); how much with PA>225-420 mins/wk yield? - ANS-approximately
5-7.5 kg.
A meal plan as part of lifestyle therapy consists of: - ANS-reduced-calorie (-500-750
kcals/day), individualized based on cultural and personal preference, and can include:
mediterranean, DASH, low carb, low fat, volumetric, high protein, vegetarian, meal
replacements, and/or very low calorie diet (if under medical supervision).
A support team for pediatric bariatric surgery patients should include: - ANS-1.Surgeon
2. pediatrician
3. RDN
4. mental health specialist
5. care coordinator
6. exercise professional.
Adherence to a diet with a deficit of _____ kcals/day; regardless of macronutrient
composition, is most effective for weight loss. - ANS-500
adherence to diet vs actual diet more effective for weight loss? - ANS-adherence to diet
Advise adults that the ______ the waist circumference, the _____ the risk of CVD,
T2DM, & all cause mortality. - ANS-greater,greater
AND recommended calorie level for wt loss - ANS-F: 1200-1500 kcal/d, M: 1500-1800;
overall 500-750 kcal/day calorie deficit.
As part of a comprehensive wt loss program, a dietitian should recommend: -
ANS-portion control and meal replacement/structure meal plans.
As part of the dietitian assessment, what background information should be collected? -
ANS-1. dietary intake
2. social hx
3. motivation for weight management
4. RMR/calorie goal & usual intake
Assessing drug efficiency - ANS-evaluate safety/effectiveness monthly for first 3
months, then every 3 months after.
, At what age does the USPSTF recommend clinicians screen children for obesity and
refer them to intensive counseling/behavioral interventions to improve weight status? -
ANS-6 yrs old +
Average weight loss from Phentermine & contraindications - ANS-3-3.6 kg; not rec in
anxiety disorder, heart disease/htn, seizure, pregnancy, breastfeeding, hyperthyroidism,
drug abuse history, etc.
average weight loss via behavioral intervention in first 6 months - ANS-decrease by 8 kg
BW, average weight regain 1-2 kg/yr (faster initially).
Average weight loss with Orlistat & contraindications - ANS-2.9-3.4 kg;
preg/breastfeeding, cyclosporine, chronic malabsorption syndrome, levothyroxine,
warfarin, antiepileptic drugs.
Average wt loss with Liraglutide & contraindication - ANS-5.8 kg over year; medullary
thryoid cancer history
Average wt loss with Lorcaserin & contraindication - ANS-3.6 kg; preg/breast, SSRI,
hyperthyroid
Average wt loss with phentermine+topiramate & contraindication - ANS-6.6 kg-8.6kg;
not for use in hyperthyroid, breastfeeding/preg, etc.
Bariatric surgery exercise recommendations - ANS-150 mins/wk minimum goal 300
min/wk + 2-3x/wk strength training.
Bariatric surgery wt loss results seen for first year and following: - ANS--35% wt 1-2 yrs,
maintain 30% @ 10 years.
Behavior change strategies for counseling: - ANS-self-monitoring, motivational
interviewing, structured meal plans/replacements/portion control, goal setting, and
problem solving.`
Behavior change strategies for weight loss/maintenance: - ANS-cognitive restructuring,
contingent mngment, relapse prevention techniques, decrease rate of eating, social
support, stress management, and stimulus control/cue reduction.
behavior lifestyle therapy intervention package should include any number of the
following: - ANS-stimulus control, education, self-monitoring, goal setting, problem
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now