Exam (elaborations)
Chapter 16 Weight Management
- Course
- Nutrition and Diet Therapy
- Institution
- University Of Pennsylvania
Chapter 16 Weight Management
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Chapter 16. Weight ManagementMULTIPLE CHOICE
1. To lose 1 pound per week, one must eat __________ fewer kilocalories per day for 7 days.
1. 100
2. 200
3. 400
4. 500
ANS: 4
Chapter: Chapter 16, Weight Management
Objective: 1. List basic principles of energy imbalance.
Page: 283
Heading: The Five-Hundred Rule
Integrated Processes: Teaching and Learning
Client Need: Management of Care
Cognitive Level: Remembering
Concept: Nutrition
Difficulty: Easy
Feedback
1 This is incorrect. Eating 100 kilocalories less per day for 7 days would result in
loss of less than a pound.
2 This is incorrect. Eating 200 kilocalories less per day for 7 days would result in
the loss of less than a pound.
3 This is incorrect. Eating 400 kilocalories less per day for 7 days would result in
the loss of less than a pound.
4 This is correct. To lose 1 pound of body fat per week, an individual must eat 500
kilocalories fewer per day than his or her body expends for 7 days.
PTS: 1 CON: Nutrition
2. A nurse is caring for a client who has been diagnosed as obese. Which of the following
statements made by the client indicates that he or she understands the condition?
1. My body has accumulated excess body fat in adipose fat tissue.
2. I expended more than 500 kilocalories per week, which resulted in weight gain.
3. I took in 500 kilocalories less than I expended per week, so I gained weight.
4. When I lose weight, I will not likely lose lean body mass.
ANS: 1
Chapter: Chapter 16, Weight Management
Objective: 1. List basic principles of energy imbalance.
Page: 283
Heading: Body Fat Stores
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Concept: Nutrition
, Difficulty: Difficult
Feedback
1 This is correct. Excess kilocalories from any source (fat, carbohydrate, or
protein) are stored as body fat in adipose fat tissue, which can accumulate in
unlimited amounts. This accumulation can lead to overweight and, eventually,
obesity.
2 This is incorrect. Expending 500 kilocalories more than what you intake results
in weight loss.
3 This is incorrect. Taking in 500 kilocalories less than what you expend results in
weight loss.
4 This is incorrect. Weight loss always includes some loss of lean body mass
(LBM). How much LBM is lost depends on how the weight loss is achieved.
PTS: 1 CON: Nutrition
3. During assessment, a client mentions to a nurse that he is following a special diet for weight
loss. The diet encourages him to restrict his diet to only items that were available to hunters
and gatherers, including grass-fed meats and seasonal fruits. The client is:
1. Avoiding gluten.
2. Eating a Paleo diet.
3. Using the Atkins diet.
4. Binge-eating and purging.
ANS: 2
Chapter: Chapter 16, Weight Management
Objective: 6. Evaluate at least three fad diets used for weight reduction.
Page: 293
Heading: Table 16-4 Weight-Loss Diets in the Popular Media
Integrated Processes: Nursing Process
Client Need: Basic Care and Comfort
Cognitive Level: Application
Concept: Nutrition
Difficulty: Difficult
Feedback
1 This is incorrect. A gluten-free diet notes that individuals should avoid anything
containing wheat, barley, rye, soy sauce, or whey products.
2 This is correct. The Paleo diet claims to help people lose weight by restricting
one’s diet to items that humans ate when they were hunters and gatherers.
3 This is incorrect. The Atkins diet is a four-phase diet that restricts the amount of
CHO in a person’s diet to avoid weight gain.
4 This is incorrect. Binge-eating disorder refers to individuals who binge-eat food
compulsively, and then purge, either through vomiting or laxative use.
PTS: 1 CON: Nutrition
4. A nurse is caring for a client who is trying to lose weight. The client notes that when food is
available, he will always eat it. He hates “leaving wasted food on the plate.” Which behavioral
modification strategy would be most useful?
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