A patient desiring to begin a very-low-calorie diet (VLCD) for rapid weight reduction is concerned about the safety of the diet. What information should the nurse provide to the patient?
1. VLCDs are not recommended for people over age 50.
2. VLCDs result in significant losses of muscle mass in response to the protein restriction.
3. VLCDs are safe for patients who have a lower body mass index and need to lose a small amount of weight rapidly.
4. VLCDs are safest for middle-aged and senior patients.
Question 2The nurse teaches a patient about the medication orlistat (Xenical). Which patient statement indicates the need for additional teaching?
1. I should take this medication 30 minutes before eating.
2. This medication will reduce the amount of fat my body absorbs.
3. I will need to take supplements of vitamins A, D, E, and K daily.
4. A low-calorie diet will need to be followed.
Question 3A patient planning to begin a weight loss diet asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?
1. The diet should reduce calories to 1,0001,600 per day, with less than 10 of the total calories coming from fat.
2. The diet should be between 750 and 1,000 calories per day, with less than 15 of the total calories coming from fat.
3. The diet should simply cut 500 calories per day from the normal intake.
4. The best diet will be between 1,250 and 1,500 calories per day, with 15 of the calories being sources of protein.
Question 4The nurse is helping a patient identify ways to adhere to a weight reduction plan. What should the nurse suggest to help this patient?
1. Set aside small nonfood rewards when you meet a goal.
2. Eat alone to reduce outside distractions.
3. Drink water or a diet beverage after eating to promote feelings of fullness.
4. Allow at least 45 minutes to 1 hour to promote full enjoyment of a meal.
Question 5While completing the health history, the nurse learns that a patient often eats excessive amounts of food when alone and when not hungry, and has intense feelings of self-disgust afterwards.
The patient denies purging after these episodes. The nurse realizes that the patient is at risk of developing which health problem?
1. type 2 diabetes mellitus
2. type 1 diabetes mellitus
3. dehydration
4. electrolyte imbalances
Question 6The mother of a teen is concerned that her daughter's nutritional status is compromised since the daughter has an increased interest in losing weight, weighs herself several times each day, and at times ingests large amounts of food.
The daughter has not lost or gained much weight, but the mother wonders if her daughter has anorexia nervosa. How should the nurse respond to this mother?
1. These are behaviors consistent with bulimia nervosa.
2. These are behaviors consistent with early-onset anorexia nervosa.
3. These are behaviors consistent with binge-eating disorder.
4. These are behaviors consistent with a metabolic disorder.
Question 7The nurse is planning care for a patient with anorexia nervosa. Which problem should the nurse identify as a priority for this patient?
1. inadequate oral intake
2. feelings of adequacy
3. loss of control
4. skewed opinion of appearance
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