An extremely obese client states that he seems to rarely feel full or has his hunger satisfied. The most probable hormonal cause being studied today may be:
a. insulin deficiency.
b. resistance to leptin.
c. lipoprotein lipase deficiency.
d. decreased glucocorticoid steroid secretion.
Q. 2All of the following factors have been shown to be influenced by genetics except:
a. susceptibility to obesity.
b. how energy is stored.
c. basal metabolic rate.
d. appetite.
Q. 3To achieve weight loss, success depends on:
a. genetics.
b. ability to fast.
c. low energy intake.
d. low energy output.
Q. 4Low-carbohydrate diets that produce ketones allow a weight loss that:
a. may be related to a long-term loss of appetite.
b. represents loss of body fat and salvage of body protein.
c. results from loss of large quantities of body fluids and minerals.
d. is a greater and longer sustained weight loss than on other diets.
Q. 5Patient teaching regarding good carbs based on glycemic effect should include:
a. glycemic effect of a food is the same for all persons.
b. all whole-grain foods have a low glycemic effect.
c. foods with a low glycemic effect facilitate weight loss.
d. glycemic effect can be modulated when eaten with certain other foods.
Q. 6Research has shown that intra-abdominal fat reduction is more likely to occur when:
a. > 30 of kcalories are derived from fat.
b. protein is increased to 25 protein versus 12.
c. carbohydrates are reduced to < 40 of kcalories.
d. six smaller meals are taken daily versus three regular meals.
Q. 7Which of the following is true of high-protein, low-carbohydrate diets?
a. Blood lipids improve while on these diets.
b. Evidence supports that these diets lower blood pressure.
c. Weight loss is usually maintained beyond the first year on the diet.
d. Diets high in protein and low in carbohydrates do not lower risk factors for heart disease.
Q. 8To obtain an accurate waist measurement, the following method is recommended:
a. measure just superior to the umbilicus.
b. ask client to inhale and to hold his breath.
c. use a tape measure that is three feet long.
d. use a tape measure that is flexible but not expandable.
Q. 9The most effective behavior to lose weight is:
a. to focus on staying on a weight-loss diet.
b. to adopt a lifestyle of eating healthy and being physically active.
c. to initially restrict kcalorie intake to 800 kcal per day.
d. to accept that prejudging people by weight is not as harmful as prejudging by race, religion, or gender.
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