Question 1

List possible reasons for Ms. Janie's deficient nutritional status, as well as for that of other geriatric clients.

Accepted Answer

Lack of teeth or dentures to chew certain foods limits diet. Change in taste often results in anorexia. Economic status affects ability to purchase nutritious food. Lack of companionship at mealtime decreases appetite and motivation to prepare food.

Question 2

List nursing interventions in order of priority.

Accepted Answer

a. Identify factors that have contributed to the weight gain, including review diary of foods ingested; determine how she perceives food and the act of eating; determine previous dietary history; calculate total calorie intake; review daily activity and exercise; monitor for negative feedback.
b. Establish weight program. Set goals for weekly weight loss. Record vital statistics. Work with dietician to create diet plan. Discuss eating habits that contribute to behaviors of overeating. Monitor drug regimen. Encourage involvement in planned activity program of choice. Provide positive reinforcement or encouragement for efforts and actual weight loss. Promote self-esteem. Identify ways to manage stress/tension during meals. Discuss strategies to deal appropriately with feelings instead of overeating. Recommend weighing only weekly. Refer to community support group. Encourage buying personal items as a positive reward for reaching weekly or monthly goals. Encourage a decision to lead an active life and to control dietary patterns. Offer support and understanding.
​
Ms. Janie, age 88, has been admitted to the emergency room with malnutrition. She has been living at home, alone. A neighbor brought her to the emergency room. When she missed seeing Ms. Janie for several days, she went to check on her and found her lying on the floor. The neighbor stated that for some time Ms. Janie has had little income. She also has appeared to have difficulty ambulating and grasping objects.

Question 3

Discuss some of the reasons for the growing increase in childhood obesity.

Accepted Answer

Children today lead different lives than their parents or grandparents. Children used to play outside for hours on end, coming inside only to receive nourishment. Now neighborhoods may be less safe and outside play is limited. The walks to school have been replaced by car or bus rides. Gym class and after school sports activities have been subject to program cuts. Researchers know that only 42% of children ages 6-11 obtain the recommended 60 minutes per day of physical activity and only 8% of adolescents achieve this goal. Afternoons and evenings are filled with "screen" time-TV, video games, the Internet, and texting. The average media time a day for a child is 7.5 hours. Rushed families no longer cook as many freshly prepared meals. Snacking between meals is now the norm and pantries become "fair game" at any time. Portion sizes have grown and more and more families are eating away from home. Researchers have used the term "toxic" to describe the food environment in America.

Question 4

All of the following play a role in weight regulation EXCEPT _____________.

Accepted Answer

A) genetics 
B) environment 
C) lifestyle 
D) education 
A) genetics 
B) environment 
C) lifestyle 
D) education

Question 5

_____ can be caused by inadequate consumption of nutritious food because of depression, disease, or poverty.

Accepted Answer

A) Anorexia 
B) Underweight 
C) Bulimia 
D) Hyperthyroidism 
A) Anorexia 
B) Underweight 
C) Bulimia 
D) Hyperthyroidism

Question 6

List causes of malnutrition.

Accepted Answer

Inadequate nutritional intake;

Question 7

How much of the population consumes a diet low in vegetables, fruits, dairy, and oils?

Accepted Answer

A) 50% 
B) 75% 
C) 10% 
D) 25% 
A) 50% 
B) 75% 
C) 10% 
D) 25%

Question 8

List desired outcomes or evaluation criteria.

Accepted Answer

Demonstrate actual, continued weight los

Question 9

Regardless of the type of diet consumed, weight loss will not occur unless the individual modifies eating habits through behavior change.

Accepted Answer

A) True 
 B)False

Question 10

Which hormone is released from the stomach and signals the hypothalamus that it's time to eat?

Accepted Answer

A) leptin 
B) ghrelin 
C) insulin 
D) lecithin 
A) leptin 
B) ghrelin 
C) insulin 
D) lecithin

Question 11

​Subcutaneous fat is the accumulation of fat under the skin and around the organs in the body and correlates more with health risks such as cardiovascular disease and type 2 diabetes.

Accepted Answer

A) True 
 B)False

Question 12

Discuss recommendations for healthy weight loss. Include calorie requirements and nutrient requirements.

Accepted Answer

It is recommended that no more than 1 to

Question 13

Discuss the dangers of being underweight.

Accepted Answer

While staying lean may be advantageous,

Question 14

BMI is determined by dividing weight in kilograms by the height in meters.

Accepted Answer

A) True 
 B)False

Question 15

Compare the physiology of a Roux-en-Y gastric bypass (RYGB) with that of an adjustable gastric band (AGB).

Accepted Answer

Adjustable gastric band (AGB). A small b

Question 16

List assessment data to be collected.

Accepted Answer

Baseline characteristics: weight, lab or

Question 17

Visceral fat is fat located in the _____.

Accepted Answer

A) buttocks 
B) abdominal cavity 
C) breast 
D) upper thigh 
A) buttocks 
B) abdominal cavity 
C) breast 
D) upper thigh

Question 18

Which measurement can be used with BMI to assess disease risk?

Accepted Answer

A) wrist circumference 
B) hip circumference 
C) waist circumference 
D) height 
A) wrist circumference 
B) hip circumference 
C) waist circumference 
D) height

Question 19

Regardless of which type of eating pattern is chosen for weight loss, ___________ change is absolutely required.

Accepted Answer

A) metabolic 
B) physical 
C) behavior 
D) psychological 
A) metabolic 
B) physical 
C) behavior 
D) psychological

Question 20

Describe the distribution of fat as an indicator of possible health problems.

Accepted Answer

Abdominal fat is associated with a great

Exam 14: Weight Management Across the Life Cycle

List possible reasons for Ms. Janie's deficient nutritional status, as well as for that of other geriatric clients.

List nursing interventions in order of priority.

Discuss some of the reasons for the growing increase in childhood obesity.

All of the following play a role in weight regulation EXCEPT _____________.

_____ can be caused by inadequate consumption of nutritious food because of depression, disease, or poverty.

List causes of malnutrition.

How much of the population consumes a diet low in vegetables, fruits, dairy, and oils?

List desired outcomes or evaluation criteria.

Regardless of the type of diet consumed, weight loss will not occur unless the individual modifies eating habits through behavior change.

Which hormone is released from the stomach and signals the hypothalamus that it's time to eat?

​Subcutaneous fat is the accumulation of fat under the skin and around the organs in the body and correlates more with health risks such as cardiovascular disease and type 2 diabetes.

Discuss recommendations for healthy weight loss. Include calorie requirements and nutrient requirements.

Discuss the dangers of being underweight.

BMI is determined by dividing weight in kilograms by the height in meters.

Compare the physiology of a Roux-en-Y gastric bypass (RYGB) with that of an adjustable gastric band (AGB).

List assessment data to be collected.

Visceral fat is fat located in the _____.

Which measurement can be used with BMI to assess disease risk?

Regardless of which type of eating pattern is chosen for weight loss, ___________ change is absolutely required.

Describe the distribution of fat as an indicator of possible health problems.

The Relationship of Nutrition and Health

Planning a Healthy Diet

Digestion, Absorption, and Metabolism

Carbohydrates

Lipids Fats

Proteins

Vitamins

Minerals

Water

Nutrition During Pregnancy and Lactation

Nutrition During Infancy

Nutrition During Childhood and Adolescence

Nutrition During Adulthood

Diet and Pre-Diabetes and Diabetes

Diet and Cardiovascular Disease

Diet and Renal Disease

Diet and Gastrointestinal Disorders

Diet and Cancer

Foodborne Illness, Allergies, and Intolerances

Nutritional Care of Clients With Special Needs

Filters

Subcutaneous fat is the accumulation of fat under the skin and around the organs in the body and correlates more with health risks such as cardiovascular disease and type 2 diabetes.