Author Question: Frustrated with his inability to lose weight despite attempting numerous fad diets, a 42-year-old ... (Read 124 times)

mikaylakyoung · **on:** Jun 25, 2018

Frustrated with his inability to lose weight despite attempting numerous fad diets, a 42-year-old male who is 511 and 270 lb has visited a clinic to gain tools to achieve long-term weight loss.

Which of the following statements by the clinician is most accurate?
A)
Recent findings have determined that obesity is largely genetic and not preventable, but that doesn't mean we can't work together to help you lose weight and keep it off.
B)
A combined approach of behavior therapy, changing your lifestyle habits, and increased physical activity gives the highest chance of long-term success.
C)
By significantly changing the way you live your life, you could set and meet a goal of losing about 5 of your body weight each month.
D)
Combined with regular exercise, a diet of taking in 500 to 1000 kcal/day will be the best approach.

Question 2

A 51-year-old male professional is in the habit of consuming six to eight rum and cokes each evening after work.

He assures the nurse practitioner who is performing his regular physical exam that his drinking is under control and does not have negative implications for his work or family life. How could the nurse best respond to the client's statement?
A)
You are more than likely inflicting damage on your liver, but this damage would cease as soon as you quit drinking.
B)
That may be the case, but you are still creating a high risk of hepatitis A or B or liver cancer.
C)
In spite of that, the amount of alcohol you are drinking is likely to result first in cirrhosis and, if you continue, in hepatitis or fatty liver changes.
D)
When your body has to regularly break down that much alcohol, your blood and the functional cells in your liver accumulate a lot of potentially damaging toxic byproducts.

ebenov · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

A combined approach to weight loss including diet modification, exercise, and drug therapy has been shown to be successful in the treatment of obesity. In spite of a genetic component, obesity is still considered to be preventable. A reasonable rate of weight loss should be 5 to 10 of total body weight over a 6-month period. A reduction in food intake of between 500 and 1000 kcal, not a total food intake of 500 to 1000 kcal, is often necessary in the treatment of individuals with high BMIs. Pharmacotherapy and surgery are available as adjuncts.

Answer to Question 2

Ans:
D

Feedback:

The hepatic effects of alcohol use are related to the accumulation of toxic metabolites in the hepatocytes and blood. Damage can continue even after an individual stops drinking. Specific consequences do not usually include HAV, HBV, or liver cancer. Cirrhosis represents the culmination, not the beginning, of negative hepatic effects.