According to current evidence-based guidelines from organizations like the American College of Cardiology and the Obesity Society, which of the following is the recommended approach for managing obesity in adults?
Lifestyle modification is the first-line treatment, including diet and physical activity, followed by pharmacotherapy if weight loss goals are not met after 6 months. Surgery is reserved for those with a BMI ≥35 kg/m2,
Pharmacotherapy is recommended as the first-line treatment for individuals with a BMI ≥25 kg/m2, with lifestyle changes and surgery considered secondary options
Lifestyle modifications, including diet and exercise, are secondary treatments, with pharmacotherapy being the first-line approach for all individuals with a BMI ≥30 kg/m2 Surgery is recommended for those with a BMI ≥40 kg/m2.
Surgical interventions should be considered the first-line treatment for individuals with a BMI ≥30 kg/m, with lifestyle modifications and pharmacotherapy used only after surgery.
The Correct Answer is A
A. Lifestyle modification is the first-line treatment, including diet and physical activity, followed by pharmacotherapy if weight loss goals are not met after 6 months. Surgery is reserved for those with a BMI ≥35 kg/m².
Current guidelines emphasize lifestyle modification (diet, exercise, behavior therapy) as the first-line approach. If insufficient, pharmacotherapy may be added. Surgery is typically reserved for individuals with BMI ≥40, or BMI ≥35 with comorbidities, such as diabetes.
B. Pharmacotherapy is recommended as the first-line treatment for individuals with a BMI ≥25 kg/m², with lifestyle changes and surgery considered secondary options.
BMI ≥25 is considered overweight, and lifestyle changes, not medications, are the first-line intervention at this level.
C. Lifestyle modifications, including diet and exercise, are secondary treatments, with pharmacotherapy being the first-line approach for all individuals with a BMI ≥30 kg/m². Surgery is recommended for those with a BMI ≥40 kg/m².
Lifestyle modification is first-line, even for BMI ≥30. Pharmacotherapy is used only if lifestyle changes are insufficient.
D. Surgical interventions should be considered the first-line treatment for individuals with a BMI ≥30 kg/m², with lifestyle modifications and pharmacotherapy used only after surgery.
Surgery is not first-line for a BMI of ≥30. It is considered only for severe obesity or obesity with comorbidities after other methods fail.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Liver
The liver plays a central role in metabolizing carbohydrates, fats, and proteins, maintaining blood glucose levels, and detoxifying harmful substances.
B. Pancreas
The pancreas produces enzymes and hormones like insulin but is not the main site for detoxification or nutrient metabolism.
C. Gallbladder
The gallbladder’s primary function is to store and concentrate bile, not metabolize nutrients or detoxify substances.
D. Salivary glands
Salivary glands initiate digestion by producing enzymes like amylase, but they do not play a role in metabolism or detoxification.
Correct Answer is A
Explanation
A. Smoking cigarettes regularly
Smoking introduces harmful chemicals that significantly increase oxidative stress and the production of free radicals, which damage cells and contribute to chronic diseases like cancer and cardiovascular disease.
B. Consuming a diet rich in fruits and vegetables
Fruits and vegetables contain antioxidants that neutralize free radicals and help reduce their damaging effects.
C. Engaging in regular moderate physical activity
Moderate physical activity actually reduces oxidative stress over time by enhancing the body’s antioxidant defenses.
D. Getting 7–9 hours of sleep each night
Adequate sleep supports immune function and reduces oxidative stress. Lack of sleep—not healthy sleep—is more likely to increase free radicals.
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