The nurse is assessing an obese patient who expresses an interest in bariatric surgery
The nurse knows that in addition to meeting the criterion of morbid obesity, a candidate for bariatric surgery must also demonstrate which of the following?
A) Knowledge of the causes of obesity and its associated risks
B) Emotional stability and understanding of required lifestyle changes
C) Positive body image and high self-esteem
D) Insight into why their past weight loss efforts failed
Ans: B
Feedback: Patients seeking bariatric surgery must be evaluated by a psychiatrist, psychologist, or advanced-practice mental health nurse to establish that they are free of serious mental disorders and are motivated to comply with lifestyle changes related to eating patterns, dietary choices, and elimination. Obese patients are often unlikely to have a positive body image due to the social stigma associated with obesity. While assessment of knowledge about causes of obesity and its associated risks as well as insight into the reasons why previous diets have been ineffective are included in the patient's plan of care, they do not predict positive patient outcomes following bariatric surgery. Most obese patients have an impaired body image and alteration in self-esteem. An obese patient with a positive body image would be unlikely to seek this surgery unless she or he was experiencing significant co-morbidities.
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