A nurse is planning care for a client who wants to lose weight. Which of the following actions should the nurse take first?
Identify the client's motivation.
Refer the client to a dietitian.
Set a weight loss goal.
Discuss behavior modification.
The Correct Answer is A
A) Identify the client's motivation: Understanding the client's motivation for wanting to lose weight is crucial as it helps the nurse tailor interventions and support strategies to align with the client's goals and values. By identifying the client's motivation, the nurse can determine what drives the client's desire to lose weight, whether it's improving health, enhancing self-esteem, or addressing specific concerns. This information forms the foundation for developing an effective and individualized care plan.
B) Refer the client to a dietitian: While a referral to a dietitian is an important step in the weight loss process, it may not be the first action the nurse takes. Before making a referral, it's essential to assess the client's motivation, readiness to change, and current understanding of weight loss strategies. This information helps ensure that the dietitian can provide targeted guidance and support based on the client's specific needs and preferences.
C) Set a weight loss goal: Setting a weight loss goal is an important aspect of the weight loss journey; however, it typically occurs after assessing the client's motivation and readiness to change. Setting realistic and achievable goals collaboratively with the client allows for better engagement and commitment to the weight loss plan. Without understanding the client's motivation and readiness, setting a goal may not be meaningful or sustainable.
D) Discuss behavior modification: Behavior modification strategies play a crucial role in achieving and maintaining weight loss success. However, before discussing specific behavior modification techniques, it's essential to assess the client's motivation, barriers to change, and current behaviors. Understanding these factors helps tailor behavior modification strategies to address the client's unique needs and challenges effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Wipe dentures before storing them in a dry container at night: This instruction is correct. Dentures should be cleaned before storage to remove any debris or food particles. Storing dentures in a dry container overnight helps prevent bacterial growth and maintains their shape.
B) Floss dentures as part of daily cleaning: Flossing dentures is not typically necessary, as they are not natural teeth with interdental spaces. Instead, dentures should be cleaned using a denture brush or soft-bristled toothbrush to remove plaque and debris.
C) Use a washcloth to clean the denture surfaces: While a washcloth can be used to clean the denture surfaces, it may not be as effective as using a denture brush or soft-bristled toothbrush specifically designed for cleaning dentures. These tools are better at removing plaque and debris without damaging the denture material.
D) Wrap gloved fingers with gauze to remove dentures: This instruction is incorrect. When removing dentures, it's essential to use both hands to grasp them firmly and gently rock them back and forth to release the seal. Using gloved fingers wrapped with gauze may not provide enough grip and could potentially damage the dentures or injure the gums.
Correct Answer is C
Explanation
A) "Protein requirements decrease in times of stress": This statement is incorrect. During times of stress, such as illness or injury, the body's protein requirements often increase to support tissue repair, immune function, and other metabolic processes. Therefore, protein requirements typically increase rather than decrease during periods of stress.
B) "Glucose is broken down more slowly during times of stress": This statement is also incorrect. During stress, the body releases hormones such as cortisol and adrenaline, which promote the breakdown of glycogen into glucose, providing a quick energy source for the body's response to stress. Therefore, glucose is broken down more rapidly during times of stress to meet the increased energy demands.
C) "Acute stress causes an increase in metabolism": This statement is accurate. Acute stress triggers the release of stress hormones, such as cortisol and adrenaline, which can increase metabolism. These hormones stimulate processes such as gluconeogenesis (the production of glucose from non-carbohydrate sources), lipolysis (the breakdown of fats), and increased heart rate and blood pressure, all of which contribute to an increase in metabolic rate during acute stress.
D) "Stress causes a positive nitrogen balance in the body": This statement is incorrect. Stress, particularly severe or prolonged stress, can lead to a negative nitrogen balance in the body. During stress, there may be increased protein breakdown to provide amino acids for energy production and other metabolic needs. Additionally, stress can impair protein synthesis and utilization, leading to muscle wasting and a negative nitrogen balance.
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