A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?
"Make sure to drink water with your meals."
"Your biggest meal of the day should be breakfast."
"Meal replacement shakes can cause weight gain."
"Set your weight loss goal to 2.5 pounds per week."
The Correct Answer is A
According to some sources, behavioral modifications for weight loss include:
● Keeping a food journal to track your intake and identify patterns
● Eating smaller portions and using smaller plates
● Filling half of your plate with fruits and vegetables
● Getting plenty of sleep and drinking fluids
● Eating slowly and consciously
● Eating breakfast every day
● Avoiding high-calorie add-ons such as cream, butter, mayonnaise and salad dressings
● Not eating while watching television, reading, working or doing other activities
● Planning healthy snacks and meals in advance and bringing them to work
● Replacing eating with another activity that you will not associate with food
Based on these suggestions, the statement that the nurse should include in the teaching is “Make sure to drink water with your meals.” This can help you feel full and hydrated, and reduce your calorie intake from other beverages.
The other statements are either false or not related to behavioral modifications. For example:
● Your biggest meal of the day should be breakfast. This is not a behavioral modification, but a dietary recommendation that may vary depending on your preferences and needs.
● Meal replacement shakes can cause weight gain. This is not a behavioral modification, but a claim that is not supported by evidence. Meal replacement shakes can be part of a weight loss plan if they are used appropriately and provide adequate nutrition.
● Set your weight loss goal to 2.5 pounds per week. This is not a behavioral modification, but a goal that may be unrealistic or unhealthy for some people. A more reasonable goal is to lose 1 to 2 pounds per week.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should identify the statement "I like to drink a glass of warm milk before bed to help me sleep" as a contributing factor to gastroesophageal reflux disease (GERD). Consuming a glass of warm milk before bed can worsen GERD symptoms due to its high-fat content. High-fat foods, including dairy products, can relax the lower esophageal sphincter (LES) and delay gastric emptying, allowing stomach acid to flow back into the esophagus, leading to symptoms of GERD.
"I try to follow a low-fat, high-protein diet to help me maintain my weight": Following a low-fat, high-protein diet is actually beneficial for managing GERD. High-fat foods can worsen GERD symptoms by relaxing the LES and delaying gastric emptying, while a low-fat diet can help reduce symptoms.
"I stopped drinking caffeinated beverages several weeks ago": Avoiding caffeinated beverages is a positive step in managing GERD. Caffeine can stimulate acid production in the stomach and relax the LES, contributing to GERD symptoms.
"I have recently stopped drinking alcohol": Stopping alcohol consumption is also beneficial for managing GERD. Alcohol can relax the LES and increase acid production in the stomach, leading to GERD symptoms.
Correct Answer is A
Explanation
"Eat protein at each meal": This is an important instruction for a client with dumping syndrome. Including protein at each meal can help slow down the digestion process and reduce the rapid emptying of the stomach contents into the small intestine, which is characteristic of dumping syndrome. Protein takes longer to digest and can help stabilize blood sugar levels, promote satiety, and minimize the symptoms of dumping syndrome.
"Consume three large meals daily": Consuming three large meals daily is not recommended for clients with dumping syndrome. Large meals can exacerbate the symptoms by overloading the digestive system. Instead, it is generally advised to consume smaller, more frequent meals throughout the day to help manage dumping syndrome symptoms.
"Drink beverages with meals": It is not recommended to drink beverages with meals for clients with dumping syndrome. Consuming liquids with meals can further contribute to the rapid emptying of the stomach contents and worsen symptoms. It is preferable to drink fluids between meals to maintain hydration without affecting the digestion process.
"Sit up in bed after meals": This instruction is relevant for clients with gastroesophageal reflux disease (GERD) but may not be specifically related to dumping syndrome. In the case of dumping syndrome, it is generally recommended to remain in an upright position after meals to aid digestion and reduce symptoms, such as bloating, cramping, and diarrhea.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today