A middle-aged male client presents to the primary care clinic ...

[robinn137]

A middle-aged male client presents to the primary care clinic with complaints of increasing fatigue. He denies any recent acute or chronic medical problems. He works as a computer programmer and spends hours each day sitting.
 
  In the evening he is too tired to exercise, and has gained an average of 10 pounds a year for the past five years. His BMI is > 30. The best question for you to ask is: 1. Do you think that being obese contributes to your fatigue?
   2. Have you noticed that you are more tired now that you have gained an extra 50 pounds?
   3. How do you feel about your current weight status?
   4. Do you have other family members who are obese?

Question 2

High bioavailability of nutrients and resistance to infection are
 
  a. known to decrease risk of allergies.
  b. two of the advantages of breastfeeding.
  c. two of the disadvantages of breastfeeding.
  d. advantages that formula preparations are able to mimic.

[al]

Answer to Question 1

3

Rationale: Making statements about a client's size or weight may cause them to react defensively or feel stigmatized. Most clients are aware that they are overweight so restating an obvious
fact is not necessary. Asking how the client feels about his weight allows him to share his perceptions of his weight and provides direction about what intervention might be most helpful. Although a family history of obesity could be a factor related to the client's eating disorder, it should not be the first question that is examined.

Answer to Question 2

B
High nutrient bioavailability and resistance to infection are two advantages of breastfeeding. Formula cannot fully mimic these advantages. Breastfeeding does reduce risk of allergies, but not due to these factors.

[robinn137]

TY

[al]

You're welcome