Answer to Question 1
1) Provide training. Clients gain a better understanding of the process when hands-on activities are included as well as complete instructions of how to keep a journal.
2) Use estimates. Sometimes clients can become very frustrated with writing down exact amounts of food consumed and then calculating caloric content and/or percentage of calories from fat, especially when consuming mixed dishes that the client did not prepare.
3) Set meaningful and achievable goals. Clients are more likely to be successful in record keeping if the first goal is modest, such as two days a week, and then gradually increase journaling activity in subsequent weeks.
4) Provide a variety of record-keeping options. Some clients prefer to use a pocket calendar with enough space to record a days worth of food intake. Others like to use 81/2 by 11-inch forms. At times clients will devise their own record-keeping system.
5) Provide nonjudgmental feedback. Clients should always be praised for their journaling work, and counselors should always review their clients' journals with no hint of criticism. Client thoughts regarding the journaling activity should be sought.
Answer to Question 2
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The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
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