Author Question: A patient who lives alone has a BMI of 34. What strategy should the nurse suggest to help this ... (Read 19 times)

jace · **on:** Jun 25, 2018

A patient who lives alone has a BMI of 34. What strategy should the nurse suggest to help this patient reduce overeating?

1. Prepare a meal and eat it in the dining room.
2. Eat out more often to control portion size.
3. Read a book while eating as a distraction from the food.
4. Cook once a week and store the leftovers to reduce the need to cook again.

Question 2

A patient with a BMI of 29 says, I cut out all my sweet snacks last week, and I still can't lose any weight. How should the nurse respond to this patient?

1. Let's calculate how many calories you are not eating each day.
2. I recommend that you go see a dietician.
3. I'll make a note in your file that you no longer eating sweet snacks.
4. You didn't gain the weight overnight.

duy1981999 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
One strategy to control the psychological response to food is to use attractive dinnerware, and prepare a formal setting for eating which would occur in a dining room. Eating out in restaurants should be reduced. Reading or watching television while eating should not be encouraged. Cooking so much that there are leftovers is also not a good strategy.

Answer to Question 2

Correct Answer: 1
A pound of body fat is equivalent to 3500 kilocalorie (kcal). To lose one pound, therefore, a person must reduce daily caloric intake by 250 kcal for 14 days or increase activity enough to burn the equivalent kcal. There is no need for the nurse to refer the patient to a dietician. Dietary teaching about weight reduction is within the nurse's scope of practice. Documenting the patient's comments is not the priority. Discussing the time it took for the patient to gain the weight will not promote a therapeutic environment.