The school nurse notices that the overweight students are bullied ...

[vicky]

The school nurse notices that the overweight students are bullied by their peers and often have low self-esteem. She decides to:
 
  1. Implement a weight loss program specifically designed for adolescents at the school.
   2. Call the students' parents and discuss their after-school activities.
   3. Suggest the overweight students increase their physical activity.
   4. Monitor the food they eat at lunch.

Question 2

The school nurse realizes that many children do not eat breakfast before going to school. The nurse encourages teachers to:
 
  1. Refer children who have not eaten to the school's breakfast program.
   2. Ask mothers to send in doughnuts for morning snacks.
   3. Allow children to eat an early lunch if they become hungry.
   4. Encourage children to bring in an extra snack to eat for breakfast.

[bdobbins]

Answer to Question 1

1
Rationale: Having students participate in a program at school could promote peer support and allow a safe environment to promote change. Knowing what the students do after school may help to understand reasons for weight gain, but the knowledge alone won't change behaviors. Informing students to increase their activity may not be well perceived and only adds to feelings of low self-esteem. Monitoring food intake of specific students is not an appropriate intervention and may lead to additional bullying by other students.

Answer to Question 2

1
Rationale: Eating breakfast provides important nutrients for growth and is linked with good outcomes at school. Doughnuts are not a nutritional snack and contain high-sugar content. Eating lunch early may satisfy the feeling of hunger but children will not have food at lunchtime. Snacks are usually high in carbohydrates and sugar and do not provide the nutrients needed for growth.

[vicky]

Thanks for the timely response, appreciate it

[gcook]

Excellent