A nurse is conducting a weight management class at a local clinic ...

[APUS57]

A nurse is conducting a weight management class at a local clinic for clients who have lost weight and are now trying to maintain a healthy BMI. Which of the following statements indicate the class understands the guidelines?
 
  A) We should eat approximately three servings of whole grains every day.
  B) We should eat approximately three servings of whole grains every week.
  C) We should eat whole-grain products at least once a day.
  D) We can eat both whole-grain and enriched refined-grain products in moderation.

Question 2

The nurse calculates an elderly client's body mass index as 19. Which of the following NANDA diagnoses would be appropriate?
 
  1. Knowledge deficit
   2. Fluid volume deficit
   3. Altered nutrition: less than body requirements
   4. Impaired metabolism

[ndhahbi]

Answer to Question 1

A
Feedback:
Cross-sectional and prospective epidemiologic studies show that whole-grain intake is associated with lower risk of obesity and weight gain. Fourteen cross-sectional studies show that a daily intake of approximately three servings of whole grains is associated with lower BMI in adults. Studies have also shown that those who consumed more whole grains consistently weigh less.

Answer to Question 2

3
Rationale: A client with a BMI of < 20 is considered underweight, so the client is has a nutrient deficit. There is nothing to conclude that the client has a knowledge or fluid volume deficit, merely because the client is underweight. Impaired metabolism is not an accepted NANDA diagnosis.

[APUS57]

Excellent

[adammoses97]

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