A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
Recommend a total fiber intake of 12 g each day.
Advise the client to add 500 calories per day to the diet.
Encourage the client to continue current daily caloric intake.
Refer the client to a weight-loss support group.
The Correct Answer is D
Choice A: The recommended daily fiber intake for adults is generally higher than 12 grams. For a balanced diet, women should consume between 22 and 28 grams of fiber per day, and men should consume between 28 and 34 grams per day, depending on their age.
Choice B: Adding 500 calories per day to the diet is typically advised for weight gain, not weight loss. For weight loss, a caloric deficit is usually required, which can be achieved by consuming fewer calories or increasing physical activity.
Choice C: Continuing the current daily caloric intake would not be beneficial if the client's goal is to change their body mass index, especially if their current intake is maintaining a BMI of 28, which is classified as overweight.
Choice D: Referring the client to a weight-loss support group can provide them with emotional support, motivation, and accountability, which are important factors for long-term weight loss success. Support groups can also offer practical advice and a sense of community, which can enhance the weight loss journey.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Having someone remain with the client for 30 minutes after meals can provide support and encouragement to prevent purging behaviorwhich are common with bulimia andnot anorexia nervosa.
B. Offering a selection of beverages at each meal may not directly address the underlying issues associated with anorexia nervosa.
C. Informing the client of a specific weight gain expectation may increase anxiety and may not be appropriate given the individualized nature of weight restoration in anorexia nervosa
treatment.
D. Encouraging the client to participate in developing dietary goals is important for fostering autonomy and empowerment and is associated with better compliance.
Correct Answer is C
Explanation
A. Parkinson's disease and monoamine oxidase inhibitors (MAOIs) do not typically require a reduction in intake of high-calorie foods. In fact, maintaining adequate nutrition and calorie intake is important for individuals with Parkinson's disease.
B. Grapefruit is not typically contraindicated with monoamine oxidase inhibitors. However, it's important for the client to discuss any potential interactions between grapefruit and their specific medication with their healthcare provider.
C. Aged cheeses contain tyramine, a substance that can interact with MAOIs and lead to hypertensive crisis. Therefore, individuals taking MAOIs should avoid aged cheeses to prevent this interaction.
D. Maintaining a low-protein diet is not typically recommended for individuals with Parkinson's disease or those taking MAOIs. In fact, adequate protein intake is important for overall health and muscle function.
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