An occupational health nurse is discussing health promotion with a client who has obesity.
Which of the following comments indicates the client is using rationalization as a coping mechanism?

The correct answer is choice B: "You should have a complete eye examination every 2 years until the age of 64."

Choice B rationale: The American Academy of Ophthalmology recommends that adults with no risk factors or symptoms of eye disease have a comprehensive eye examination at least once between the ages of 20 and 29, and at least twice between the ages of 30 and 39. For individuals aged 40 to 64, they should have a comprehensive eye examination every 2 to 4 years. The recommendation for those 65 and older is an examination every 1 to 2 years. This choice aligns with the general guidelines for comprehensive eye examinations.

Choice A rationale: The American Diabetes Association recommends screening for diabetes in individuals with risk factors or at least every 3 years for those over 45 years old. This recommendation differs from the suggestion in choice A, making it a less accurate option.

Choice C rationale: Hearing screening for adults over 50 years old should be conducted every 3 to 5 years, according to general guidelines. Choice C suggests a hearing screening every 5 years, which is at the upper end of the recommended range, but it is not the most appropriate option provided.

Choice D rationale: The American Cancer Society recommends that adults with an average risk for colorectal cancer should begin screening at age 45, with stool testing being one possible screening method. However, this recommendation differs from the statement provided in choice D, making it incorrect.

This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.

Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.

Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.

Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.