TT is a 15-year-old overweight student in to see the school nurse about weight loss. Together they examine her diet history and daily physical activity
The nurse explains that currently her intake is greater than the demand for energy, resulting in a positive energy balance. In order to lose weight a negative energy balance will have to be reached by: 1. Drinking only liquid dietary supplements for one month to change her metabolic rate.
2. Decreasing kcalorie intake and increasing physical activity to promote a slow weight loss.
3. Reducing food portions to one-half of normal and exercising daily.
4. Eating only fruits and vegetables.
2
Rationale: Creating negative energy expenditure by decreasing the number of kcalories consumed daily and increasing physical activity has been shown to be the most effective way to achieve long-term success with weight loss. Radial decreases in food intake produces a negative energy expenditure, but at the cost of adequate nutrition. Reducing food portions by one-half may be an extreme cut unless previous portions are massive. The best diet is one balanced to provide all the nutritional requirements of the body.
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Which statement may reveal that the team member making the comment has a hidden agenda?
1. "I don't understand the second of the goals we are discussing." 2. "Are we voting on this outcome or has it already been decided?" 3. "I have to remember to add membership on the team to my resume." 4. "Are there other teams working on similar projects on other units in the hospital?"
Garrin is a 7-year-old boy with cystic fibrosis. The disease is caused by a genetic defect on chromosome 7. As a result, there is a defective production of protein chloride channels in epithelial cell membranes
One effect of the disease is the production of thick mucous that accumulates in Garrin's bronchial passages. As a result, he attends a physiotherapy clinic regularly for chest percussion treatments to loosen the respiratory mucous. Garrin's disease is hereditary. What does it mean to have a genetic defect on chromosome 7 in terms of DNA, genes, and chromosomes? In cystic fibrosis, cellular chloride channels are defective. Anatomically what type of channel is this, and what is its importance in cell function? In the mucus-secreting cells of the lungs, chloride and sodium remain in the cell. How does this result in the production of thick, viscous mucus in the bronchial passages?
Norton's theory of communicator style describes nine specific communicator styles. Which nurse is using the attentive style?
1. The nurse speaks forcefully to a peer who made a clinical error. 2. The nurse is obviously listening to the client and makes eye contact during the conversation. 3. The nurse monopolizes the lunchtime conversation with other nurses. 4. While the client is describing his or her health history, the nurse interrupts with questions about current complaints.
A client experiencing situational depression after losing a good job tells the nurse, "I am tired of always having to start over.". Which of the following can the nurse do to assist this client?
1. Suggest the client talk with the physician about medications to help his mood 2. Ask what the client has done in the past to make "starting over" so successful 3. Encourage the client to take the time to rest and relax 4. Remind the client that an alcoholic beverage with the evening meal could help with stress