The nurse is preparing to conduct a focused interview on a client who reports a recent weight gain. Which of the following inquiries is most appropriate?
1. "Are you eating more than you should?"
2. "Do you eat large quantities of carbohydrates?"
3. "Please tell me about what foods and beverages you have consumed for the past 24 hours."
4. "Have you noticed your energy level has decreased with your recent weight gain?
3
Rationale 1: "Are you eating more than you should?" The focused interview of the client's nutritional concerns will include asking the client to recall intake for the past 24 hours. The 24-hour period will provide insight into the dietary intake of the client by providing a snapshot of food selections and eating patterns. It is important not to appear judgmental during the focused interview. Asking the client if she is eating large quantities of food is subjective, may be interpreted by the client in a negative manner and will likely not yield the needed information.
Rationale 2: "Do you eat large quantities of carbohydrates?" Questioning the client about carbohydrate directly is not the best tactic. The client may not be clear about which foods are sources of carbohydrates. Better information about the dietary intake can be obtained with a dietary recall.
Rationale 3: "Please tell me about what foods and beverages you have consumed for the past 24 hours." The focused interview of the client's nutritional concerns will include asking the client to recall intake for the past 24 hours. The 24-hour period will provide insight into the dietary intake of the client by providing a snapshot of food selections and eating patterns.
Rationale 4: "Have you noticed your energy level has decreased with your recent weight gain?" Energy levels may change with weight gain. The purpose of the focused interview at this point to so obtain information to guide the physical assessment in relation to nutrition and weight gain.
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