During a health maintenance visit, a 15-year-old girl mentions that she is not happy with being overweight. Which approach is best for the nurse to take?
A) "Good observation. Let's talk about diet and exercise."
B) "Don't worry; you are within the weight and height guidelines."
C) "What specifically have you been noticing?"
D) "Tell me about your parents. Are they overweight?"
Ans: C
It is best to find out what caused the teenager to make the comment so that you can work with her about the issue. This is an assessment and must be done first. Launching into a lecture on diet and exercise will be of no value if the teenager wants to talk about dealing with snide comments from her peers. Telling the teenager she is statistically in the normal range for weight and height may close the conversation prematurely. The focus is on the teenager, not her parents. Obtaining that information would be important, but not at this time.
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