A client with a BMI of 33 is experiencing increasing fatigue which is attributed to a sedentary job and lifestyle. Which question should the nurse ask when beginning to assess this client and current body weight?
a. "How do you feel about your current weight status?"
b. "Do you have other family members who are obese?"
c. "Do you think that being obese contributes to your fatigue?"
d. "Have you noticed that you are more tired now that you have gained an extra 50 pounds?"
a. "How do you feel about your current weight status?"
Making statements about a client's size or weight may cause them to react defensively or feel stigmatized. Most clients are aware that they are overweight so restating an obvious fact is not necessary. Asking how the client feels about current weight allows the client to share perceptions of body weight and provides direction about what intervention might be most helpful. Although a family history of obesity could be a factor related to the client's eating disorder, it should not be the first question that is examined.
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