A patient has not eaten since admission to the long-term care facility 2 days ago. Which is the best initial intervention for the nurse to prevent malnutrition in this patient?
a. Make a diet request to the healthcare pro-vider for full liquids.
b. Ask the patient's daughter why the patient will not eat.
c. Remind the patient that nutrition is essen-tial to better health.
d. Assess the patient for possible reasons for the lack of intake.
D
The nurse gathers additional information by using the nursing process to prevent malnutrition for a new patient in the long-term care facility. Identifying barriers to nutrition begins with obtaining objective and subjective data by which the nurse gathers valuable nutritional information, in-cluding muscle function, teeth, cognition, and patient food preferences. Requesting a diet change is premature and not based on assessment data. Asking the daughter for information reveals the daughter's opinion, anecdotal information, and possibly biased observations about the patient. The use of the word "why" is also not therapeutic. Reminding the patient about nutrition may be a useless intervention if his or her cognition is low, if he or she has a sensory or communication disorder, or if he or she is depressed. In addition, the patient can interpret this as an insult to his or her intelligence.
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