A client grew up on a farm and learned to prepare foods using butter and lard produced by the farm animals. She is now in her 60s and has just learned that she has coronary artery disease
To best meet her physical as well as psychologic needs, the health practitioner should a. suggest that she adopt a low-fat vegetarian dietary pattern.
b. ask how she usually prepares foods and suggest ways to reduce the use of animal fat.
c. advise her to eat more fruits and vegeta-bles and to replace some of the animal fat with palm and coconut oil.
d. advise her to avoid adding fat to foods and eat only very lean poultry and fish.
B
The health practitioner should start with the ways she usually prepares food and suggest ways she can use less animal fat and more heart-healthy unsaturated fats without making dramatic or arbitrary changes. A low-fat vegetarian dietary pattern is not necessary and is unlikely to be ac-ceptable to the client. Eating more fruits and vegetables may be beneficial, but palm and coconut oil are high in saturated fat, which would not be helpful. It is probably not necessary for her to avoid adding any fat to foods and to eat only very lean poultry and fish; such drastic changes are unlikely to be maintained by the client.
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