An overweight female client is reluctant to get on the scales at the healthcare provider's office. She verbalizes that she does not want to know how much she actually weighs. The nurse's best response would be:
1. "The doctor requires all of her clients to be weighed."
2. "This information is very important. If you step on the scales, I will just write your weight down and not say it out loud."
3. "I really do not like it either, but it has to be done."
4. "We can just use your weight from your visit last year."
2
Rationale 1: "The doctor requires all of her clients to be weighed." Explaining that the weight is required does not really meet the concerns being voiced by the client.
Rationale 2: "This information is very important. If you step on the scales, I will just write your weight down and not say it out loud." A client's weight is part of the anthropometric measurements. The height, weight, and body fat and muscle composition are part of these measurements. By using these values with a physical assessment, a client's nutritional status may be evaluated. Promoting the confidentiality of the procedure may help to reassure and calm the client.
Rationale 3: "I really do not like it either, but it has to be done." Forcing the client is a violation of rights.
Rationale 4: "We can just use your weight from your visit last year." Using a weight that is a year old will not accurately reflect a current trend or change. The data can still be gathered for a nutritional assessment and the client's wishes met by measuring the client's weight without verbalizing what it is.
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