A male elder who resides in a nursing home has total cholesterol of 245 mg/dl. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods.
D
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A Incorrect. Informing the elder about dietary fiber offers no control to the elder because the elder is not part of the decision. Nursing interventions developed with the elder's collaboration are most likely to help an older adult achieve health and wellness.
B Incorrect. Collaborating with the health care provider for a low-fat diet is a rea-sonable approach to help this man with hyperlipidemia achieve health and well-ness. However, the elder is more likely to have motivation and enthusiasm for a therapeutic regimen over which he has some control.
C Incorrect. This is a reasonable approach to an elder with hyperlipidemia and is a part of a multifaceted approach to optimizing his health. However, the elder is more likely to engage in a regimen over which he has input.
D Correct. The nurse collaborates with the elder to choose suitable foods. This is likely to be an effective nursing intervention to help an elder with hyperlipidemia achieve optimal health and well-being because it gives him some control over the regimen and thus engages him in the process of lowering serum cholesterol.
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