A primary care NP sees a 5-year-old child who is morbidly obese. The child has an elevated hemoglobin A1c and increased lipid levels
Both of the child's parents are overweight but not obese, and they tell the NP that they see nothing wrong with their child. They both state that it is difficult to refuse their child's requests for soda or ice cream. The NP should: a. suggest that they give the child diet soda and low-fat frozen yogurt.
b. understand and respect the parents' beliefs about their child's self-image.
c. initiate a dialogue with the parents about the implications of the child's laboratory values.
d. suggest family counseling to explore ways to improve parenting skills and limits.
C
In this case, the child is at risk if the parents do not intervene. The NP should help the parents to see the potential adverse effects so that they can understand the need for treatment. The other answers are examples of the NP creating solutions. Unless the parents see the problem, they are not likely to engage in the treatment regimen.
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