A client is seen at the ambulatory care clinic for a routine physical examination
During the examination, the client discusses having gained more than 25 pounds in the past year despite not changing the level of activity or dietary intake. What response by the nurse is the most appropriate?
1. "You must be eating more than you realize."
2. "Do you think increasing exercise might help you with your excessive weight gain?"
3. "Tell me about any changes in your stress levels."
4. "This weight gain is likely the result of aging."
Correct Answer: 3
Periods of stress may result in obesity. In addition, some individuals will use comfort foods during periods of stress. Telling the client that he is indeed eating more than realized is confrontational. Encouraging the client to increase exercise may be beneficial but the nurse must first assess for potential causes. Many people do gain weight as they age but there is no indication that this is correct for this individual.
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