A 78-year-old female client is in the healthcare provider's office for a routine physical exam. She asks for an explanation of why skinfold measurements are not done on her anymore. The nurse's best response would be:
1. "Those tests are no longer recommended to assess BMI."
2. "As a person ages, the test is not as accurate."
3. "The BMI (body mass index) test is easier to use."
4. "A detailed dietary history will give us the information that we need."
2
Rationale 1: "Those tests are no longer recommended to assess BMI." Expressing to the client that the "tests are no longer recommended" does not meet the request for information. In addition, the test is not used to determine BMI.
Rationale 2: "As a person ages, the test is not as accurate." The subcutaneous fat distribution and total body fat composition change as an adult ages. The reference values for older adults and suggested locations of skinfold measurements requires further investigation and data collection to be accurate.
Rationale 3: "The BMI (body mass index) test is easier to use." The ease of the test is not the reason for the change in the assessments being performed.
Rationale 4: "A detailed dietary history will give us the information that we need." A diet history is an important part of a nutritional assessment, but does not give body composition values.
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