The school nurse notices that the overweight students are bullied by their peers and often have low self-esteem. She decides to:
1. Implement a weight loss program specifically designed for adolescents at the school.
2. Call the students' parents and discuss their after-school activities.
3. Suggest the overweight students increase their physical activity.
4. Monitor the food they eat at lunch.
1
Rationale: Having students participate in a program at school could promote peer support and allow a safe environment to promote change. Knowing what the students do after school may help to understand reasons for weight gain, but the knowledge alone won't change behaviors. Informing students to increase their activity may not be well perceived and only adds to feelings of low self-esteem. Monitoring food intake of specific students is not an appropriate intervention and may lead to additional bullying by other students.
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