A 34-year-old mother delivered her third child 1 year ago. She tells the nurse that her New Year's resolution is to lose the 15 pounds that she gained with this pregnancy over the next month
Which of the following is the best statement that the nurse can make to help the patient achieve her weight loss goal? a. "I don't think you need to lose the weight; you look fine as you are."
b. "The weight will come off by itself because you are breastfeeding."
c. "Let's talk about giving yourself a realistic timeframe to lose it."
d. "That is a realistic, healthy goal for you to have."
C
Helping the patient set a realistic time frame will be most therapeutic. Patients often have unrealistic expectations about nutritional needs or dieting in reference to weight gain or loss. Help patients understand this concept by asking them to reflect on their rate of weight gain or loss. Changes in weight usually occur over months or years unless an acute illness has occurred. "I don't think you need to lose the weight" is the nurse's opinion and is not therapeutic. The child is 1 year old, breastfeeding probably is not occurring, and it is not an accurate statement. It is not healthy or realistic to lose weight fast; recommended weight loss is to 1 lb per week.
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