Fundamentals of Nursing

A patient is being followed in the clinic for hypertension, adult onset diabetes and obesity.

The patient is apathetic about the learning about nutrition guidelines to reach the goals of weight loss and consumption of a healthy diet . the patient admitted to eating " whatever is put in front of me". which of the following actions would the nurse take?

  1. A Collaborate with the patient to set goals
  2. B Add a nursing diagnosis of non- compliance
  3. C Refer to psychiatric screening for depression
  4. D Discuss nutritional interventions with the spouse Correct answer

Explanation

Core Concept: Family involvement in dietary management is crucial when a patient is apathetic or lacks motivation to change eating habits, especially when someone else prepares the meals.

Clinical Presentation:

  • Obesity, uncontrolled hypertension, and diabetes
  • Apathy toward dietary changes and weight loss goals

Diagnosis:

  • *First-line:* Dietary recall and assessment of who prepares meals at home.
  • *Gold Standard:* Comprehensive nutritional assessment by a registered dietitian.

Management:

  • *Acute:* Involve the primary meal preparer (the spouse) in nutritional education to ensure the home environment supports the patient's health goals, as the patient eats "whatever is put in front of me."
  • *Definitive:* Collaborative goal setting, behavioral counseling, and medical management of comorbidities.

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