What is the client’s BMI? Identify what screening tools you would use to assess nutritional and exercise knowledge, and why? Identify two client outcomes that are reasonable, measurable and realistic Identify 3 nursing interventions for each client outcome and give rationales Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet? What referrals would you make and why? Identify your references in APA format. Use references not just opinion.

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  1. To assess the client’s nutritional and exercise knowledge, I would use the following screening tools:
  • The Rapid Eating Assessment for Patients (REAP) tool: This tool evaluates the client’s dietary habits, food choices, and nutrient intake to identify areas for improvement.
  • The Rapid Assessment of Physical Activity (RAPA) tool: This tool assesses the client’s physical activity level and identifies areas for improvement.

I would use these screening tools to gather objective data about the client’s nutritional and exercise knowledge to develop a personalized plan of care.

  1. There are two outcomes for clients that can be a reasonable, quantifiable, and real.
  • Regular exercise and balanced eating will reduce the client’s BMI within six months.
  • Client will increase their fruit and vegetable intake by at least five servings daily over the next three months. They will also incorporate more plant-based snacks and meals.
  1. The following are the three interventions of nursing for each outcome client and their reasons:

Client Outcome 1 – The client will lower their BMI by engaging in regular physical activity, eating well and maintaining a balanced lifestyle.

  • Intervention 1: Create a customized exercise plan for the client with activities the client is interested in and can do. Motivation: Exercise can burn calories, increase metabolism, and build muscle.
  • 2. Intervention: Work with client to create a balanced diet plan. This should include nutrient-dense food, portion control and limiting consumption of high-calorie high-fat foods. Argument: Clients can get the nutrition they require for good health and healthy weight management by eating a balanced diet.
  • Intervention 3: Monitor the client’s weight regularly and adjust the exercise and meal plans as needed to achieve the desired BMI reduction. Justification: Weight monitoring is a good way to track your progress and find areas where you can make improvements.

Client Outcome 2 – The client will in three months increase their fruit and vegetable intake by eating more plant-based foods and snacks.

  • Intervention 1: Inform the client about health benefits and recommended daily intake of fruits, vegetables, and other topics. Reason: It is possible that the client doesn’t realize how important fruits and veggies are in maintaining optimal health.
  • Intervention 2 – Work closely with the client in order to create a meal program that uses fruits and veggies as its main ingredient. Justification: A balanced meal plan that contains fruits and veggies can help clients maintain optimal health.
  • Intervention #3: Give the client ideas and recipes for healthy snacks made with fruits and veggies. Argument: Clients can get healthy snacks to help them meet their fruit- and vegetable intake goals.
  1. The weakness in the client’s life and supports that may be impacting their activity and diet could be the client’s independence and pride. A client might be resistant to receiving assistance or changing their life, which can impact their ability and willingness to accept care.
  2. This client may benefit from the following referrals:
  • Registered dietitian can help you create a customized meal plan, and offer ongoing nutrition counseling.
  • You can have a personal trainer, therapist, or physical therapist create an exercise plan for you and then provide support.
  • A social worker to assess the client’s support system and identify resources for emotional and social support.

Sources: Centers for Disease Control and Prevention. (2021). How to assess your weight. Retrieved from https://www.cdc.gov/healthyweight/assessing/index.html Holmes, S., & Dick, K. (2010). Review of Tools

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