Practice Quiz

Registered Dietitian

Category - Nutrition Science

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You have been counseling a client with NIDDM. He has been keeping a food and exercise diary which shows that he is complying with the recommendations you have provided. However, he has gained six pounds since the last counseling session three weeks ago, and his self-monitored blood glucose values range from 180-250 mg/dl. You suspect the client is not being honest about his exercise or food intake. What would be the best approach to take with this client?
  1. Accuse him of lying and refuse to work with him again.
  2. Question him gently about stressors that might be causing him to overeat and ignore his exercise program.
  3. Review the diabetic exchanges with him.
  4. None of the above.
Explanation
Answer: B - The best approach to take with his client would be to question him in a gentle way about stressors in his life that may be interfering with his ability to maintain his diet and exercise program. Fostering an open atmosphere and showing interest in him will help him to be honest with you about the problems he is having, and encourage him to work with you to identify solutions.
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