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.

2. 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.

3. Two client outcomes that are reasonable, measurable, and realistic are:

• The client will decrease their BMI to a healthy range within 6 months by incorporating regular physical activity and a balanced diet.
• The client will increase their daily fruit and vegetable intake to at least 5 servings per day within 3 months by incorporating more plant-based meals and snacks.

4. Three nursing interventions for each client outcome and their rationales are:

Client Outcome 1: The client will decrease their BMI to a healthy range within 6 months by incorporating regular physical activity and a balanced diet.

• Intervention 1: Develop a personalized exercise plan with the client, including activities that the client enjoys and is capable of doing. Rationale: Engaging in physical activity can help the client burn calories, improve cardiovascular health, and increase muscle mass.
• Intervention 2: Collaborate with the client to develop a balanced meal plan that includes nutrient-dense foods, portion control, and limited consumption of high-calorie, high-fat foods. Rationale: A balanced diet can provide the client with the nutrients they need for optimal health and weight management.
• Intervention 3: Monitor the client’s weight regularly and adjust the exercise and meal plans as needed to achieve the desired BMI reduction. Rationale: Regular weight monitoring can help track progress and identify areas that need improvement.

Client Outcome 2: The client will increase their daily fruit and vegetable intake to at least 5 servings per day within 3 months by incorporating more plant-based meals and snacks.

• Intervention 1: Educate the client about the health benefits of fruits and vegetables and the recommended daily intake. Rationale: The client may not be aware of the importance of fruits and vegetables in maintaining optimal health.
• Intervention 2: Work with the client to develop a meal plan that incorporates fruits and vegetables as the main ingredients. Rationale: A meal plan that incorporates fruits and vegetables can provide the client with the necessary vitamins, minerals, and fiber for optimal health.
• Intervention 3: Provide the client with recipes and ideas for healthy snacks that include fruits and vegetables. Rationale: Healthy snack options can help the client meet their daily fruit and vegetable intake goals.

5. 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. The client may be resistant to accepting help or making changes to their lifestyle, which could impact their ability to adhere to a personalized plan of care.
6. Referrals that may be appropriate for this client include:

• A registered dietitian to develop a personalized meal plan and provide ongoing nutritional counseling.
• A physical therapist or personal trainer to develop a personalized exercise plan and provide ongoing support.
• A social worker to assess the client’s support system and identify resources for emotional and social support.

References: Centers for Disease Control and Prevention. (2021). Assessing your weight. Retrieved from https://www.cdc.gov/healthyweight/assessing/index.html Holmes, S., & Dick, K. (2010). A review of tools