Registered Practical Nurse (RPN) Practice Test

A client with schizophrenia has gained 20 pounds. What should the nurse advise against to prevent health risks?

1. High-protein diets

2. Very low calorie diets

3. Frequent meals

4. Low-carb diets

The correct answer is: Very low calorie diets

The recommendation against very low-calorie diets for a client with schizophrenia who has gained weight is based on the need for a balanced and sustainable nutritional approach. Very low-calorie diets can lead to insufficient nutrient intake, which is especially concerning for individuals with mental health conditions who may already be at risk for nutritional deficiencies. These deficiencies can exacerbate symptoms of schizophrenia and negatively affect overall health and well-being. Moreover, clients with schizophrenia may have specific metabolism or medication interactions that could be compounded by extreme dietary restrictions. Sustainable weight management should focus on a balanced diet that supports both physical health and mental health, rather than drastic measures that could prove harmful or difficult to maintain. Encouraging healthy eating patterns such as regular meals that include a balance of nutrients would be more beneficial for this patient population.