The nurse prepares a community education program about health promotion strategies for postmenopausal women. Which of the following teaching points are appropriate to include? Select all that apply.

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NCLEX® CHANGE AS OF 2017 - Please note that select-all-that-apply (SATA) questions on NCLEX can now include any number of correct responses. Only ONE option or up to ALL options may be correct. UWorld questions now reflect this change. Visit NCSBN® NCLEX FAQs for more information. Loss of ovarian function during menopause causes a decrease in estrogen production, leading to reduced osteoblast activity and cardioprotective effect. Therefore, postmenopausal clients are at increased risk for osteoporosis and coronary artery disease (CAD). Other physiological changes after menopause may include weight gain, sleep disturbances, fat redistribution, and vaginal atrophy. Clients should utilize health promotion strategies to reduce the effects of decreased estrogen levels, including: Consuming optimal amounts of dietary calcium (green, leafy vegetables; dairy products) and engaging in weight-bearing exercise to promote bone health (Options C and D) Closely monitoring cholesterol levels (eg, HDL, LDL, triglycerides), as increased LDL cholesterol increases risk for CAD (Option B) Considering seeking the assistance of a dietitian, and maintaining a low-calorie diet rich in fruits and vegetables, as hormone changes may cause a predisposition to weight gain (Option A) Seeking support to cope with any emotional symptoms (eg, depression, mood swings, sadness, difficulty concentrating) caused by changing hormone levels (Option E) Educational objective: Postmenopausal women should consume plenty of calcium-rich foods (eg, dairy products; green, leafy vegetables), engage in weight-bearing exercise, monitor cholesterol levels, consider dietary counseling to maintain a healthy weight, eat a diet rich in fruits and vegetables, and seek support for any emotional symptoms.

The Nurse Prepares a Community Education Program About Health Promotion