For last week’s practice question, we quizzed participants on how to approach a person who does not want to be weighed during a quarterly diabetes appointment. 60% of respondents chose the best answer. If you are interested in learning more about the importance of providing weight inclusive care, this practice test question will set you up for success.
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it here: Answer Question
Question:
RS arrives at their quarterly diabetes provider appointment and the medical assistant walks them to the scale, in the clinic hallway, to get their weight. RS politely explains that they feel uncomfortable being weighed but they are happy to share their stated weight. The medical assistant once again encourages RS to get on the scale and reassures RS that they don’t need to look at or know their weight. RS sighs, takes off their shoes and reluctantly gets on the scale to be weighed.
Which of the following best describes the end result of this situation?
Answer Choices:
If you are interested in providing weight inclusive care, this practice test question will set you up for success. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Answer 1 is incorrect. 15.91% chose this answer. “The medical assistant used a person-centered approach to respect the wishes of RS.” Instead of honoring the request to not be weighed, the medical assistant insisted RS step on the scale. A person centered, weight inclusive approach would respect RS’s request not to be weighed and accepted their stated weight.
Answer 2 is incorrect. 8.39% of you chose this answer. “RS exhibited non-adherence and reconsidered their request.” People with diabetes have the right to be weighed in a private space and they also have the right to decline to be weighed. In this situation, RS’s weight is not required to provide safe and effective medical care.RS is not “non-adherent”, they are simply expressing their need not to step on the scale.
Answer 3 is incorrect. About 15.70% of respondents chose this. “According to the transtheoretical model, RS was in preparation stage and needed gentle encouragement.” This juicy answer does not reflect the situation in the medical office at the scale. RS did not state that they were working on being comfortable with being weighed or that it would be helpful to be weighed. Instead RS told the MA twice that they don’t want to be weighed, but their request was not honored.
Finally, Answer 4 is correct. 60% chose this answer. “The clinic staff would benefit from an inservice on providing weight inclusive care.” YES, this is the best answer. If the staff were informed about weight inclusive care and reducing weight stigma, they would have honored RS’s request not to be weighed and documented their stated weight. This inclusive approach would help RS feel seen, heard and respected. RS would gain a positive association with their medical team and be more likely to return for future appointments.
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this important learning activity!
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