The nurse is caring for a 13-year-old girl. The child has been identified as overweight with no underlying psychological or secondary causes. The nurse is reviewing the child's weight-loss progress and nutrition at a follow-up visit. Which of the following indicates a need for further discussion and teaching?
a) "Her goal is to be a size smaller by our vacation in two weeks."
b) "My daughter is helping us plan our family's weekly menu."
c) "We are using family outings and activities as a reward for weight loss."
d) "Our whole family has changed our eating habits."
Answer: "Her goal is to be a size smaller by our vacation in two weeks."