A client returns for a follow-up visit after diet instruction and states: "I have not lost any weight on this diet." What is the best response?

The best response, which focuses on understanding the client's situation, is to inquire about their typical day. This approach opens up a dialogue that allows the client to share details about their eating habits, physical activity, and any other factors that could influence their weight loss journey. By asking about a typical day, you encourage the client to reflect on their behaviors in a non-confrontational manner, helping to identify areas where adjustments may be needed.

This strategy also fosters a supportive environment where the client feels comfortable discussing their challenges. Understanding their daily routine can provide insight into why they may not be seeing the desired results, such as emotional eating, portion sizes, or unanticipated calorie intake.

In contrast, asking if they followed your advice or the exercise plan can come across as accusatory, potentially making the client defensive. Similarly, inquiring if they have been eating out might suggest blame without understanding the full context of their dietary lifestyle. Engaging with the client about their daily experiences rather than focusing solely on compliance enhances communication and can lead to more effective strategies tailored to their specific needs.