A patient wants to add an exercise program to their daily regimen. At this stage of change, what are some appropriate interventions the nurse should consider? Select all that apply
1. Identify and assist in problem solving.
2. Help the patient identify social support for the change.
3. Identify and promote new, positive outcome expectations.
4. Verify skills the patient possesses to assist in making a change.
5. Encourage and provide feedback on small steps toward change.
Answer: 1, 2, 4, 5
Explanation: Interventions that assist a patient at the preparation stage of change can include: identifying and assisting in problem solving; helping the patient identify social support for the change; verifying skills the patient possesses to assist in making a change: and encouraging and providing feedback on small steps toward change. Identifying and promoting new, positive outcome expectations are effective at the contemplation stage.
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The nurse assesses the communication in a family that includes a single mother, a teenage son and daughter, and a grandmother. During the family interview, the daughter answers many questions while the son and mother are quiet and the grandmother is absen
A. The communication patterns are healthy. B. The daughter may have a lot of power. C. The grandmother does not want to be involved. D. The grandmother may have little power. E. The mother and son may have a coalition.
For an unconscious patient, which of the following interventions are necessary to provide for patient safety? Select all that apply
a. Talk to the patient as you provide care. b. Incorporate more touch in the plan of care. c. Give frequent eye care if blink reflex is absent. d. Keep the siderails up and bed in low position. e. Perform diligent oral care by irrigating with diluted mouthwash.
A client in the emergency department has died from a suspected homicide. What is the nurse's priority intervention?
a. Remove all tubes and wires in preparation for the medical examiner. b. Limit the number of visitors to minimize the family's trauma. c. Consult the bereavement committee to follow up with the grieving family. d. Communicate the client's death to the family in a simple and concrete manner.
The nurse is assessing a 68-year-old female patient who states, "I am having episodes of urinary incontinence.". The nurse should recognize that this statement indicates which situation?
1. An abnormal finding requiring further testing 2. The presence of a urinary infection 3. A normal outcome of the aging process 4. The result of having several children