A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic?

Question

1. "I would like you to perform this exercise once a day."
2. "Your physician has left orders that you are to follow."
3. "The laboratory tests reveal the need to reduce your daily percentage of fat in-take."
4. "Adapting to a low-fat diet and increasing your activity will help lower your blood glucose levels."

Answer 1

ANS: 4
Using a holistic approach involves consideration of all factors that may impact a client's level of well-being in all dimensions, not just physical health. Factors such as diet and exercise can influ-ence one's level of health.
Directing the client to exercise does not address the many factors that may impact one's level of health. This response does not facilitate the client in seeing the connection between lifestyle choices and well-being.
Directing the client to follow physician's orders, though important, does not describe a holistic approach of nursing care. A holistic approach may include a discussion of diet and exercise and the effect these factors have on blood glucose level. The aim is for the client to take responsibility for their health and choices that may impact their health.
Viewing laboratory test results is a part of the nursing assessment. To approach the client holisti-cally, the nurse would need to also assess the client's diet and activity level.