The nurse recognizes the need for further teaching when the client makes which statement?
1. "I will check my weight gain/loss regularly."
2. "I'll make sure to take my high–blood pressure pills."
3. "I am going to a smoking cessation class."
4. "As long as I exercise, stress at my job will not bother me."
Correct Answer: 4
Rationale 1: "I will check my weight gain/loss regularly" is incorrect because exercise alone is insufficient. An exercise plan that is medically approved is important, but so is reducing stress levels as much as possible. Ignoring stress by exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it.
Rationale 2: "I'll make sure to take my high–blood pressure pills" is incorrect because implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes.
Rationale 3: "I am going to a smoking cessation class" is incorrect because implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes.
Rationale 4: Lifestyle factors are associated with increased incidence of angina. Implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes. An exercise plan that is medically approved is also important, as is reducing stress levels as much as possible. Ignoring stress by merely exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it.
Global Rationale: Lifestyle factors are associated with increased incidence of angina. Implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes. An exercise plan that is medically approved is also important, as is reducing stress levels as much as possible. Ignoring stress by merely exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it. "I will check my weight gain/loss regularly" is incorrect because exercise alone is insufficient. An exercise plan that is medically approved is important, but so is reducing stress levels as much as possible. Ignoring stress by exercising is not managing the underlying cause of the stress, only managing the symptoms it produces. The client should exercise and reduce stress and causes of it. "I'll make sure to take my high—blood pressure pills" is incorrect because implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes. "I am going to a smoking cessation class" is incorrect because implementing such changes as quitting smoking, keeping weight at an optimum level, and continuing to treat hypertension are all positive changes.
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