Which statement is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?
a. Management of the client's chronic disease rests on the client and the caregiver, so goals should be set collaboratively.
b. The client will be able to make needed changes in his life if you provide accurate, written instructions.
c. Psychological functioning is usually impaired only to a small extent in a client with a chronic illness.
d. The client's values, culture, and beliefs will have little to do with the types of changes he will be able to make.
A
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A Correct. The client must remain involved in decision making; the client and the caregiver may have different priorities.
B Incorrect. Instructions by themselves are not sufficient.
C Incorrect. Psychological functioning may be more impaired than physical func-tioning.
D Incorrect. The client's values, cultures, and beliefs profoundly shape the client's response to chronic illness and to therapeutic interventions.
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