The nurse is creating a weight-reduction teaching plan for a client who has a BMI of 42 and type 2 diabetes mellitus. In which order should the nurse implement the contents of this plan?
1. Set realistic goals.
2. Raise awareness of healthy behaviors.
3. Explain relapse as an opportunity to try again.
4. Identify strategies that support healthy behavior.
5. Further clarify values in relation to the health behavior.
6. Identify unhealthy behavior triggers and ways to reduce them.
Correct Answer: 2, 5, 6, 1, 4, 3
In the first stage of precontemplation (1) the nurse raises the client's awareness of healthy behaviors. In the contemplation stage (2) the nurse helps the client further clarify his or her values in relation to the health behavior. In the preparation stage (3) the nurse helps the client identify stimuli that trigger unhealthy behavior and consider ways to remove or minimize those stimuli. In the action stage (4) the nurse helps the client set realistic goals. In the maintenance stage (5) the nurse identifies and encourages strategies that support healthy behavior. In the termination stage (6) the nurse should review the role of relapse as an opportunity to try again.
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The recently widowed 65-year-old man has told the nurse that he is so lost without his wife that he is planning to retire, sell his home, and move to a retirement village in another state. What assessment by the nurse would be the most correct?
a. Positive, because it represents a new beginning b. Positive, because it allows him more time to resolve his grief c. Risky, because he is giving up significant supports to his self-image and grief resolution process d. Negative, because he has not thought his plan through
A group of community health nurses provides services to pregnant adolescents who come from families living below the poverty level
The adolescents are living in communities with high infant mortality rates, high crime and drug rates, and very few prenatal clinics. The nurses are practicing which type of health care? a. Population-based health care c. Long-term health care b. Acute health care d. Short-term health care
How should the nurse teach a patient to take an oral contraceptive?
A) Empty stomach, full glass of water B) Same time of day, each day C) Days of expected intercourse D) Same day of the week, once a week
Although not assessed to be dangerous to self or others, a patient diagnosed with borderline personality disorder has created many problems on the unit and consistently refuses to accept prescribed medication
Nursing actions must be guided by the realization that legally this patient may: a. refuse any type of treatment. b. receive forced treatment if the treatment team concurs. c. be medicated if family members sign permission for treatment. d. be made to accept treatment recommendations through the loss of privileges.