A nurse is working with a 79-year-old client newly diagnosed with osteoporosis. Which of the following interactions promotes achievement of wellness outcomes?
A) The nurse performs strength and mobility training appropriate to the client's age and diagnosis.
B) The nurse teaches the client about bone density in older women and the role of vitamin D and calcium intake.
C) The nurse plans interventions in light of the body–mind–spirit interconnectedness of the client.
D) The nurse teaches the client about how her risk factors are a consequence of age.
Ans: B
Teaching about bone density and the role of vitamin D reflects an acknowledgment that the client's diagnosis is attributable to both the client's age-related changes and risk factors such as inadequate nutrient and mineral intake. Strength and mobility training may well be an appropriate intervention, but it does not necessarily acknowledge the interplay of risk factors and age in the client's diagnosis. The body–mind–spirit interconnectedness is a component of the Functional Consequences Theory, but it does not address the relationship between risk factors and age per se. Teaching about risk factors as a consequence of age implies that these factors are an inevitable consequence of age, which is not the case.
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