A client comes into the health clinic asking for advice on lowering the individual's risk of heart disease. The nurse's best response is to:
1. Conduct a health history and physical exam to determine the client's area of risks and then educate the client based upon these findings.
2. Discuss the client's perceived area of health risks.
3. Determine the client's risks based upon a prior chart for the client.
4. Conduct a physical exam of the client and discuss the findings.
Conduct a health history and physical exam to determine the client's area of risks and then educate the client based upon these findings.
Rationale: A thorough health history and physical exam should disclose a client's risk factors. Modifiable risk factors can be evaluated and discussed with the client. Discussing the client's perceived area of health risks will not be inclusive and may only capture those risks the client is aware of. Using the client's old chart may disclose some risk factors, but would not include any recent concerns. Conducting a physical exam would discover some risk factors, but is not inclusive of the health history.
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