A nurse helps older adults increase healthy behaviors by restructuring. Which of the following communication techniques should the nurse use to help the older adult overcome barriers?
A) "Could you walk with your friend for a half-hour after you both come back from the lunch program at the senior center?"
B) "I know it's hard to get outside in the winter, so let's try to identify some ways of getting more exercise indoors during your usual activities."
C) "Let's talk about the benefits of exercise. When you walk regularly you reduce constipation and muscle pain."
D) "Your activity has been decreasing during the last 3 years and it is at the point that you are at an increased risk for heart disease."
Ans: B
Restructuring assists the client to use positive thinking to focus on ways of overcoming barriers (e.g., getting outside in winter). Giving suggestions about when and where to walk might be helpful, but it is best if the client develops the plan of action. Talking about the benefits of exercise reinforces rewards. Discussing consequences of inactivity raises the consciousness of the older adult.
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