What is the first step in developing a plan to reduce risk for injury for a client diag-nosed with chronic obstructive pulmonary disease (COPD)?
a. Evaluating the client's understanding of the pathophysiology of the disease.
b. Assessing the client's ability to cope with the physical changes the disease will cause.
c. Determining the degree of acceptance the client has for the suggested lifestyle changes.
d. Monitoring the client for signs of depression and hopelessness regarding the future.
ANS: C
Risk-reduction programs can be instituted only with a clear understanding of the person's difficulties with changing lifelong habits. Smoking, overeating, habitual anger or irritation, and a sedentary lifestyle are all components of poor health, are often deeply embedded in the personality structure and life style and are not easily eradicated by "education." The remaining options may impact the process but do not have the priority that assessing for compliance has on the success on making life style changes.
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