A client with persistent, primary hypertension remains apathetic about his high blood pressure, stating "I don't feel sick, and it doesn't seem to be causing me any problems that I can tell." How could the nurse best respond to this client's statement?
A) "Actually, high blood pressure makes you very susceptible to getting diabetes in the future."
B) "That's true, but it's an indicator that you're not taking very good care of yourself."
C) "You may not sense any problems, but it really increases your risk of heart disease and stroke."
D) "You're right, but it's still worthwhile to monitor it in case you do develop problems."
Ans: C
Feedback:
Hypertension is a highly significant risk factor for heart disease and stroke. It would be inappropriate to promote monitoring without promoting lifestyle modifications or other interventions to lower the client's blood pressure, or teaching the client about the deleterious effects of hypertension. It is likely unproductive to simply characterize the client's hypertension as demonstrating that he does not "take care" of himself. Hypertension is not a risk factor for the development of diabetes mellitus.
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