A woman tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine with dinner, and has cut down on coffee to four cups a day. What response by the nurse will be most helpful in promoting a lifestyle change?
a. "You have made some good progress toward having a healthy baby. Let's talk
about the changes you have made."
b. "You need to do a lot better than that. You are still hurting your baby."
c. "Here are some pamphlets for you to study. They will help you find more ways to
improve."
d. "Those few things won't cause any trouble. Good for you."
A
Feedback
A Praising her for making positive changes is an effective technique for motivating
a patient. She still has to identify the risk factors to optimize the results.
B This statement is belittling to the patient. She will be less likely to confide in the
nurse.
C The nurse is not acknowledging the efforts that the woman has already
accomplished. Those accomplishments need to be praised to motivate the
woman to continue.
D Alcohol and coffee consumption are still major risk factors and need to be
addressed in a positive, nonjudgmental manner.
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