When working with patients on changing health-related behaviors, the nurse understands that the first priority is to
a. assess the patient's knowledge about the behavior.
b. determine how motivated the patient is to change.
c. establish a collaborative relationship with the patient.
d. plan interventions and set goals for behavior change.
C
Establishing a collaborative relationship with the patient is the priority when working with patients to make health-related behavior changes, because many people have had negative experiences with health care providers in the past and hold unfavorable views of them.
Assessing prior knowledge is important but is not the priority.
Determining motivation, including what factors can serve as motivators, would be important, but this is not the priority.
Planning goals and interventions would come after establishing a collaborative relationship and assessing the patient's knowledge.
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1. In the hallway away from patient rooms 2. Behind the nurse's desk on the unit 3. In the manager's office 4. In the supply room
To assist them with their grief experiences, many health care facilities offer caregivers who work with dying clients
1. extra income. 2. support groups . 3. time off from work. 4. peer evaluation groups.
Bertha is a 71-year-old woman who takes daily medication for Hashimoto thyroiditis. Last winter, she developed pneumonia. While she did her best to run errands for her husband, she got tired easily and needed to rest frequently
One day, after shoveling the snow outside, her husband came inside to find Bertha lying on the sofa covered in blankets. Her face appeared puffy and her eyelids hung. When he spoke to her, Bertha's voice was hoarse and her words did not make sense to him. Her respirations were also shallow and slow. Suspecting low thyroid hormone levels were causing the signs, her husband called for an ambulance. When testing for hypothyroidism, why is the free T4 level an important measurement? What would the TSH and T4 test results indicate in someone with primary hypothyroidism? Using your knowledge of the function of thyroid hormone in the body, explain why Bertha's respiratory rate was decreased? Why might pleural effusion be present in someone with hypothyroidism? What factors in Bertha's history leave her susceptible to myxedematous coma? What are the physiological aspects involved in myxedematous coma?
The nurse is concerned that an older patient has a problem related to regular alcohol consumption. What did the nurse assess in this patient? Select all that apply.
1. Anxiety 2. Malnutrition 3. Social isolation 4. Bruises from falling 5. Dependence on family members