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Question

Difficulty: MediumLifestyle Choices

A practical nurse (PN) at a community health center is assisting with a client who is starting a comprehensive lifestyle modification program. Arrange the PN's actions in the most appropriate chronological order from first to last.

  1. 1Collect data by asking the client to describe their typical daily food intake and physical activity.
  2. 2Explore the client's motivation, personal health goals, and readiness to adopt new healthy behaviors.
  3. 3Reinforce the registered nurse's individualized teaching regarding portion control and a daily walking schedule.
  4. 4Provide a printed educational brochure that summarizes the discussed dietary and exercise recommendations.
  5. 5Instruct the client to bring a completed weekly activity and meal journal to their next follow-up appointment.

Answer

The correct order follows the practical nursing process: collect baseline physical data, assess motivation and readiness, reinforce the teaching plan, provide supporting written materials, and establish evaluation criteria for the next visit.
The practical nursing process requires data collection to occur before implementation. The PN must first determine the client's current baseline lifestyle habits, followed by their readiness to change. Only after data collection is complete can the PN effectively reinforce the registered nurse's teaching plan and provide supporting written materials. Finally, the PN establishes a method for evaluation by setting up follow-up tracking.

Step-by-Step Solution

1
Collect baseline data regarding current habits.
The PN understands what the client is currently eating and how much they are exercising.
Data collection is the first step of the practical nursing process and forms the foundation for all subsequent care.
2
Determine the client's motivation and readiness to change.
The PN identifies potential psychosocial barriers and the client's willingness to learn.
Educational reinforcement is ineffective if the client's readiness to learn and change has not been established.
3
Reinforce the RN's teaching on the new lifestyle choices.
The client receives verbal instruction on their specific portion control and walking goals.
Implementation of the educational plan occurs after a thorough assessment of baseline needs and readiness.
4
Supply written educational materials.
The client receives a brochure summarizing the verbal instructions.
Written materials reinforce verbal education and accommodate different learning styles while providing an at-home reference.
5
Instruct the client on follow-up documentation.
The client knows to keep a journal to bring to the next visit.
Establishing a tracking method sets up the evaluation phase of the nursing process, allowing the healthcare team to measure outcomes at the next appointment.

Key Concept

Nursing Process in Lifestyle Modification
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Topics

Lifestyle Choices

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