An ambulatory care nurse is guiding a sedentary adult client through the development of a personalized physical activity plan to reduce the risk of chronic disease. In what order should the nurse complete the following actions? Arrange the steps from first to last.
- 1Screen the client for undiagnosed cardiovascular or musculoskeletal conditions that contraindicate rigorous exercise.
- 2Explore the client's daily schedule, exercise preferences, and perceived barriers to physical activity.
- 3Collaborate with the client to establish a measurable, time-bound weekly exercise objective.
- 4Teach the client safe exertion monitoring techniques, such as measuring target heart rate or using the talk test.
- 5Establish a follow-up timeline to review adherence and adjust the activity plan.
Answer
The correct sequence strictly follows the nursing process applied to health promotion: physiological safety screening (assessment), psychosocial evaluation (assessment), collaborative goal-setting (planning), specific educational intervention (implementation), and finally, establishing a timeline for review (evaluation).
The correct sequence demonstrates the application of the nursing process (ADPIE) to health promotion. The nurse must first gather comprehensive assessment data, prioritizing physiological safety over psychosocial preferences. Only after a thorough assessment can the nurse and client collaboratively plan specific goals. Implementation (teaching monitoring techniques) directly supports the established goals. Finally, evaluation is planned to measure the intervention's success over time.
Step-by-Step Solution
Key Concept
Nursing Process in Health Promotion and Lifestyle Modification