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Difficulty: HardHealth Promotion and Disease Prevention

A registered nurse in a primary care clinic is conducting a comprehensive health promotion and disease prevention visit for a 60-year-old client. Arrange the following nursing actions in the most appropriate chronological order to maximize the effectiveness of the preventative care plan.

  1. 1Elicit a comprehensive multi-generation family history to identify genetic predispositions to chronic diseases.
  2. 2Obtain current biometric measurements and review the results of fasting lipid and blood glucose panels.
  3. 3Utilize a validated cardiovascular risk calculator to determine the client's 10-year risk of developing atherosclerotic disease.
  4. 4Collaborate with the client to establish a realistic, mutually agreed-upon goal for dietary sodium reduction.
  5. 5Provide a referral to a community-based supervised exercise program tailored to the client's baseline fitness level.

Answer

The correct sequence follows the nursing process: subjective assessment (family history), objective assessment (biometrics), analysis (risk calculation), planning (goal setting), and implementation (referral).
The sequence of actions in a health promotion visit must strictly follow the nursing process. The nurse first collects subjective data (family history) followed by objective data (biometrics and labs). Once all assessment data is gathered, the nurse analyzes the information to determine risk (using a risk calculator). After the risk is understood, the nurse enters the planning phase to set collaborative goals with the client. Finally, the nurse implements the plan by executing specific interventions, such as providing community referrals.

Step-by-Step Solution

1
Identify the subjective assessment phase.
Eliciting a multi-generation family history.
The nursing process begins with gathering subjective client data to identify underlying, non-modifiable risk factors.
2
Identify the objective assessment phase.
Obtaining biometrics and reviewing lab panels.
Objective data collection completes the assessment phase by determining the client's current physiological baseline.
3
Identify the analysis phase.
Utilizing a validated cardiovascular risk calculator.
The nurse synthesizes both subjective and objective data to evaluate the overall risk for disease before planning interventions.
4
Identify the planning phase.
Collaborating to establish a dietary goal.
Based on the synthesized risk analysis, the nurse and client collaboratively plan mutually acceptable health promotion goals.
5
Identify the implementation phase.
Providing a referral to an exercise program.
Specific preventative interventions and referrals are implemented to achieve the established health promotion goals.

Key Concept

Application of the nursing process (Assessment, Analysis, Planning, Implementation, Evaluation) to health promotion and disease prevention strategies.
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Topics

Health Promotion and Disease Prevention

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