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Difficulty: MediumLifestyle Choices

An occupational health nurse is counseling a 48-year-old client with a body mass index (BMI) of 29 and a highly sedentary lifestyle. The client states, "I know I need to be more active to avoid developing diabetes like my parents did, but I simply have no time to join a gym due to my work schedule." Which of the following responses by the nurse is the most appropriate?

  1. Let's explore some ways you might incorporate brief periods of moderate activity, such as walking, into your regular workday.Answer
  2. B
    Why haven't you tried waking up an hour earlier to make time for a workout before your shift begins?
  3. C
    Because you want to focus on primary prevention, we should prioritize scheduling a fasting blood glucose test right away.
  4. D
    A slower metabolism and weight gain are expected parts of the aging process, so you may need to accept this as your new baseline.

Answer

The response suggesting the exploration of brief periods of moderate activity into the workday is the most appropriate.
The correct response demonstrates therapeutic communication by collaborating with the client to find a practical solution to their identified barrier. By suggesting ways to integrate activity into the existing daily routine, the nurse promotes self-efficacy and supports primary prevention without requiring a significant time commitment or gym membership.

Step-by-Step Solution

1
Analyze the client's statement and identify the core issue.
The client recognizes the need for primary prevention (lifestyle changes) to avoid diabetes but perceives a barrier (lack of time for a gym).
Understanding the client's readiness to change and identified barriers is essential for tailoring effective health promotion strategies.
2
Evaluate the nurse's response options based on therapeutic communication principles and accurate health promotion concepts.
The correct response must address the client's barrier collaboratively without being judgmental, confusing prevention levels, or dismissing the risk as normal aging.
Effective nursing interventions in lifestyle modification rely on partnering with the client to set realistic, achievable goals.
3
Select the option that facilitates realistic lifestyle changes.
Exploring ways to incorporate walking into the workday provides a practical alternative to a gym membership, supporting the client's goal.
This approach empowers the client and promotes adherence to physical activity guidelines.

Key Concept

Therapeutic Communication in Health Promotion and Lifestyle Modification
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Topics

Lifestyle Choices

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