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Zorluk: OrtaLifestyle Choices

An older adult client with a history of hypertension is discussing daily habits with the practical nurse at a primary care clinic. The client states, 'I know I need to be healthier, but my family's cultural traditions revolve around eating heavily salted, preserved foods. Also, whenever I feel overwhelmed about making changes, I just end up sleeping most of the day.' Which of the following actions by the practical nurse are appropriate? Select all that apply.

  1. Inquire about the specific types and amounts of preserved foods the client consumes weekly.Cevap
  2. Discuss general strategies for adding brief, low-impact physical activities into the client's daily routine.Cevap
  3. Ask open-ended questions regarding the client's sleep patterns and current coping mechanisms for stress.Cevap
  4. D
    Advise the client that they must strictly avoid all cultural dishes that contain high amounts of sodium.
  5. E
    State to the client, 'Don't worry; your health will improve once you get used to taking your blood pressure medication.'
  6. F
    Formulate an initial, specialized cardiovascular exercise regimen for the client to follow.

Cevap

The appropriate actions are to inquire about the specific types of preserved foods consumed, discuss strategies for adding brief physical activities, and ask open-ended questions about sleep patterns and coping mechanisms.
The appropriate actions involve gathering more specific data about the client's current dietary habits and sleep patterns to better understand their lifestyle choices. Additionally, discussing general strategies for incorporating safe, low-impact physical activity is an appropriate educational reinforcement that falls well within the practical nurse's scope of practice.

Adım Adım Çözüm

1
Analyze the client's statements regarding diet, stress, and sleep.
The client consumes high-sodium cultural foods and uses excessive daytime sleep as a coping mechanism for stress.
Identifying the specific lifestyle factors affecting the client's health is necessary to determine appropriate nursing actions.
2
Evaluate each option against the practical nurse's scope of practice, therapeutic communication standards, and cultural competence.
Appropriate actions include collecting more data on diet and sleep, and discussing general strategies for physical activity.
The practical nurse must gather information and reinforce education without overriding cultural practices, using non-therapeutic communication, or working outside their designated scope of practice.

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Lifestyle Choices
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