A nurse notes that a client is in the habit of skipping breakfast and lunch and
educates the client on the harmful effects of not getting enough nutrition. Which
responses are signs that the client has reached the action stage of health behavior
change? Select all that apply.
1
“I still tend to skip breakfast when I’m in a hurry to get to work.”
2
“I can’t compromise my career for the sake of good eating habits.”
3
“I know that it’s not good to skip meals, but my health seems fine.”
4
“I’ve been having my breakfast and lunch on time for the past 6 months.”
5
“I follow a proper eating schedule, but sometimes it gets in the way of my work.” –
ANSWER- 1, 5
A client tells the nurse, “I keep reverting to my old habit of drinking soda, although
I have stopped drinking as much.” What stage of health behavior change has the
client reached?
1
Action stage
2
Preparation stage
3
Maintenance stage
4
Contemplation stage – ANSWER- Action Stage
The nurse at a health fair has taken a client’s blood pressure twice, 10 minutes
apart, in the same arm while the client is seated. The nurse records the two blood
pressures of 172\/104 mm Hg and 164\/98 mm Hg. What is the appropriate nursing
action in response to these readings?
1
Refer the client to a nutritionist after providing health teaching about a low-sodium
diet.
2
Place the client in a recumbent position and call the paramedics for transport to the
hospital.
3
Talk with the client to assess whether there is stress in the client’s life and refer to a
counseling service.
4
Take the client’s blood pressure in the other arm and then schedule a healthcare
practitioner’s appointment for as soon as possible. – ANSWER- Take the clients
blood pressure on the other arm and then schedule a schedule a healthcare
practitioner’s appointment for as soon as possible
A nurse is caring for a client who has recently been sleeping for 12 to 14 hours on
weekend nights. The nurse instructs the client to sleep for no longer than 9 hours
because excessive sleeping can lead to health issues. What reaction might the nurse
expect if the client is in the maintenance stage?
1
“I’ve been following a proper sleep pattern for more than a year.”
2
“I like to sleep; that’s why I doze. I just don’t care about all this health advice.”
3
“I’ve tried to follow a proper sleep routine, but I end up sleeping for more than 12
hours.”
4
“Please suggest a regimen that can help me stay awake or will help me normalize
my sleep pattern.” – ANSWER- I’ve been following a proper sleep pattern for more
than a year
How should a nurse characterize a sudden terrorist act that causes the deaths of
thousands of adults and children and negatively affects their families, friends,
communities, and the nation?
1
Recurring
2
Situational
3
Maturational<\/p>\n\n\n\n
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