A male client with coronary heart disease is informed by the healthcare provider that his cholesterol levels are significantly elevated and he needs to change his diet and lifestyle. The client emphatically states that he is not going to change his eating habits. What action should the nurse implement in response to the client’s unwillingness to comply with the recommendations?<\/p>\n\n\n\n
A Refer the client to a dietitian for nutrition education.
B Provide pamphlets about heart-healthy diet selections.
C Suggest exercise as an alternative to increase HDL levels.
D Discuss client’s concerns about the change in diet.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D: Discuss client’s concerns about the change in diet.<\/strong><\/p>\n\n\n\n When a client expresses resistance to making recommended changes, such as in diet for managing coronary heart disease (CHD), it\u2019s essential for the nurse to address the client’s concerns and barriers directly. This approach ensures that the client\u2019s perspective and preferences are understood and considered, which is crucial for fostering a collaborative relationship and effective behavior change.<\/p>\n\n\n\n Understanding Client Concerns:<\/strong> Building a Therapeutic Relationship:<\/strong> Tailored Interventions:<\/strong> Additional Interventions:<\/strong> In summary, addressing the client’s concerns directly (Option D) is the most effective initial step. It fosters understanding and collaboration, increasing the likelihood that the client will be receptive to making necessary changes for managing their coronary heart disease.<\/p>\n","protected":false},"excerpt":{"rendered":" A male client with coronary heart disease is informed by the healthcare provider that his cholesterol levels are significantly elevated and he needs to change his diet and lifestyle. The client emphatically states that he is not going to change his eating habits. What action should the nurse implement in response to the client’s unwillingness […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138731","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138731"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138731\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
Discussing the client’s concerns allows the nurse to explore reasons behind the resistance. These reasons might include a lack of understanding of the importance of dietary changes, previous negative experiences with diet modifications, cultural or personal preferences, or the perceived difficulty of making changes. By addressing these concerns, the nurse can provide tailored information and support that resonates with the client, potentially increasing their motivation to adhere to dietary recommendations.<\/p>\n\n\n\n
Engaging in a discussion helps to build trust and rapport between the nurse and client. It creates an opportunity for the client to express their feelings and for the nurse to provide empathetic support and education. This approach aligns with patient-centered care principles, which prioritize the client’s needs, values, and preferences.<\/p>\n\n\n\n
After understanding the client’s concerns, the nurse can collaboratively develop a plan that addresses these barriers. This might include providing specific, manageable steps for dietary changes, offering resources, or setting up follow-up appointments to monitor progress and provide encouragement.<\/p>\n\n\n\n
While referring the client to a dietitian (Option A) or providing pamphlets (Option B) are valuable steps, they may not be as effective if the client has not yet expressed readiness or willingness to engage with this information. Suggesting exercise (Option C) can be beneficial but does not directly address the client’s primary concern about dietary changes.<\/p>\n\n\n\n