A patient who is morbidly obese states, I've recently made some ...

[bucstennis@aim.com]

A patient who is morbidly obese states, I've recently made some changes in my life. I've decreased my fat intake and I've stopped smoking. Which statement, if made by the nurse, is the best initial response?
 
  a. Although those are important, it is essential that you make other changes, too.
  b. Are you having any difficulty in maintaining the changes you have already made?
  c. Which additional changes in your lifestyle would you like to implement at this time?
  d. You have already accomplished changes that are important for the health of your heart.

Question 2

While admitting a patient to the medical unit, the nurse determines that the patient is hard of hearing. How should the nurse use this information to plan teaching and learning strategies?
 
  a. Motivation and readiness to learn will be affected.
  b. The family must be included in the teaching process.
  c. The patient will have problems understanding information.
  d. Written materials should be provided with verbal instructions.

[kardosa007]

Answer to Question 1

ANS: D
Positive reinforcement of the learner's achievements is critical in making lifestyle changes. This patient is in the action stage of the Transtheoretical Model, when reinforcement of the changes being made is an important nursing intervention. The other responses are also appropriate, but are not the best initial response.

Answer to Question 2

ANS: D
The information that the patient is hard of hearing indicates that the nurse should use written and verbal materials in teaching along with other strategies. The patient does not indicate a lack of motivation or an inability to understand new information. The patient's decreased hearing does not necessarily imply that the family must be included in the teaching process.

[bucstennis@aim.com]

Correct answers!

[kardosa007]

Great! Please up vote