A patient wants to add an exercise program to their daily ...

[asmith134]

A patient wants to add an exercise program to their daily regimen. At this stage of change, what are some appropriate interventions the nurse should consider? Select all that apply.
 
  1. Identify and assist in problem solving.
  2. Help the patient identify social support for the change.
  3. Identify and promote new, positive outcome expectations.
  4. Verify skills the patient possesses to assist in making a change.
  5. Encourage and provide feedback on small steps toward change.

Question 2

A twenty-year-old patient tells the nurse that his father has just been diagnosed with Huntington disease and he wants to know his own risk of contracting the disease. What can the nurse tell him?
 
  1. You have the same risk of contracting the disease as anyone else.
  2. No one can predict the risk of contracting Huntington disease for any individual.
  3. Every child of a person with Huntington disease has a 50 risk of contracting the disease.
  4. Children of someone who has been diagnosed with Huntington disease are immune from contracting the disease.

[pikon]

Answer to Question 1

Answer: 1, 2, 4, 5
Explanation: Interventions that assist a patient at the preparation stage of change can include: identifying and assisting in problem solving; helping the patient identify social support for the change; verifying skills the patient possesses to assist in making a change: and encouraging and providing feedback on small steps toward change. Identifying and promoting new, positive outcome expectations are effective at the contemplation stage.

Answer to Question 2

Answer: 3
Explanation: There is a 50 risk of heritability in offspring of persons with Huntington disease. There is a clear genetic link in Huntington disease, so the risk to the general population is significantly less than in children of those with the disease. The offspring of those with Huntington disease have an increased vulnerability, not immunity.