Answer to Question 1
4. Implementing an exercise class for clients who have had a stroke
Rationale:
Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would fall under the category of health restoration, not health promotion. Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing diseasewhich would include immunization, prenatal and infant care, and prevention of sexually transmitted disease.
Answer to Question 2
3. Stage IV
Rationale:
Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making and focuses on long-term goals. Stage II is the advanced beginner, who demonstrates marginally acceptable performance. Stage III is the competency stage; the nurse at this stage has 2 or 3 years of experience and demonstrates organizational and planning abilities. The nurse at Stage V is considered an expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This person has highly intuitive and analytic abilities in new situations.
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