A home health nurse is caring for a patient who is recovering from a mild heart attack. The partner says, "He loves to eat fried foods, steak, and cheese, especially when his family comes for dinner. How am I ever going to get him to change?" The most appropriate response for the nurse should be:
"I will explain all the dangers of not changing his lifestyle."
"His family will understand the importance of his maintaining his health.”
"Make changes gradually: incorporate small portions of his favorite foods, along with heart healthy options."
"Do the best that you can, his heart attack was mild. He does not have to worry all that much.”
The Correct Answer is C
A. "I will explain all the dangers of not changing his lifestyle":
While education is important, this response may come across as threatening or overwhelming and is not collaborative.
B. "His family will understand the importance of his maintaining his health":
This assumes family support without offering a practical strategy for dietary changes.
C. "Make changes gradually: incorporate small portions of his favorite foods, along with heart healthy options":
This promotes a realistic and sustainable approach to dietary change by respecting preferences while promoting healthier options.
D. "Do the best you can, his heart attack was mild. He does not have to worry all that much":
This minimizes the seriousness of heart disease and fails to encourage lifestyle modification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Baked potato topped with salsa:
This is a low-fat, heart-healthy choice with no added saturated fat.
B. French fries cooked in trans-fat:
Trans fats are even worse than saturated fats for heart health. This is the worst choice.
C. Scalloped potatoes made with cream and cheese:
Cream and cheese are high in saturated fat, making this a poor choice.
D. Mashed potatoes made with whole milk and butter:
Both butter and whole milk contribute saturated fat, which is discouraged in a low-fat diet.
Correct Answer is A
Explanation
A. Decrease consumption of low-fat baked goods due to high sugar content:
Many fat-free or low-fat products are high in sugar and calories, which can prevent weight loss despite being labeled "fat-free."
B. Eat even less meat:
Mr. B already eats little meat. Reducing meat further may not address the core issue, which is excess sugar/calories.
C. Consume fewer dairy products:
He's already choosing fat-free dairy. The problem lies more in processed low-fat items than in dairy consumption.
D. Stop trying to lose weight:
This is discouraging and inappropriate advice. Healthy weight loss should be encouraged with proper guidance.
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