A nurse is assessing a client whose parent has coronary artery disease (CAD). What should the nurse plan to incorporate into the client's care plan?
Discuss with the client their risk factors for developing CAD.
Have the client start exercising for at least 30 minutes a day.
Encourage the client to attend a support group for CAD.
Instruct the client to begin following a heart-healthy diet.
The Correct Answer is A
A. Discuss with the client their risk factors for developing CAD: Family history is a significant non-modifiable risk factor for coronary artery disease. Educating the client about their personal risk helps raise awareness and supports prevention strategies tailored to their needs.
B. Have the client start exercising for at least 30 minutes a day: While exercise is important for cardiovascular health, recommending a specific regimen without first assessing the client’s overall health, readiness, and risk factors may be unsafe.
C. Encourage the client to attend a support group for CAD: Support groups can be beneficial for individuals already diagnosed with CAD, but the client in this scenario has a family history and may not need immediate support group involvement.
D. Instruct the client to begin following a heart-healthy diet: Diet modification is an effective preventive measure, but it should be introduced as part of a broader discussion on risk factors and individualized planning rather than as an immediate directive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Explain the parts of the assessment and ask permission to move forward: Providing a clear explanation of the assessment process and asking for consent demonstrates respect for the client’s cultural values and personal boundaries. This approach helps reduce anxiety, promotes trust, and ensures the client feels in control of their care.
B. Return at a later time to complete the physical assessment and interview: Delaying the assessment may not address the client’s immediate health needs and does not actively engage the client in reducing their apprehension. It may also prolong anxiety without providing reassurance.
C. Get a different nurse to complete the physical assessment and interview: While changing nurses might help in some cases, it does not directly address the client’s apprehension or foster communication and trust. The underlying need is for explanation and consent, not just a change in personnel.
D. Continue with the physical assessment so the client can get treatment: Proceeding without consent disregards the client’s autonomy and may increase anxiety or distrust. It could violate ethical principles and negatively impact the nurse–client relationship.
Correct Answer is A
Explanation
A. Mood: Behavioral assessment during the general survey involves observing the client’s affect, emotional state, and overall behavior. Evaluating mood helps the nurse understand how the client is coping, their level of emotional stability, and any signs of anxiety, depression, or distress. It provides insight into psychological and emotional well-being, which is essential for holistic care planning.
B. Age: Age is a component of the general survey that falls under physical characteristics rather than behavior. It helps establish baseline expectations for growth, development, and age-appropriate functioning, but it does not provide information about the client’s emotional state or behavior.
C. Posture: Posture is part of the physical appearance assessment within the general survey. It provides information about musculoskeletal health, possible pain, or functional limitations but does not reflect the client’s behavioral or emotional status.
D. Gait: Gait assessment evaluates how a client moves, including balance, coordination, and mobility. While it offers important physical and neurological information, it does not give direct insight into the client’s mood, affect, or behavioral patterns.
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