A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

Choice A rationale
Discussing the benefits of losing weight is important, but it is not sufficient on its own. While understanding the benefits can motivate the client, it does not provide the practical steps needed to achieve weight loss. The client needs actionable information and guidance to make sustainable changes.

Choice B rationale
Creating a diet plan for the client can be helpful, but it may not be the most effective approach. A diet plan needs to be personalized and adaptable to the client’s preferences, lifestyle, and medical conditions. Providing learning materials empowers the client to make informed choices and develop their own plan, which is more sustainable in the long term.
Choice C rationale
Encouraging the client to share their feelings is supportive and can help address emotional factors related to weight loss. However, it does not directly provide the practical knowledge and skills needed to achieve weight loss. Learning materials on necessary habits offer concrete steps and strategies for the client to follow.
Choice D rationale
Providing learning materials on necessary habits is the most comprehensive approach. It equips the client with the knowledge and tools needed to make informed decisions about their diet, exercise, and lifestyle. This empowers the client to take control of their weight loss journey and make sustainable changes.

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.