A nurse is evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

Choice A reason: Asking why the client avoids disclosure explores their emotional and cognitive reasoning, engaging the prefrontal cortex for self-reflection. This open-ended approach facilitates therapeutic communication, addressing fears or concerns (e.g., stigma, emotional burden) without judgment, supporting psychological processing of a lung cancer diagnosis.

Choice B reason: Suggesting that most people share with partners assumes the client’s preferences, potentially dismissing their autonomy. Lung cancer’s emotional impact involves amygdala-driven fear responses, and forcing disclosure may increase stress, not addressing the client’s unique psychological barriers or personal reasons for withholding the diagnosis.

Choice C reason: Advising the client to tell their partner is non-therapeutic, imposing the nurse’s opinion and bypassing patient autonomy. Lung cancer diagnosis triggers complex emotions (e.g., fear, denial), processed in the limbic system. Such directive statements may increase resistance or anxiety, hindering open communication and trust.

Choice D reason: Discussing feelings is therapeutic but less specific than exploring reasons for non-disclosure. Lung cancer’s psychological impact involves amygdala and prefrontal cortex interactions, processing fear and decision-making. While feelings are relevant, directly addressing the disclosure decision better targets the client’s immediate concern, fostering focused emotional exploration.

Choice A reason: Blood pressure screening for a client with a family history of hypertension focuses on disease prevention by identifying elevated readings early to prevent cardiovascular complications. This primary prevention strategy targets at-risk individuals, enabling interventions like lifestyle changes or medication to mitigate the onset of hypertension, aligning with the goal of preventing disease progression.

Choice B reason: Health promotion involves broader lifestyle improvements, such as exercise or diet, to enhance overall well-being. While screening supports health promotion, its primary aim is to detect and prevent hypertension, not general wellness. This makes disease prevention the more specific concept addressed by targeted blood pressure screening.

Choice C reason: Health education involves teaching clients about health topics, such as hypertension management. While screening may include education, the act of measuring blood pressure is a preventive intervention, not an educational activity. The primary focus is early detection, making disease prevention the more accurate concept than education.

Choice D reason: Holistic health addresses physical, mental, and social well-being comprehensively. Blood pressure screening focuses specifically on cardiovascular risk, not the client’s overall holistic health. While holistic care may include screening, the targeted nature of this action aligns directly with disease prevention, making this an incorrect concept for this scenario.