A nurse is providing teaching to a client about ways to improve their health.
Which of the following modifiable risk factors should the nurse include?

Choice A rationale:

Keeping the feet together when lifting an object is not a proper body mechanics technique. It can lead to instability and an increased risk of injury because the base of support is not wide enough. Therefore, this choice does not indicate an understanding of body mechanics.

Choice B rationale:

Bending at the hip when lifting is also an incorrect body mechanics technique. Proper body mechanics involve bending at the knees and keeping the back straight to reduce the risk of back injuries. Bending at the hips can strain the lower back, making it an incorrect choice.

Choice C rationale:

Twisting the spine when lifting is a harmful practice in body mechanics. Twisting the spine can lead to spinal injuries, especially when lifting heavy objects. Proper body mechanics emphasize keeping the spine aligned and not twisting during lifting. Therefore, this choice does not indicate an understanding of body mechanics.

Choice D rationale:

Standing close to the object being moved is the correct body mechanics technique. This choice demonstrates an understanding of proper body mechanics because it reduces the strain on the back and minimizes the effort required to lift a heavy object. Keeping a wide base of support and using the leg muscles rather than the back muscles are essential principles of proper body mechanics. This is the correct choice. .

Choice A rationale:

Allowing extra time to communicate with the client is a crucial action when caring for a client with impaired speech. This approach respects the client's autonomy and ensures that they have the time they need to express themselves. It is an appropriate and compassionate response to the client's condition.

Choice B rationale:

Finishing sentences for the client is not recommended because it interferes with the client's ability to communicate independently. It does not respect the client's autonomy and may lead to frustration.

Choice C rationale:

Avoiding the use of visual aids for communication is not a best practice, especially for clients with impaired speech. Visual aids can enhance communication and should be used when appropriate.

Choice D rationale:

Asking open-ended questions is a good communication strategy, but it is not the first action to take. Allowing extra time for communication should be the initial step when caring for a client with impaired speech.