A nurse provides education to a client who reports difficulty falling asleep and frequent awakenings during the night. Which client statement indicates that learning was effective?

Choice A reason: Perceived barriers refer to the individual's assessment of the obstacles that prevent them from taking action. In this case, the client is concerned about the side effects of the medication, which represents a psychological or physical barrier to adherence. This component of the Health Belief Model directly influences whether the client will follow through with the recommended treatment.

Choice B reason: Perceived financial costs relate to economic concerns such as affordability of medication or healthcare services. The client did not mention financial issues, so this is not the influencing factor in this scenario.

Choice C reason: Perceived severity involves the individual’s belief about the seriousness of a condition and its potential consequences. While this may play a role in overall behavior, the client’s statement focuses on side effects, not the severity of hypertension.

Choice D reason: Perceived benefits refer to the belief in the effectiveness of the advised action to reduce risk or severity. The client acknowledges the need to take medication, indicating some recognition of benefits, but the concern about side effects shows that barriers are more influential at this moment.

Choice A reason: Lowering the center of gravity enhances stability by bringing the body's weight closer to the base of support. This is achieved by bending the knees and keeping the spine aligned, which allows for better balance and control during transfers. It minimizes the risk of falls and musculoskeletal injuries for both the nurse and the client. This principle is foundational in safe patient handling and is supported by evidence-based guidelines in clinical ergonomics and body mechanics.

Choice B reason: Facing away from the direction of movement compromises control and increases the risk of injury. Proper transfer technique requires the nurse to face the direction of movement to maintain visual contact, ensure alignment, and coordinate actions with the client. Turning away can lead to awkward postures and poor body mechanics.

Choice C reason: Using a narrow base of support reduces stability. A wide base—feet shoulder-width apart—is essential for maintaining balance and distributing weight evenly. A narrow stance makes the nurse more susceptible to losing balance, especially when managing a client’s weight during transfer.

Choice D reason: Using only the arms for lifting is unsafe and inefficient. It places excessive strain on the upper body and increases the risk of injury. Proper technique involves engaging the leg muscles, maintaining a neutral spine, and using assistive devices when necessary. Arms should guide and support, not bear the full load.