A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Offer to accompany the client and the client's partner during health care provider visits.
Assist the client and the client's partner with finding an affordable exercise program.
Discuss the benefits of eating a well-balanced diet with the client's family.
Ask family members about the impact of the disease on relationships within the family.
The Correct Answer is D
When working with a family following a client's diagnosis of heart disease, the first action the nurse should take is to ask family members about the impact of the disease on relationships within the family.
This will help the nurse to assess the emotional and psychological impact of the diagnosis on the family members and identify any areas of stress or concern that may require additional support or resources. It will also help the nurse to develop a holistic care plan that addresses the needs of both the client and the family.
Once the nurse has assessed the family's needs and concerns, she can then proceed to offer to accompany the client and the client's partner during health care provider visits, assist the client and the client's partner with finding an affordable exercise program, and discuss the benefits of eating a well-balanced diet with the client's family as needed.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should identify option C, "Refer a client who is recovering from a substance use disorder to a social service program," as a secondary prevention activity. This intervention focuses on early identification and intervention to prevent further harm or complications related to substance use disorder.
Option A is a primary prevention activity, as it focuses on preventing the development of complications through early intervention and education.
Option B is a tertiary prevention activity, as it focuses on reducing the impact of a disease or injury that has already occurred.
Option D is also a tertiary prevention activity, as it focuses on reducing the impact of a disease that has already occurred.
Correct Answer is D
Explanation
Many migrants may not speak the language of the country they are in, which can create significant barriers to accessing health care. Therefore, it is crucial for the nurse to ensure access to interpretation services, such as hiring bilingual staff or interpreters, or using telephone interpretation services.
Treating illnesses on a fee-for-service basis may be a barrier to accessing care for migrants who may not have insurance or the financial resources to pay for services.
Providing health services at work sites may be helpful, but it may not reach all members of the migrant population.
Offering health screenings at a community center may be helpful, but it may not address the issue of language barriers.
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