A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

Restricting visitors to a few hours in the afternoon to promote client rest.

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period.

Scheduling toilet breaks before and after any other planned activity.

Scheduling energy-intensive activities at the time of day when the client has higher energy levels.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Restricting visitors to a few hours in the afternoon to promote client rest can help reduce fatigue, but it does not directly address the need to conserve energy throughout the day. While managing visitor times can be part of an overall strategy, it is not the most effective way to conserve energy for essential activities.

Choice B reason:

Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period may lead to fatigue and decreased performance. Concentrating activities in a short time frame can be overwhelming and counterproductive, especially for clients with limited energy reserves.

Choice C reason:

Scheduling toilet breaks before and after any other planned activity is practical for managing personal needs but does not specifically address energy conservation. While it ensures that the client is comfortable, it does not optimize the timing of energy-intensive activities.

Choice D reason:

Scheduling energy-intensive activities at the time of day when the client has higher energy levels is the best approach to conserve energy without compromising physical or mental health. This strategy takes advantage of the client’s natural energy peaks, allowing them to perform activities more effectively and with less fatigue. It helps balance activity and rest, promoting overall well-being.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Going automatically into the client’s bedroom without permission is inappropriate and can be seen as an invasion of privacy. The nurse should always seek consent and respect the client’s personal space. Building trust and maintaining professional boundaries are crucial in home care settings.

Choice B reason:

While it is courteous to thank the client for arranging a home visit, it is not a critical action that directly impacts the care provided. The focus should be on assessing the client’s needs and establishing a care plan.

Choice C reason:

Arranging mutual future visits is an appropriate action. It helps to establish a consistent care schedule, ensuring that the client receives ongoing support and monitoring. This is particularly important for managing chronic conditions like diabetes, where regular follow-up is essential for effective management.

Choice D reason:

Asking how the client is managing at home is a crucial part of the initial assessment. It provides the nurse with valuable information about the client’s current health status, challenges, and needs. This information is essential for developing a personalized care plan that addresses the client’s specific circumstances.

Choice E reason:

Sitting down and discussing with the client and family members is an important step in the initial home care visit. It helps to build rapport, understand the client’s support system, and involve family members in the care process. This collaborative approach ensures that everyone is informed and can contribute to the client’s care and well-being.

A. “It’s not unusual to feel that way at first, but once you learn the routine, you’ll enjoy it.” B. “Diet and exercise are good for you and good for your heart.” C. “Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.” D. “Your doctor is the expert here, and I’m sure they would only recommend what is best for you.”

Correct Answer is C

Explanation

Choice A reason:

“It’s not unusual to feel that way at first, but once you learn the routine, you’ll enjoy it.” While this response acknowledges the client’s feelings, it does not provide specific information about the benefits of cardiac rehabilitation. The client needs to understand how rehabilitation can help them recover and improve their quality of life.

Choice B reason:

“Diet and exercise are good for you and good for your heart.” This statement is true but too general. It does not address the client’s specific concerns about the purpose and benefits of cardiac rehabilitation. The client needs more detailed information about how the program can help them.

Choice C reason:

“Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.” This response directly addresses the client’s concerns and provides clear information about the benefits of cardiac rehabilitation. It explains that while the damage cannot be reversed, rehabilitation can help the client regain strength, improve cardiovascular health, and safely return to their daily activities.

Choice D reason:

“Your doctor is the expert here, and I’m sure they would only recommend what is best for you.” While this statement supports the doctor’s recommendation, it does not provide the client with specific information about the benefits of cardiac rehabilitation. The client needs to understand how the program can help them personally.

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A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client’s energy without compromising physical or mental health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY.

Correct Answer is ["C","D","E"]

Explanation

A nurse is caring for a client who questions the need for cardiac rehabilitation, stating, “My heart is permanently damaged from the heart attack, so what’s the point of cardiac rehabilitation?” Which response should the nurse prioritize?

Correct Answer is C

Explanation

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