The nurse is creating a weight-reduction teaching plan for a client wh

QUESTION

The nurse is creating a weight-reduction teaching plan for a client who has a BMI of 42 and type 2 diabetes mellitus. In which order should the nurse implement the contents of this plan?

1. Set realistic goals.
2. Raise awareness of healthy behaviors.
3. Explain relapse as an opportunity to try again.
4. Identify strategies that support healthy behavior.
5. Further clarify values in relation to the health behavior.
6. Identify unhealthy behavior triggers and ways to reduce them.

ANSWER:

Correct Answer: 2, 5, 6, 1, 4, 3

In the first stage of precontemplation (1) the nurse raises the client’s awareness of healthy behaviors. In the contemplation stage (2) the nurse helps the client further clarify his or her values in relation to the health behavior. In the preparation stage (3) the nurse helps the client identify stimuli that trigger unhealthy behavior and consider ways to remove or minimize those stimuli. In the action stage (4) the nurse helps the client set realistic goals. In the maintenance stage (5) the nurse identifies and encourages strategies that support healthy behavior. In the termination stage (6) the nurse should review the role of relapse as an opportunity to try again.