A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?
The client will exercise for 30 min each day.
The client provides a list of exercises that they are interested in.
The client will exercise daily for the next 2 weeks.
The client will share their exercise log with an identified support person.
The Correct Answer is D
D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.
A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.
B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.
C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. The nurse should address the client's inappropriate and boundary-crossing behavior first. The client's statement, "Kiss me baby! You know you want to!" is suggestive and inappropriate in a professional healthcare setting. It indicates a lack of understanding or disregard for appropriate social boundaries and may be a manifestation of the client's serious mental illness.
A, B, D- While the client's vital signs (blood pressure, heart rate, respiratory rate, and temperature) and clothing choice (wearing a heavy coat and scarf in warm weather) may be important to assess and address, the immediate priority is to address the client's inappropriate behavior and ensure a safe and therapeutic environment for both the client and the nurse.
Correct Answer is B
Explanation
B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.
A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).
C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).
D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.