A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis. Which of the following health promotion activities should the nurse recommend?
Engaging in weight-bearing exercise regularly
Having a bone density scan every year
Taking a magnesium supplement every day
Drinking a cup of coffee every morning
The Correct Answer is A
Choice A reason: Weight-bearing exercise, such as walking, jogging, or dancing, helps to strengthen the bones and prevent osteoporosis. It also improves muscle strength, balance, and coordination, which can reduce the risk of falls and fractures.
Choice B reason: Having a bone density scan every year is not necessary for a young adult client who has a family history of osteoporosis. A bone density scan is a test that measures the amount of calcium and other minerals in the bones. It is usually recommended for women over 65 years old, men over 70 years old, or people who have risk factors for osteoporosis, such as low body weight, smoking, or steroid use.
Choice C reason: Taking a magnesium supplement every day is not a proven way to prevent osteoporosis. Magnesium is a mineral that is involved in bone formation and metabolism, but there is not enough evidence to support its role in preventing or treating osteoporosis. A balanced diet that includes foods rich in calcium, vitamin D, and other nutrients is more effective for bone health.
Choice D reason: Drinking a cup of coffee every morning is not a good idea for a young adult client who has a family history of osteoporosis. Coffee contains caffeine, which can interfere with the absorption of calcium and increase the excretion of calcium in the urine. This can lead to lower bone density and higher risk of osteoporosis. Moderate coffee consumption (one or two cups per day) may not have a significant effect on bone health, but excessive coffee intake (more than four cups per day) should be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Nurses can accomplish more if they perform the easiest or fastest interventions is not a primary reason for prioritizing care. This statement implies that nurses should focus on the quantity rather than the quality of care. However, nurses should prioritize care based on the urgency and complexity of the patient's needs, not on the ease or speed of the interventions. Performing the easiest or fastest interventions may not address the most important or critical issues that the patient faces.
Choice B reason: Nurses should always perform interventions related to client preference early in the shift is not a primary reason for prioritizing care. This statement implies that nurses should base their care on the patient's wishes rather than the patient's condition. However, nurses should prioritize care based on the severity and acuity of the patient's problems, not on the patient's preference. Performing interventions related to client preference early in the shift may not be feasible or appropriate if the patient has more urgent or emergent needs that require immediate attention.
Choice C reason: Nurses need to plan how to accomplish all activities within one shift is not a primary reason for prioritizing care. This statement implies that nurses should focus on the completion rather than the quality of care. However, nurses should prioritize care based on the significance and impact of the patient's outcomes, not on the completion of the activities. Accomplishing all activities within one shift may not be possible or necessary if the patient's situation changes or if some activities can be delegated or postponed.
Choice D reason: Nurses have a limited amount of time to perform nursing interventions during a shift is a primary reason for prioritizing care. This statement acknowledges that nurses face time constraints and competing demands in their work environment. Therefore, nurses should prioritize care based on the best use of their time and resources to meet the patient's needs. Having a limited amount of time to perform nursing interventions during a shift requires nurses to make clinical judgments and decisions that optimize the patient's health and safety.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because the RN as a teacher aims to promote health literacy, self-management, and shared decision-making among patients and their families. By helping people to become empowered to take care of their health, the RN can facilitate positive health outcomes and prevent complications.
Choice B reason: This is not the correct answer because the RN as a teacher does not focus on explaining what nurses do, but rather on educating patients about their health conditions, treatments, and self-care. While it is important for the patient to understand the role of the nurse, this is not the main goal of teaching.
Choice C reason: This is not the correct answer because the RN as a teacher does not limit teaching to discharge instructions. Teaching is an ongoing process that starts from admission and continues throughout the continuum of care. Discharge instructions are only one component of teaching that summarizes the key information and actions that the patient needs to follow after leaving the hospital.
Choice D reason: This is not the correct answer because the RN as a teacher does not aim to teach patients how to give themselves treatments to get them out of the hospital quicker, but rather to help them achieve optimal health and wellness. Teaching patients how to give themselves treatments is part of the skill development aspect of teaching, but it is not the main goal. The main goal is to help patients understand the rationale, benefits, and risks of their treatments, and to support them in adhering to their treatment plans.
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