When assessing the learning needs for a client who has coronary heart disease, the nurse finds that the client has recently made dietary changes to decrease fat intake and has stopped smoking. Which of the following is the most appropriate initial statementbythe nurse at this time?
A)"Although those are important, it is essential that you make other changes, too."
B)"Are you having any difficulty in maintaining the changes you have already made?"
C)"You have already accomplished some changes that are important in heart health."
D)"Which additional changes in your lifestyle would you like to implement at this time?"

Question

Quizplus · Accepted Answer

Positive reinforcement of the learner's achievements is critical in making lifestyle changes. This client is in the action stage of the Transtheoretical Model, when reinforcement of the changes being made is an important nursing intervention. The other responses are also appropriate, but are not the best initial response.

When Assessing the Learning Needs for a Client Who Has