Walkthrough: Health Promotion and Maintenance Q1 – NCLEX-RN®

00:01 A nurse is speaking with a client who's at risk of hypertension.

00:04 What is the nurse's role in helping this client? Okay. So I'm going to put that in my own words. I, who am I? I'm a nurse.

00:12 I'm speaking with a client who's at risk of hypertension.

00:16 So does this question indicate they have it? No, because they clearly told me, they're at risk of hypertension.

00:23 So what is the nurse's role in helping this client? Well, my role as a nurse is always to help a client move one step closer to health. Right? So what's my role in interacting with a client who's at risk of developing hypertension? Let's look at the answer choices.

00:49 Is my role as a nurse to review antihypertensive medications and ensure the client takes them? Well, that seems reasonable. I'm going to leave that in. What about number two? Providing effective health coaching on ways to prevent hypertension.

01:08 Okay. That one sound good, too, because we know they're at risk and we're - so, so far, I've eliminated nothing and that's going to happen to you.

01:16 So I've left one and I've left two in. Let's hope I can get rid of three or four, or we're going to have to start from the top.

01:23 Sometimes, that'll happen to you. It's okay. It's not a problem.

01:28 So number three, showing the client statistics about the mortality rate of hypertension.

01:34 Okay. That's just mean, right? What is that going to fix? To say that, "You know what happens to people with hypertension?" Yeah, no. I can clearly write that off. That is not therapeutic.

01:47 So let's look at number four. Telling the client they must stop smoking.

01:52 Yeah, no. I know right then, that's a very authoritative, non-therapeutic.

01:58 That's not what I would do as a nurse. I would help educate them.

02:03 I would help use thing like motivational interviewing to encourage them to see why it would help them to do this.

02:10 But number four sounds like I'm being extremely self-righteous and judgmental and telling them, "No, no, no. That doesn't change behavior." That patient is likely going to push back if you handle it that way.

02:21 So, yay. I got rid of three and four.

02:25 Now, what I need to do is go back to one and two and see which one is the best answer.

02:31 So I know, what's my role for someone who's at risk for hypertension? Should I review medications with them and make sure they take them? Or should I provide effective health coaching on ways to prevent hypertension? Yup, number two is a better answer I can eliminate.

02:48 See that when you compare two and one? They didn't tell us the patient has hypertension. They're at risk for developing it.

02:55 They may likely not even be on medication because we know the first step in treating someone who has developed hypertension is to try diet and exercise, right? That's where the health coaching would be in.

03:07 And they may be able to avoid or at least delay developing hypertension.

03:11 So number two is the best answer to keep this particular patient in this particular setting the safest.