Walkthrough Q5: Health Promotion and Maintenance – NCLEX-PN®

00:01 A client tells the nurse, hey, I can't even go on.

00:04 All right? Because when a question starts out with that, I know that whatever comes back next is really important.

00:12 So, a client tells the nurse, "I want to be healthier." So, I know this is a focus. The client has a body mass index of 35.

00:21 Now, that a number. It's an assessment number. Is that above or below or normal? Thirty-five is above what is considered normal.

00:30 Which is the best statement by the nurse to encourage healthy behaviors in the client? Okay. Right away, we know this is going to get a little complex, right? So, I know what the client wants is to be healthier.

00:45 The client has a body mass index that's above what is considered normal.

00:49 Which is the best statement by the nurse? And what am I trying to do? Encourage healthy behaviors in the client. Okay. Let's take a look at them.

01:00 To avoid cardiovascular diseases, you must decrease your weight.

01:05 Gradually decreasing your weight will help to decrease your risk of type 2 diabetes.

01:11 Increasing your weight a bit would help build strong bones.

01:16 And number four, a slight increase in weight has been associated with a lower risk of cancer.

01:23 Yeah, these are the kind of questions that would make my head spin and then, hurt as a student.

01:31 But I promise you, it's got to be one of these four. So, let's look at which one is the best answer.

01:37 And since this question is all over the map, you don't even have to start with number one.

01:41 Let's look at number three. Increasing your weight a bit will help build stronger bones.

01:48 Well, their BMI is already above normal, so, we're not going to encourage them to gain weight, right? If you want to build stronger bones, we can do weight-bearing activities, lift weight, strength training, so, number three, you're out.

02:01 Now, one, two, and four, we've got some heavy lifting intellectually to do.

02:06 So, with number four says a slight increase in weight has been associated with a lower risk of cancer.

02:15 Okay. That is true, right? Number one, to avoid cardiovascular disease, you must decrease your weight and number two, gradually decreasing your weight will help to decrease your risk of type 2 diabetes.

02:33 Do you have a feel yet for which one you think would be the most therapeutic? The most encouraging or motivating to a patient to try and meet their goal of becoming healthier? You're saying, "No." You're in really good company but let me give you some tips and some strategies.

02:50 Look at number one. You must decrease your weight. Weight's a really sensitive issue with people, right? There's a lot of shame associated with being overweight. So, if you come at somebody by saying, "You must decrease your weight." I don't even care what the beginning sentence is.

03:08 That might not be the most therapeutic but let's see. So, we know that number three is wrong, right? That's not what we would want to do.

03:16 Number one is true, although, you don't really avoid cardiovascular disease.

03:22 We know the trick to these types of questions is comparing the answers to the other ones.

03:27 So, let's look at number two. Gradually decreasing your weight will help to decrease your risk of type 2 diabetes.

03:35 Is that true? Yeah, that's true. Now, comparing number two to number one, which one sounds more therapeutic? Well, two seems more gentle and does it help the patient meet their goal? Yes, because it's telling you, gradually decreasing your weight will help to decrease your risk of type 2 diabetes.

03:57 And not that word up there that says must and you'll avoid cardiovascular diseases.

04:03 So, I pick number two over number one for now. So, I've eliminated number three, number one.

04:11 Now, number four. A slight increase in weight has been associated with a lower risk of cancer.

04:16 Which one would be more motivating or encouraging to the patient to meet their goal? Number two or number four? Number two. You're right.

04:27 That tells them you're encouraging them that it's going to be a gradual decrease.

04:31 Everybody wants to take a pill and wake up the next morning and be thin.

04:34 Sadly, it doesn't work that way. So, you're encouraging them.

04:37 We know that in order for them to stick with it over a longer period of time, emphasize small changes will add up to big results in their health. So, number two is the best answer.

04:49 And please hear me, I think these questions are tough. Just tell yourself, "I can do this.

04:55 I'm going to take one answer at a time, do my best, and it is one question." Now, pick the answer and move on. Do not let your mind go south.

05:05 Because that's what I'd be saying like, "Nope, that that's it. I'm going to be the one.

05:08 The only one in the class who doesn't pass. I'm not going to get my -" My mind just goes south.

05:12 Stop it. It's one question. You are so much smarter and worth more than one question.

05:20 Just do your best, look for the hints and cues, pick your answer, move on, and as they say in frozen, let it go.

05:29 Elsa that. Don't dwell on a question after you've already submitted the answer.