ATI NCLEX-PN Practice Questions Practice Question
The home health-care nurse is visiting an elderly African American female client who is talking loudly. The client weighs 102 kg, is 5'4'' tall, and has a BP of 154/98. The client lives with her daughter, son-in-law, and two grandchildren. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Implementing a weight-loss program is crucial for this client, as her BMI indicates obesity, which can contribute to her elevated blood pressure. Addressing weight management can significantly improve her overall health and reduce hypertension risks.
Maintaining extended direct eye contact (Option A) may be culturally inappropriate and could make the client uncomfortable. Addressing assumed anger (Option B) is misguided; loud speech may not indicate anger but rather a cultural communication style. Discussing care with family members (Option C) without the client's consent could breach her privacy and autonomy.
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