A client who is in the maintenance phase of the Transtheoretical Model's stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next?

Correct Answer: D

Rationale: Asking about stress identifies potential triggers for the relapse, aiding in maintaining change.

Correct Answer: C

Rationale: The correct answer is C because it acknowledges the patient's concern, emphasizes transparency, and respects the patient's autonomy and rights to their health information. By stating that the information helps in providing better care, the nurse reassures the patient and builds trust. Choice A is incorrect as it dismisses the patient's concerns without addressing the importance of their health information. Choice B is incorrect as it does not provide a clear explanation and may raise unnecessary anxiety about who has access to the information. Choice D is incomplete and does not provide any relevant information to address the patient's query.

Correct Answer: C

Rationale: The correct answer is C: "Is anyone physically hurting you?" because it directly addresses the possibility of domestic violence, which could be the underlying cause of the bruising. By asking this question, the nurse acknowledges the potential sensitive issue and opens up a conversation for the patient to disclose any abuse. A: Noting bruising without further investigation may miss the opportunity to address the root cause. B: Making assumptions about the patient's behavior can be misleading and not as effective as directly inquiring about abuse. D: Asking about relationships is too broad and may not lead to uncovering potential abuse. In summary, option C is correct as it directly addresses the potential domestic violence issue, while the other choices do not focus on this crucial aspect of the assessment.

Correct Answer: B

Rationale: The correct answer is B because a patient's spiritual beliefs can impact their ability to communicate effectively with healthcare providers, express their needs, and cope with their illness. By exploring the patient's spirituality, the nurse can better understand the patient's values, beliefs, and coping mechanisms, leading to more holistic care. Choices A, C, and D are incorrect because physical activity, response to illness, and quality of sexual relationships are not directly related to the patient's spiritual environment in the context of healthcare assessment.

Correct Answer: B

Rationale: Step 1: BMI of 31 indicates obesity in the high school junior. Step 2: Increasing exercise and reducing calorie intake are key to weight loss. Step 3: Goal should be to promote a healthy weight through lifestyle changes. Step 4: Choice B aligns with evidence-based approach for managing obesity. Summary: A (continuation of current diet and activity level) does not address the need for weight loss. C (referral to an eating disorder clinic) is not warranted based on the information provided. D (increase in daily calorie intake) would be counterproductive for weight loss in this case.