Cardiac Question #40


A client with stage 2 hypertension returns to the clinic for follow-up. The client states that prescribed antihypertensives are taken if the client remembers. The client also states that lunch on the job consists of fast food and does not have time to fix a lunch in the mornings. After assessment and analysis, the nurse has identified a nursing diagnosis of risk for ineffective health maintenance related to nonadherence to therapeutic regimen. Which type of teaching/education would benefit the client most?


  1. Ask the client if there is a death wish because of the noncompliance then proceed to ask why the client does not want to live to see grandchildren.
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  2. Give the client free movie tickets for blood pressure less than 150/80 with the next visit and increase the incentive for the next three visits.
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  3. Provide written education materials, Teach-back, med-minder log, and a list of foods that are low salt and low fat that can be ordered in restaurants near work.
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  4. Provide medical journal articles on recent research in early death, mortality, and co-morbidities with hypertension and heart disease.
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The client requires education that entails feedback, materials to refer to that are easy to read and understand, and assistance and help in how to remember medications. The client may change food choices and/or locations of places to eat for lunch while at work. Coercion with awards and gifts may not help the client reach lifestyle changes for long-term. Confronting the client with death wish is non-therapeutic.

Learning Outcomes

Test Taking Tip

Video Rationale