A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
Teach the client about appropriate food choices.
Refer the client to a diabetes mellitus support group.
Identify the client's dietary preferences.
Develop a nutritional program.
The Correct Answer is C
Choice A reason: Teaching the client about appropriate food choices is an important intervention for diabetes mellitus, but it is not the first action the nurse should take. The nurse needs to assess the client's current dietary habits and preferences before providing education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful strategy to promote coping and self-management, but it is not the first action the nurse should take. The nurse needs to address the client's immediate needs and priorities before making referrals.
Choice C reason: Identifying the client's dietary preferences is the first action the nurse should take. This is an assessment step that will help the nurse tailor the nutritional program to the client's individual needs and preferences. It will also help the nurse establish rapport and trust with the client.
Choice D reason: Developing a nutritional program is a planning step that requires assessment data. The nurse should not develop a nutritional program without first identifying the client's dietary preferences and needs.
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Correct Answer is D
Explanation
Choice A reason: A website updated every five years is not a reliable source for current information. Healthcare practices and guidelines can change rapidly, and resources need to be current to be useful.
Choice B reason: A website hosted by a dialysis equipment marketing group may have biased information aimed at promoting their products rather than providing unbiased, evidence-based information.
Choice C reason: A website sponsored by a healthcare political action committee may also present information with a particular agenda, which might not be solely focused on patient care or evidence-based practice.
Choice D reason: A website that provides a peer review process for publishing information is likely to offer high-quality, reliable, and evidence-based information. Peer review is a critical component of scholarly publishing that ensures the credibility and accuracy of the content.
Correct Answer is C
Explanation
A. "I don't want to lose control of my ability to make decisions." This statement reflects a fear of losing autonomy, which is common among individuals with chronic illnesses. While it indicates anxiety and concern about the future, it does not directly suggest suicidal ideation.
B. "I am afraid of experiencing pain near the end." This response shows a fear of suffering and pain, which is also common in terminal illnesses. Although it indicates distress, it does not necessarily imply a risk for suicide.
C. "I know that everything will be better soon." This statement can be a red flag for suicidal ideation, as it may imply that the person believes death is imminent or that they have a plan to end their suffering. It suggests a sense of hopelessness and a potential desire to escape their current situation.
D. "I am relying more and more on my partner for support." This response indicates a need for increased support and dependency on a partner. While it shows a reliance on others, it does not directly suggest suicidal thoughts or intentions.
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