A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?
Refer the client to a diabetes mellitus support group.
Identify the client’s dietary preferences.
Develop a nutritional program.
Teach the client about appropriate food choices.
The Correct Answer is B
The correct answer is Choice B
Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.
Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.
Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.
Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.
Choice B rationale
Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.
Choice C rationale
Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.
Choice D rationale
Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.
Correct Answer is D
Explanation
Choice A rationale
This statement indicates a concern about financial stability, which is a valid concern but does not necessarily indicate adaptation to the caregiver role.
Choice B rationale
While rearranging furniture to accommodate a walker is a positive step towards creating a safe environment for the client, it does not necessarily indicate that the caregiver has fully adapted to their new role. It shows an effort to modify the physical environment, but adaptation to the caregiver role involves more than just physical changes.
Choice C rationale
Apologizing for the dishes piling up in the kitchen sink may indicate feelings of overwhelm or stress, which are common in new caregivers. However, this statement does not necessarily indicate adaptation to the caregiver role.
Choice D rationale
This statement indicates that the caregiver is taking steps to maintain their own well-being while also caring for their loved one. By arranging for a neighbor to come over so they can take time for themselves, the caregiver is demonstrating an understanding of the importance of
self-care in their new role. This is a key aspect of adapting to the caregiver role.
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