A nurse is providing teaching to a newly diagnosed diabetic patient. The nurse recognizes this as which learning domain?

Choice A rationale
Feeding a stroke client who has difficulty in swallowing is a task that requires careful attention to prevent aspiration and choking. While this task is important, it can be delegated to a trained nursing assistant or a licensed practical nurse (LPN) under the supervision of an RN. The RN should focus on tasks that require higher levels of clinical judgment and expertise.
Choice B rationale
Completing a sterile dressing change to a pressure ulcer is a task that requires the expertise and clinical judgment of an RN. Sterile dressing changes involve maintaining a sterile field, assessing the wound, and applying appropriate dressings. This task is critical for preventing infection and promoting wound healing, making it appropriate for the RN to perform.
Choice C rationale
Reapplying a condom catheter for a client with urinary incontinence is a routine procedure that can be delegated to a trained nursing assistant or an LPN. This task does not require the advanced clinical skills and judgment of an RN, allowing the RN to focus on more complex and critical tasks.
Choice D rationale
Reinforcing teaching with a client who is learning how to administer insulin is an important task, but it can be delegated to an LPN under the supervision of an RN. The RN should prioritize tasks that require higher levels of clinical expertise and judgment, such as sterile dressing changes and complex assessments.

Choice A rationale
Asking why the patient hasn’t shared their feelings with their family is not therapeutic. It can come across as judgmental and may not encourage open communication.
Choice B rationale
Asking the patient to tell more about how they are feeling is therapeutic. It shows empathy and encourages the patient to express their emotions, which can be helpful in processing their feelings.
Choice C rationale
Telling the patient they are probably very depressed is not therapeutic. It labels their feelings and may not encourage further discussion.
Choice D rationale
Suggesting the patient talk with their family about their career is not relevant to the patient’s current emotional state and concerns.