A nurse is reinforcing teaching with a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding?

Choice A reason: This statement does not demonstrate health literacy by the client, but rather a need for more health education. Health literacy is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Requesting further information to improve their health indicates that the client may lack some knowledge or skills related to their condition.

Choice B reason: This statement demonstrates health literacy by the client, as it shows that they have learned and applied an important selfcare behavior for diabetes management. Taking blood glucose daily is a way to monitor and control blood sugar levels, which can prevent or delay complications of diabetes.

Choice C reason: This statement does not demonstrate health literacy by the client, but rather a need for more communication with their provider. Health literacy is not only about acquiring information, but also about using it effectively to make informed decisions. Asking to speak with their provider suggests that the client may have some questions or concerns that need to be addressed.

Choice D reason: This statement does not demonstrate health literacy by the client, but rather a need for more nutritional guidance. Health literacy is not only about understanding information, but also about acting on it to improve health outcomes. Requesting to speak with a nutritionist implies that the client may need some assistance with planning and following a healthy diet for diabetes.

Choice A reason: Planning time for disruptions is a time management strategy, as it allows the nurse to anticipate and cope with unexpected events that may interfere with their schedule. By allocating some buffer time for potential delays, emergencies, or interruptions, the nurse can avoid stress and maintain their productivity.

Choice B reason: Offering to complete another nurse’s task is not a time management strategy, but rather a sign of poor boundary setting. While helping others is commendable, the nurse should not take on more responsibilities than they can handle, as this may compromise their own work quality and wellbeing. The nurse should learn to say no politely and focus on their own priorities.

Choice C reason: Skipping a meal break to catch up on charting is not a time management strategy, but rather a counterproductive habit. Taking regular breaks is essential for the nurse to replenish their energy, reduce fatigue, and prevent burnout. Skipping breaks may impair the nurse’s concentration, memory, and decision-making, and increase the risk of errors.

Choice D reason: Completing the easiest tasks first is not a time management strategy, but rather a form of procrastination. The nurse should prioritize their tasks based on their importance and urgency, not their difficulty or preference. Completing the easiest tasks first may create a false sense of accomplishment, while leaving the most critical or challenging tasks for later, when the nurse may have less time or motivation.