A nurse is reinforcing teaching with a client who has been newly diagnosed with diabetes mellitus. Which of the following information demonstrates health literacy by the client?
The client requests further information to improve their health.
The client understands to take their blood glucose daily.
The client asks to speak with their provider.
The client requests to speak with a nutritionist.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.
Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.
Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.
Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.
Correct Answer is D
Explanation
Choice A reason: SOAP documentation is not the correct method for documenting only unexpected findings. SOAP documentation requires the nurse to document both normal and abnormal findings, as well as the plan of care for the client.
Choice B reason: Problem oriented medical record (POMR) is not the correct method for documenting only unexpected findings. POMR is a method that organizes the documentation around the client's problems, rather than the source of data. It consists of four components: database, problem list, plan, and progress notes.
Choice C reason: Focus charting (DAR) is not the correct method for documenting only unexpected findings. Focus charting is a method that uses the nursing process and the client's perspective to document the client's care. It consists of three components: data, action, and response.
Choice D reason: Charting by exception (CBE) is the correct method for documenting only unexpected findings. CBE is a method that assumes that all standards of care are met unless otherwise documented. It allows the nurse to document only significant or abnormal findings, such as changes in the client's condition, interventions, or outcomes.
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