A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned Behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits?

Choice A: Read to the Child at Least Four Times per Week
Reading to a child regularly is one of the most effective ways to support both socio-emotional development and language skills. It helps build vocabulary, comprehension, and communication skills while also fostering a strong emotional bond between the caregiver and the child. Reading stories can introduce children to different emotions and social situations, helping them understand and manage their own feelings.

Choice B: Allow Regular Naps for the Child to Foster Proper Brain Growth
While regular naps are important for a child's overall development and brain growth, they do not specifically target socio-emotional development and language skills. Napping helps with physical growth and cognitive function, but it does not provide the interactive and communicative benefits that activities like reading do.

Choice C: Enable Playtime for the Infant Child Once per Month
Playtime is crucial for a child's development, but once per month is not sufficient. Regular, frequent playtime is necessary to support socio-emotional development and language skills. Play allows children to explore their environment, interact with others, and develop important social and communication skills. Therefore, playtime should be encouraged daily rather than monthly.

Choice D: Watch a Favorite TV Program with the Child on a Consistent Basis
Watching TV can be a passive activity and does not provide the same level of interaction and engagement as reading or playing together. While some educational programs can be beneficial, they should not replace active, interactive activities that directly support socio-emotional development and language skills. Engaging in conversations and interactive play is more effective for these developmental areas.

Choice A Reason:
The closure of the elementary school and the shift to remote learning is a significant change for the child and family. However, it does not directly impact the child's diabetes management. The nurse should be aware of this change as it may affect the child's routine and stress levels, but it is not the primary concern in managing diabetes.

Choice B Reason:
The lenient notice from the power company regarding back payment of debt is a relief for the family, but it does not directly affect the child's diabetes care. While financial stability is important, the immediate concern for the nurse is ensuring the child has access to necessary medical care and supplies.

Choice C Reason:
The family may not be able to see preferred providers due to increased health insurance costs. This is a critical issue because access to preferred healthcare providers is essential for managing the child's diabetes effectively. Consistent care from knowledgeable providers ensures proper monitoring, education, and adjustments to the child's treatment plan. Without access to these providers, the child's health could be compromised.

Choice D Reason:
Enrollment in the Supplemental Nutrition Assistance Program (SNAP) to receive extra food benefits is beneficial for the family's overall nutrition. However, it does not directly address the specific needs related to managing diabetes. While good nutrition is important, the primary concern is ensuring access to specialized medical care.