A nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin.
Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?
Observe him as he demonstrates the self-injection technique to another diabetic adolescent.
Ask the adolescent to describe his level of comfort with injecting himself with insulin.
Review his glycosylated hemoglobin level 3 months after the teaching session.
Have the adolescent list the procedural steps for safe insulin administration.
The Correct Answer is A
Choice A rationale
Demonstrating the self-injection technique is a practical way for the nurse to evaluate the adolescent's ability to perform the procedure correctly. This hands-on approach allows the nurse to observe technique accuracy and provide corrective feedback if needed. It also helps build the adolescent’s confidence in self-administering insulin, which is crucial for managing type 1 diabetes mellitus independently. Furthermore, demonstrating skills to peers can reinforce learning as it involves active engagement and peer teaching, which have been shown to enhance knowledge retention and skill proficiency.
Choice B rationale
Asking the adolescent to describe his level of comfort with injecting himself provides subjective feedback rather than an objective measure of his ability to perform the procedure correctly. Comfort level does not necessarily correlate with competency in technique. However, assessing comfort can be part of a comprehensive evaluation but should not be the sole method. Comfort levels might influence adherence to the injection regimen, but they do not directly indicate whether the injection is being done correctly.
Choice C rationale
Reviewing glycosylated hemoglobin (HbA1c) levels can provide information about long-term blood glucose control but does not directly evaluate the adolescent's insulin injection technique. HbA1c reflects average blood glucose levels over the past 2-3 months and is influenced by multiple factors, including diet, physical activity, and overall diabetes management. While important for monitoring diabetes control, it is not a specific measure of the effectiveness of teaching self-injection techniques.
Choice D rationale
Having the adolescent list the procedural steps for safe insulin administration tests his recall of the steps but does not ensure that he can perform the injection correctly. Verbalizing steps is important for cognitive understanding but does not equate to the physical ability to execute the procedure. This approach may reveal gaps in knowledge but does not provide a comprehensive assessment of the actual injection technique.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Explaining that every client will receive the same high level of care does not address the client's specific concerns about receiving care in accordance with their religion. It is important to recognize and respect individual preferences and beliefs in healthcare.
Choice B rationale
Asking the client about individual care preferences is the best action as it allows the nurse to understand and accommodate the client's specific religious needs and preferences. This approach demonstrates respect for the client's beliefs and promotes patient-centered care.
Choice C rationale
Consulting with a nurse who shares the same religious beliefs might provide some insight, but it is not the best approach. The client may have unique personal preferences that differ from general practices of their religion, so direct communication with the client is more effective.
Choice D rationale
Researching the religion on social media platforms is not a reliable or appropriate way to gather information about a client's care preferences. Social media may not provide accurate or comprehensive information, and personal preferences should be discussed directly with the client. .
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Raspberries are an excellent source of dietary fiber, with approximately 8 grams of fiber per cup. They are rich in both soluble and insoluble fibers, which help promote healthy digestion and bowel regularity. The high fiber content in raspberries can help prevent and alleviate constipation, which is particularly beneficial for individuals with hemorrhoids.
Choice B rationale
Oatmeal is another high-fiber food, providing about 4 grams of fiber per cup. It contains a type of soluble fiber called beta-glucan, which forms a gel-like substance in the intestines, helping to soften stool and improve bowel movements. Including oatmeal in the diet can help reduce the discomfort associated with hemorrhoids.
Choice C rationale
Scrambled eggs are a good source of protein but are low in dietary fiber. They do not contribute to increasing the fiber intake needed to alleviate hemorrhoid symptoms. Although they can be part of a balanced diet, they are not specifically beneficial for a high-fiber diet.
Choice D rationale
Bacon slices are high in fat and low in fiber. Consuming high-fat foods can lead to constipation, which can worsen hemorrhoid symptoms. Bacon does not provide the necessary fiber to promote healthy digestion and bowel movements.
Choice E rationale
Raisin bran muffins are a high-fiber food option, with both the bran and raisins contributing to their fiber content. Bran is rich in insoluble fiber, which adds bulk to the stool and helps prevent constipation. Raisins also contain fiber, making raisin bran muffins a suitable choice for individuals with hemorrhoids.
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