The 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?
Have the adolescent list the procedural steps for safe insulin administration.
Review his glycosylated hemoglobin level 3 months after the teaching session.
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.
The Correct Answer is C
Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.
Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.
Choice C reason: Observing the adolescent as he demonstrates the self-injection technique ensures that he has understood and can correctly perform the procedure, providing the best evaluation of teaching effectiveness.
Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: A listing of African-American women in the community may help identify the target audience but is not as crucial as engaging the community leaders.
Choice B reason: Morbidity data for breast cancer in women of all races provides background information but does not directly address the specific needs of African-American women.
Choice C reason: Technical assistance to produce a video is useful but secondary to involving the community in the planning process.
Choice D reason: Participation of community leaders is vital as they can provide insights into cultural and social factors that influence health behaviors, ensuring the program is culturally relevant and effective.
Correct Answer is C
Explanation
Choice A reason: Divalproex is not used for treating acute dystonic reactions.
Choice B reason: Lorazepam can be used for certain types of acute reactions but is not the first line of treatment for dystonic reactions with laryngeal spasm.
Choice C reason: IV administration of benztropine is appropriate for treating acute dystonic reactions, including laryngeal spasm, as it helps to relieve the muscle contractions.
Choice D reason: IV administration of isotonic crystalloid fluid is not a treatment for dystonic reactions but may be used to maintain hydration and electrolyte balance.
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