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.

Answer and Explanation

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: Adolescents (ages 12–18) are in a developmental stage where peer validation is a powerful motivator. By demonstrating to a peer, the adolescent is forced to internalize the steps well enough to explain them. This confirms a higher level of mastery than simply repeating steps back to a dynamic authority figure like a nurse. In a testing environment, "demonstrating the technique" to a peer does not mean the nurse allows the adolescent to actually stick a needle into another person. It means the adolescent acts out the procedure (perhaps using a practice pad, an orange, or a needleless syringe) while explaining the steps to the peer. The nurse is the observer in this scenario. The adolescent is the "teacher," and the peer is the "audience."

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Pinworm infections can be asymptomatic, so treatment is recommended even in the absence of symptoms to prevent spread.

Choice B reason: A second dose of mebendazole is often recommended two weeks after the initial dose to ensure all pinworms are eliminated, including newly hatched ones.

Choice C reason: Mebendazole is not recommended for children under two years of age without medical advice.

Choice D reason: Mebendazole is typically administered orally, not as a rectal suppository.

A. History of suicide attempts. B. Family history of schizophrenia. C. Undiagnosed social anxiety symptoms (SAD). D. Feelings of disorientation.

Correct Answer is A

Explanation

Choice A reason: A history of suicide attempts is crucial information when planning the care of a client using heroin because there is a high risk of further suicide attempts, especially in individuals with substance use disorders. The nurse must prioritize mental health safety and implement measures to monitor and support the client's psychological well-being to prevent any potential self-harm.

Choice B reason: While family history of schizophrenia is important, it is not immediately crucial to the plan of care for a client currently using heroin. This information is more relevant for long-term monitoring and psychiatric evaluation rather than immediate care planning.

Choice C reason: Undiagnosed social anxiety disorder (SAD) may contribute to substance use; however, it is not the most urgent concern in this scenario. The focus should be on immediate safety and stabilization, particularly addressing the high risk of suicide.

Choice D reason: Feelings of disorientation are significant but could be a result of heroin use. While important to assess, they are secondary to the immediate concern of preventing self-harm in a client with a history of suicide attempts.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is preparing a teaching pamphlet in response to requests from parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed medication, mebendazole, should be included?

Correct Answer is B

Explanation

During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Correct Answer is A

Explanation

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