A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Refer the client to a diabetes mellitus support group.

Identify the client’s dietary preferences.

Develop a nutritional program.

Teach the client about appropriate food choices.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B

Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.

Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.

Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.

Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet

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Correct Answer is A

Explanation

The correct answers are A. Organize a program to promote skateboard safety and C. Teach a class about the risks of cigarette smoking.

Primary prevention focuses on activities that prevent disease or injury before they occur. This includes education, safety programs, and health promotion efforts to reduce risk factors in the community.

Here’s why these choices align with primary prevention:

A. Organize a program to promote skateboard safety – Encouraging safe practices and protective equipment use helps prevent injuries before they happen.
C. Teach a class about the risks of cigarette smoking – Educating students on health risks helps prevent smoking initiation, reducing future complications like lung disease.

The other options represent different levels of prevention:

B. Lobby for funding for health promotion efforts – While important, lobbying is an advocacy action, not direct prevention. It supports primary prevention efforts but isn't a standalone preventive measure.
D. Recommend a seating arrangement for a child in a body cast – This falls under tertiary prevention, which focuses on adapting care for existing conditions rather than preventing health issues in the first place.

A. “I will need financial assistance if I don’t get back to my job soon.”. B. “I am still trying to rearrange the furniture so they can use their walker.”. C. “I apologize for the dishes piling up in the kitchen sink.”. D. “I have a neighbor coming over so I can go get my hair cut and styled.”.

Correct Answer is D

Explanation

Choice A rationale

This statement indicates a concern about financial stability, which is a valid concern but does not necessarily indicate adaptation to the caregiver role.

Choice B rationale

While rearranging furniture to accommodate a walker is a positive step towards creating a safe environment for the client, it does not necessarily indicate that the caregiver has fully adapted to their new role. It shows an effort to modify the physical environment, but adaptation to the caregiver role involves more than just physical changes.

Choice C rationale

Apologizing for the dishes piling up in the kitchen sink may indicate feelings of overwhelm or stress, which are common in new caregivers. However, this statement does not necessarily indicate adaptation to the caregiver role.

Choice D rationale

This statement indicates that the caregiver is taking steps to maintain their own well-being while also caring for their loved one. By arranging for a neighbor to come over so they can take time for themselves, the caregiver is demonstrating an understanding of the importance of

self-care in their new role. This is a key aspect of adapting to the caregiver role.

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A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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