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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to respect a client’s wishes and provide a supportive environment, avoiding the client’s health status may not be beneficial. Open communication about the client’s condition can help in planning and providing appropriate care.
Choice B rationale
Providing quiet time during visits for prayer or meditation can be a valuable part of a care plan for a client with end-stage breast cancer. This can offer spiritual comfort and peace, which can enhance the client’s quality of life.
Choice C rationale
Placing the client’s name and medical condition on an online prayer chain may not be appropriate without the client’s explicit consent due to privacy concerns.
Choice D rationale
Recommending the client seek out hospice services rather than seek treatment may not be the best approach. The decision between pursuing treatment and entering hospice care should be made by the client and their healthcare team.
Correct Answer is C
Explanation
Choice A rationale
Providing nutrition education to employees who have a BMI of greater than 30 is an example of primary prevention. It aims to prevent the onset of disease (in this case, obesity-related diseases) by promoting healthy behaviors.
Choice B rationale
Providing education about safety and injury prevention for employees is also an example of primary prevention. It aims to prevent injuries before they occur.
Choice C rationale
Screening employees who have been exposed to high levels of noise for hearing loss is an example of secondary prevention. Secondary prevention aims to identify and treat an illness or disease at an early stage.
Choice D rationale
Coordinating disaster planning efforts at the factory is an example of tertiary prevention. It aims to manage and mitigate the effects of a disaster, which is an existing condition.
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