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 D

Explanation

Choice A rationale

A consultant provides expert advice professionally. While a nurse case manager may provide advice as part of their role, arranging for the delivery of medical equipment to a patient’s home as part of discharge planning is not typically considered a consulting role19.

Choice B rationale

An advocate supports or recommends a particular cause or policy. While advocacy can be a part of a nurse case manager’s role, it is not the primary role being described in this scenario19.

Choice C rationale

A systems allocator distributes or spreads out something over a system. While a nurse case manager may allocate resources as part of their role, it is not the primary role being described in this scenario19.

Choice D rationale

This is the correct answer. A coordinator brings the different elements of a complex activity or organization into a relationship that will ensure efficiency or harmony. Arranging for the delivery of medical equipment to a patient’s home as part of discharge planning falls under this role19.

A. Ask for assistance from local spiritual leaders if there is a language barrier. B. Collect all the data on the first visit with the workers. C. Incorporate one’s implicit bias into planned delivery of care. D. Interview community leaders for a perspective of community life.

Correct Answer is D

Explanation

Choice A rationale

While seeking assistance from local spiritual leaders can be helpful in understanding a community’s culture, it is not the only or necessarily the best way to assess a group’s culture. Cultural assessment involves a broader range of activities.

Choice B rationale

Collecting all data on the first visit may not be feasible or appropriate. Cultural assessment is an ongoing process that involves building trust and rapport with the community.

Choice C rationale

Incorporating one’s implicit bias into planned delivery of care is not appropriate. Nurses should strive to provide culturally competent care, which involves recognizing and addressing their own biases.

Choice D rationale

Interviewing community leaders can provide valuable insights into community life and culture. This is an important part of cultural assessment and can help inform the planning of culturally appropriate care.

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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

A nurse case manager is arranging for the delivery of medical equipment to a patient’s home as part of discharge planning.In which of the following roles is the nurse functioning?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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