A nurse is conducting an assessment on a client with newly diagnosed diabetes. The client seems unsure about how to manage their new diagnosis. What action should the nurse take first?

Develop an individualized teaching plan for the client.

Identify what is confusing the client about their new diagnosis.

Use both verbal and written materials to teach the client.

Ask the client what they know about their new diagnosis.

Answer and Explanation

The Correct Answer is D

A. Develop an individualized teaching plan for the client: While an individualized plan is important, it should be based on the client’s current understanding and knowledge gaps. Creating a plan without first assessing what the client knows may lead to ineffective teaching.

B. Identify what is confusing the client about their new diagnosis: Understanding areas of confusion is essential, but this step comes after determining the client’s baseline knowledge. Without first asking about what they already know, the nurse may miss key information about misconceptions or gaps.

C. Use both verbal and written materials to teach the client: Providing educational materials is beneficial, but materials are most effective when tailored to the client’s existing knowledge and learning needs. This step is part of the teaching process, not the initial assessment.

D. Ask the client what they know about their new diagnosis: Assessing the client’s current knowledge is the first step in planning education. It allows the nurse to identify misconceptions, knowledge gaps, and areas needing clarification, ensuring teaching is targeted and effective.

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Correct Answer is C

Explanation

A. The client's learning needs: While understanding learning needs is important for education and long-term management, it is not an immediate priority in an emergency situation where safety and urgent interventions are critical.

B. The client's age and sex: Age and sex are relevant for assessment and risk stratification, but they do not directly address immediate safety concerns or guide urgent care decisions in an emergency.

C. The client's allergies: Allergies are critical to identify immediately because they can cause life-threatening reactions if the client is exposed to certain medications, foods, or substances during emergency treatment. This information directly impacts safe and effective care.

D. The client's medical history: Knowing medical history is valuable for understanding the client’s overall health, but in an emergency, information that prevents immediate harm, such as allergies, takes precedence over detailed historical data.

A. To identify the client's potential risk of diseases. B. To document characteristics of presenting symptoms. C. To identify the family resources the client has available. D. To document vaccination and immunization history.

Correct Answer is A

No explanation

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A nurse is conducting an assessment on a client with newly diagnosed diabetes. The client seems unsure about how to manage their new diagnosis. What action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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