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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Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

A. Completing a follow-up focused assessment: Focused assessments require nursing judgment and clinical decision-making to identify changes in a client’s condition. This task cannot be delegated to UAP because it involves interpretation of findings and determining interventions.

B. Assessing a client's mental health status: Mental health assessments require specialized knowledge and critical thinking to evaluate mood, thought processes, and risk factors. UAPs do not have the training to perform these assessments safely or interpret the results.

C. Obtaining a client's vital weight: Measuring a client’s weight is a routine, noninvasive task that does not require nursing judgment. UAPs are trained to safely obtain and record vital weights, making this appropriate to delegate.

D. Obtaining a client's vital signs: Vital signs are standard, routine measurements that UAPs can reliably perform. Nurses can delegate this task while retaining responsibility for interpreting the results and making clinical decisions.

E. Assessing a client's medication history: Gathering medication history involves evaluating prescriptions, interactions, and adherence patterns. This requires nursing knowledge and critical thinking, so it should not be delegated to UAPs.

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

A nurse is conducting several health assessments. Which action(s) should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

Correct Answer is ["C","D"]

Explanation

A nurse completes a client's health history and a genogram. What is the reason for the nurse to complete a genogram?

Correct Answer is A

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