A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

Give the patient access to a video about diabetes.

Determine what the patient knows about managing diabetes.

Establish short-term, realistic goals for the patient.

Evaluate the effectiveness of the patient's admission teaching plan.

Answer and Explanation

The Correct Answer is B

A. Give the patient access to a video about diabetes. – Incorrect. Educational materials are helpful but should be provided after assessing the patient's current knowledge level.

B. Determine what the patient knows about managing diabetes. – Correct Answer. The first step in teaching is to assess the patient's baseline knowledge to tailor the education to their needs.

C. Establish short-term, realistic goals for the patient. – Incorrect. Goal-setting is important but should come after assessing the patient’s knowledge and readiness to learn.

D. Evaluate the effectiveness of the patient's admission teaching plan. – Incorrect. The nurse should first determine what new information needs to be taught before evaluating previous teaching.

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Correct Answer is B

Explanation

A. 8:00 AM to 11:00 AM. – Incorrect. NPH insulin peaks in 6–14 hours, not within a few hours.

B. 2:00 PM to 5:00 PM. – Correct Answer. NPH insulin peaks around 6–14 hours, making this the most likely time for hypoglycemia.

C. 2:00 AM to 5:00 AM. – Incorrect. This would be the peak time for evening NPH insulin, not morning administration.

D. 10:00 PM to 12:00 AM. – Incorrect. NPH insulin does not peak this late when given in the morning.

A. Encourage the patient to ask for assistance. B. Keep the call light near the patient. C. Place the patient in a room close to the nurses' station. D. Remind the patient to walk with someone for support.

Correct Answer is C

Explanation

A. Encourage the patient to ask for assistance. – Patients with Alzheimer's often forget to ask for help, making this an unreliable safety measure.

B. Keep the call light near the patient. – The patient may not remember to use the call light.

C. Place the patient in a room close to the nurses' station. – Correct Answer. This allows frequent observation and quick intervention to prevent falls.

D. Remind the patient to walk with someone for support. – Reminders may not be effective due to memory impairment.

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A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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