A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

A. Immunosuppressant medications are drugs that suppress or weaken the immune system. They are often prescribed to prevent rejection of transplanted organs or to treat autoimmune diseases. However, a weakened immune system makes individuals more susceptible to infections because their body's ability to fight off pathogens is compromised. Therefore, clients taking immunosuppressant medications have an increased risk of contracting communicable diseases.
B. Poor nutrition can weaken the immune system, making it less effective in defending against infections. Essential nutrients such as vitamins and minerals play crucial roles in immune function. A deficiency in these nutrients can impair immune responses, making individuals more vulnerable to communicable diseases.
C. Keeping immunizations up to date helps protect individuals from specific communicable diseases for which vaccines are available. Vaccines stimulate the immune system to produce antibodies against particular pathogens, providing immunity. Therefore, if immunizations are up to date, the client's risk of contracting certain communicable diseases is reduced.
D. Aging is associated with changes in the immune system, known as immunosenescence, which can weaken immune responses. Older adults may have decreased production of immune cells and antibodies, making them more susceptible to infections. Additionally, aging is often accompanied by chronic health conditions or medications that further compromise immune function, increasing the risk of communicable diseases.
E. Living in a nursing home or long-term care facility can increase the risk of exposure to communicable diseases due to close contact with other residents, sharing of common spaces, and potentially inadequate infection control practices. Older adults in nursing homes may also have multiple chronic conditions and weakened immune systems, further increasing their susceptibility to infections.

A. This statement suggests that outcomes are unpredictable and not influenced by factors such as adherence to a medical regimen or behavioral changes. According to the Theory of Reasoned Action/Planned Behavior, behavior is influenced by attitudes and intentions, which can be assessed and potentially modified through education and intervention.
B. Poor adherence to the recommended medical regimen (such as diet, exercise, and possibly medication) increases the risk of complications in individuals with diabetes mellitus. According to the Theory of Reasoned Action/Planned Behavior, if the client has negative attitudes toward the meal plan and exercise regimen (low motivation), and if they perceive these behaviors as difficult to perform (low perceived behavioral control), they are less likely to adhere to the plan. This could lead to poor outcomes, including complications related to diabetes.
C. This option suggests that outcomes will not significantly differ regardless of the client's adherence to the medical regimen or behavioral changes. However, according to the Theory of Reasoned Action/Planned Behavior, attitudes, subjective norms, and perceived behavioral control influence behavior and subsequently affect outcomes.
D. Education plays a critical role in the Theory of Reasoned Action/Planned Behavior. By providing education, the nurse can influence the client's attitudes and perceptions regarding the importance and feasibility of adhering to the meal plan and starting an exercise regimen.