A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned Behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits?

Choice A: Recommend the Client Obtain a Part-Time Job
Recommending a part-time job might seem like a good way to keep the adolescent busy and help them integrate into their new environment. However, this approach may not directly address the underlying issues of depression and could potentially add more stress. Adolescents dealing with depression need professional mental health support to navigate their feelings and develop coping strategies.

Choice B: Arrange a Visit with a Neurologist
While a neurologist can help with neurological disorders, depression due to a recent move is typically a psychological issue rather than a neurological one. Therefore, arranging a visit with a neurologist is not the most appropriate intervention. The focus should be on providing mental health support through counseling and therapy.

Choice C: Encourage the Client to Engage in Physical Activity Such as Joining a Sports Team
Encouraging physical activity is beneficial for mental health as it can help reduce symptoms of depression and improve overall well-being. However, while physical activity can be a helpful supplementary intervention, it should not be the primary approach. Professional counseling is essential to address the root causes of depression and provide the necessary support.

Choice D: Schedule an Appointment with a School-Based Counselor
This is the correct intervention. A school-based counselor is trained to provide mental health support to students. They can help the adolescent process their feelings, develop coping strategies, and provide a safe space to talk about their experiences. Counseling is a crucial step in addressing depression and helping the student adjust to their new environment.

Choice A Reason:
An older adult couple living in a community where goods and services are within walking distance is likely to experience long-term economic stability due to reduced transportation costs and increased accessibility to essential services. This setup minimizes the need for a vehicle, which can be a significant financial burden, especially for those on a fixed income. Additionally, the proximity to services can enhance their quality of life and reduce healthcare costs by promoting physical activity and social engagement.

Choice B Reason:
A single parent of two children who uses ride-share services may face financial instability due to the high costs associated with frequent ride-share usage. While ride-share services provide flexibility and convenience, they can be expensive over time, especially for a single parent managing multiple responsibilities and expenses. This choice does not offer the same level of economic stability as living in a walkable community.

Choice C Reason:
A client who has diabetes mellitus and regularly relies upon a family member for transportation may experience economic instability due to the dependency on others for mobility. This reliance can limit their ability to access employment opportunities and essential services independently. Additionally, managing a chronic condition like diabetes can be financially burdensome due to ongoing medical expenses.

Choice D Reason:
A young family regularly using public transportation services to acquire goods and services may face challenges related to the reliability and availability of public transportation. While public transportation can be cost-effective, it may not always be convenient or accessible, especially for families with young children. This can impact their ability to maintain consistent employment and access essential services, potentially affecting their long-term economic stability.