A nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin.
Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?
Observe him as he demonstrates the self-injection technique to another diabetic adolescent.
Ask the adolescent to describe his level of comfort with injecting himself with insulin.
Review his glycosylated hemoglobin level 3 months after the teaching session.
Have the adolescent list the procedural steps for safe insulin administration.
The Correct Answer is A
Choice A rationale
Demonstrating the self-injection technique is a practical way for the nurse to evaluate the adolescent's ability to perform the procedure correctly. This hands-on approach allows the nurse to observe technique accuracy and provide corrective feedback if needed. It also helps build the adolescent’s confidence in self-administering insulin, which is crucial for managing type 1 diabetes mellitus independently. Furthermore, demonstrating skills to peers can reinforce learning as it involves active engagement and peer teaching, which have been shown to enhance knowledge retention and skill proficiency.
Choice B rationale
Asking the adolescent to describe his level of comfort with injecting himself provides subjective feedback rather than an objective measure of his ability to perform the procedure correctly. Comfort level does not necessarily correlate with competency in technique. However, assessing comfort can be part of a comprehensive evaluation but should not be the sole method. Comfort levels might influence adherence to the injection regimen, but they do not directly indicate whether the injection is being done correctly.
Choice C rationale
Reviewing glycosylated hemoglobin (HbA1c) levels can provide information about long-term blood glucose control but does not directly evaluate the adolescent's insulin injection technique. HbA1c reflects average blood glucose levels over the past 2-3 months and is influenced by multiple factors, including diet, physical activity, and overall diabetes management. While important for monitoring diabetes control, it is not a specific measure of the effectiveness of teaching self-injection techniques.
Choice D rationale
Having the adolescent list the procedural steps for safe insulin administration tests his recall of the steps but does not ensure that he can perform the injection correctly. Verbalizing steps is important for cognitive understanding but does not equate to the physical ability to execute the procedure. This approach may reveal gaps in knowledge but does not provide a comprehensive assessment of the actual injection technique.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Documenting the wound measurements with tunneling is important for tracking the wound's progression and planning appropriate interventions. Accurate documentation helps in assessing the effectiveness of the treatment plan.
Choice B rationale
Cleansing the wound and discontinuing the VAC system is necessary when foul, purulent drainage is observed. This action helps to prevent further infection and allows the healthcare provider to reassess the wound care approach.
Choice D rationale
Consulting the wound care specialist to evaluate the wound is essential for expert advice on managing complex wounds. Specialists can provide tailored recommendations to promote wound healing and prevent complications.
Choice C rationale
Increasing the wound VAC suction to eliminate the drainage is not appropriate as it may worsen the infection or damage the surrounding tissues. Proper wound care protocols should be followed to ensure safe and effective treatment.
Choice E rationale
Reapplying the VAC system after irrigating away drainage is not advisable if there is evidence of infection. The wound should be thoroughly assessed, and appropriate measures should be taken to address the underlying infection.
Correct Answer is B
Explanation
Choice A rationale
Explaining the ELISA test for confirmation is unnecessary as the client is already confirmed HIV positive. Repeating the test may cause confusion and anxiety without offering additional benefit at this stage.
Choice B rationale
Identifying support systems in the client's life is crucial for addressing the emotional and psychological impact of being HIV positive and a victim of rape. Support systems, such as family, friends, or support groups, can provide the necessary emotional support and practical assistance to help the client cope with the challenges.
Choice C rationale
Inquiring about plans to further education may not be timely or appropriate in the context of the client's current emotional state. The priority should be addressing the client's immediate mental health needs and ensuring they have adequate support systems in place.
Choice D rationale
Exploring feelings of hope for the future is important but may not be the immediate priority. The client is currently experiencing significant emotional distress, so addressing their immediate mental health needs and ensuring support is a higher priority.
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