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 ["B","E","F","G"]
Explanation
Choice A rationale
Short-term memory loss is not typically associated with elder mistreatment. It may result from normal aging, neurological conditions like Alzheimer's disease, or other medical issues affecting cognitive function. It does not directly indicate mistreatment.
Choice B rationale
Malnutrition in the elderly can be a sign of neglect or mistreatment, where the individual may not receive adequate nutrition due to inadequate caregiving or intentional withholding of food. It can lead to severe health complications and indicates a lack of proper care.
Choice C rationale
Bilateral leg edema can result from various medical conditions, such as heart failure, chronic venous insufficiency, or renal disease. It is not a specific indicator of elder mistreatment and requires a thorough medical evaluation to determine the underlying cause.
Choice D rationale
Diminished breath sounds are typically related to respiratory conditions, such as pneumonia, chronic obstructive pulmonary disease (COPD), or pleural effusion. While they require medical attention, they do not directly indicate elder mistreatment.
Choice E rationale
Dark room lighting can suggest poor living conditions and inadequate care, potentially indicating neglect or mistreatment. Proper lighting is essential for the safety and well-being of elderly individuals, and its absence may reflect a lack of proper care and attention.
Choice F rationale
Poor hygiene is a common sign of neglect in elder mistreatment cases. It indicates that the individual may not receive assistance with personal care, leading to physical and emotional distress. Neglecting hygiene needs can result in infections and other health issues.
Choice G rationale
Pressure injuries, or bedsores, are often a result of prolonged immobility and inadequate repositioning, which can occur in cases of elder mistreatment or neglect. These injuries can lead to severe complications and are indicative of a lack of proper care and attention to the individual's needs.
Correct Answer is ["0.75"]
Explanation
Step 1 is 0.1875 mg ÷ 0.25 mg/mL Step 2 is 0.75 mL Final answer: 0.75 mL.
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