The nurse is assessing a patient with chest pain who has just come to the hospital.
Which open-ended query will provide the nurse with helpful information about the patient's health status?

Choice A rationale

Providing additional written instructions is a helpful teaching strategy but does not directly demonstrate the patient's ability to self-administer the injection correctly. It addresses the teaching method, not the outcome of the teaching.

Choice B rationale

The patient denying concerns does not necessarily indicate successful learning. The patient might have unexpressed concerns or may not fully understand the procedure despite verbalizing otherwise. This statement reflects the patient's verbalization, not their demonstrated skill.

Choice C rationale

The patient correctly self-administering their next scheduled dose of insulin is the most direct and reliable evidence that the teaching was successful. It demonstrates that the patient has acquired the necessary knowledge and skills to perform the injection safely and accurately in a real-life situation.

Choice D rationale

Identifying the steps and equipment used indicates that the patient has some understanding of the procedure. However, it does not guarantee that they can perform the injection correctly. Practical demonstration is required to confirm successful learning of a psychomotor skill.

Choice A rationale

A risk nursing diagnosis, such as "risk for impaired skin integrity related to inadequate nutrition," identifies a potential problem that does not currently exist but has a high probability of developing if no preventative nursing interventions are implemented. It focuses on the patient's vulnerability to a specific health problem.

Choice B rationale

All nursing diagnoses, including risk diagnoses, require the development of specific nursing interventions aimed at preventing the potential problem from occurring or minimizing its impact. These interventions are crucial for addressing the identified risk factors and promoting patient well-being.

Choice C rationale

Evaluation is a critical component of the nursing process for all nursing diagnoses. The effectiveness of the nursing interventions implemented for a risk diagnosis must be evaluated to determine if they successfully prevented the problem from developing. This ongoing assessment ensures the plan of care is appropriate and achieving the desired outcomes.

Choice D rationale

Nursing diagnoses, including risk diagnoses, are within the scope of nursing practice and guide independent nursing interventions. While collaboration with the medical team is essential for overall patient care, risk diagnoses do not inherently necessitate medical intervention as the primary focus is on preventative nursing actions.