The client was diagnosed with diabetes three years ago but has failed to integrate regular blood glucose monitoring or dietary modifications into his lifestyle.
He has been admitted to the hospital for treatment of acute renal failure secondary to diabetic nephropathy, an event that has prompted him to reassess his values.
Which of the following actions most clearly demonstrates that this client is engaging in the step of prizing within his valuing process?
The client expresses remorse at how his failure to make lifestyle changes has adversely affected his health.
The client is now able to explain how his choices have contributed to his renal failure.
The client states he will now begin to check his blood glucose before each meal and at bedtime.
The client expresses pride that he now has the knowledge and skills to take control of his diabetes management.
The Correct Answer is D
Choice A rationale
Expressing remorse indicates an awareness of the negative consequences of past actions, which aligns with the valuing process step of choosing, where the individual recognizes the value and impact of different choices. However, it doesn't fully demonstrate prizing, which involves cherishing and affirming the value.
Choice B rationale
Explaining how past choices contributed to the renal failure demonstrates understanding and cognitive processing of the situation, aligning with the choosing step of the valuing process, where the individual intellectually recognizes the value. However, it doesn't necessarily indicate an emotional investment or affirmation of new values.
Choice C rationale
Stating an intention to adopt new behaviors reflects the acting step of the valuing process, where the individual commits to and implements the chosen values in their actions. While important for change, it doesn't directly demonstrate the internal valuing or cherishing of these new actions.
Choice D rationale
Expressing pride in gaining knowledge and skills to manage diabetes signifies that the client now holds this self-management in high regard and finds personal worth in it. This aligns with the prizing step of the valuing process, where the individual emotionally embraces and values the new belief or behavior, leading to a sense of satisfaction and affirmation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Emptying a Foley catheter bag and reporting the urine volume is a routine task that does not require complex assessment or clinical judgment. Unlicensed care providers are typically trained in this procedure and can accurately measure and report the output to the nurse.
Choice B rationale
Helping a first-time mother achieve a good latch during breastfeeding requires specialized knowledge and assessment skills to ensure proper positioning and infant feeding. This task involves teaching and evaluating, which falls within the scope of nursing practice and should not be delegated to an unlicensed care provider.
Choice C rationale
Assessing the size and quantity of blood clots in a postpartum client's bedpan requires clinical judgment to determine if the findings are within normal limits or indicative of a potential complication. This assessment should be performed by a registered nurse who can interpret the findings in the context of the client's overall condition.
Choice D rationale
Administering medication, including anti-inflammatory drugs, is a nursing responsibility that requires knowledge of pharmacology, potential side effects, and client assessment. Medication administration should not be delegated to unlicensed care providers. .
Correct Answer is B
Explanation
Choice A rationale
Vitamin C is an important antioxidant and plays a role in collagen synthesis and immune function. While individuals with alcoholism may have poor nutrition and potential vitamin deficiencies, thiamine (vitamin B1) deficiency is a more immediate and critical concern due to its role in glucose metabolism and the risk of Wernicke-Korsakoff syndrome.
Choice B rationale
Thiamine deficiency is common in individuals with chronic alcoholism due to poor dietary intake, impaired absorption, and increased utilization of thiamine in metabolizing alcohol. Intramuscular administration ensures adequate absorption, and the frequency addresses the ongoing need to prevent or treat Wernicke-Korsakoff syndrome, a serious neurological disorder.
Choice C rationale
Magnesium deficiency is also common in alcoholics due to poor intake, increased urinary excretion, and gastrointestinal losses. While a one-time intravenous dose of magnesium sulfate can help replete levels and prevent complications like seizures, it does not address the chronic nature of the deficiency and the need for ongoing management.
Choice D rationale
Albumin is a plasma protein that can be low in individuals with chronic liver disease, which can be associated with alcoholism. However, a one-time infusion of albumin primarily addresses low oncotic pressure and fluid shifts and is not a standard initial treatment for alcoholism itself. Addressing thiamine deficiency is a more immediate priority to prevent neurological complications.
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