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 D
Explanation
Choice A rationale
Relying solely on written communication can be time-consuming and may not be suitable for all situations or for clients with low literacy. While it can be a useful adjunct, it shouldn't replace verbal communication entirely.
Choice B rationale
Reducing time spent with the client can hinder effective communication and relationship building. It doesn't address the communication barrier and may leave the client feeling unheard and uncared for.
Choice C rationale
Speaking loudly can distort sounds and make it harder for someone with a hearing deficit to understand. It can also be perceived as disrespectful or condescending. The approach should focus on clarity, not volume.
Choice D rationale
Background noise, such as a television, can significantly interfere with a hearing-impaired person's ability to understand speech. Reducing or eliminating such distractions creates a clearer auditory environment, facilitating better comprehension of verbal communication.
Correct Answer is D
Explanation
Choice A rationale
While clarifying values is important in end-of-life care, the immediate need is to respect the client's current wishes and provide space for processing his emotions. Forcing a values clarification at this moment might add pressure.
Choice B rationale
Educating the client on death and dying concepts might be helpful at some point, but it doesn't directly address his immediate emotional need to protect his family from sadness. His focus is on their well-being, not his understanding of the dying process.
Choice C rationale
Arranging a meeting without the client's consent or readiness disregards his autonomy and stated wishes. This could increase his distress and violate his right to make decisions about his interactions.
Choice D rationale
Providing time for quiet reflection acknowledges the client's emotional state and respects his need to process his feelings privately. This allows him to cope with his impending death in a way that feels most comfortable and protective of his family, fostering autonomy and dignity.
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