The nurse has just completed teaching the patient how to self-administer insulin injections.
Which entry in the patient’s chart demonstrates that the teaching was successful?
Additional written instructions about how to perform the injection was provided.
The patient denied having any asks or concerns about the procedure.
The patient correctly self-administered his next scheduled dose of insulin.
The patient identified the steps and equipment used.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Signing on with a password authenticates the user and allows them to enter information, but it does not prevent someone with the same password or unauthorized access from altering previously entered data. Passwords control who can access the system, not what they can do once logged in.
Choice B rationale
Charting in privacy ensures confidentiality while the nurse is documenting, preventing unauthorized individuals from viewing the information as it is being entered. However, it does not prevent authorized users from later altering the data.
Choice C rationale
Logging off the electronic documentation system after each entry is crucial for preventing unauthorized access and alterations. Once logged off, the nurse's session is closed, requiring a new login to make any changes, thus ensuring accountability for each entry.
Choice D rationale
Charting in code or using abbreviations can help maintain patient privacy to some extent but does not inherently prevent alteration of the information once it has been entered into the system. Codes can be understood by those with access. \
Correct Answer is A
Explanation
Developing a care plan is a collaborative process that ideally involves the physician, the patient, the nurse, and other members of the healthcare team. The physician's input is vital for medical diagnoses, treatment orders, and overall medical management, which are integral components of the patient's comprehensive care plan.
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