The nurse helps the patient set small, achievable goals and celebrates with the patient when the goals are met. Which caring behavior is demonstrated by the nurse?

A. Psychomotor learning refers to learning that involves physical skills and is less relevant when educating a patient about managing a chronic condition like diabetes, especially in this case.
B. Developmental stage refers to a patient’s cognitive and physical development, but this may not be the highest concern for an adult patient with diabetes.
C. Health literacy is critical in this case because the patient needs to understand the instructions for medication, therapy, and appointments to manage their diabetes effectively. Homeless patients may face barriers in accessing information or understanding it fully, so ensuring the patient has a clear understanding is a priority.
D. Motivation is important, but addressing health literacy (ensuring the patient understands the information) is likely a more immediate concern, as lack of understanding could prevent motivation from having an effect.

A. Being a patient advocate would involve respecting Mrs. Miller’s autonomy and ensuring that her rights are considered, including the right to refuse treatment. The nurse’s actions do not demonstrate advocacy for Mrs. Miller's personal wishes.
B. Not being sympathetic is part of the scenario, but the main issue is the lack of respect for the patient's autonomy rather than a lack of sympathy.
C. Being unethical in caring is the most accurate answer. The nurse's actions violate Mrs. Miller’s right to make decisions about her care. Autonomy is a fundamental ethical principle in healthcare, and the nurse should have engaged in discussion with the patient, offering education and exploring reasons for her refusal, rather than making her take the medication.
D. Adequate practice because the nurse was busy is not an appropriate justification. Ethical care requires respect for the patient’s rights and choices, regardless of the nurse's workload.