The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

The client's family will state signs and symptoms about the disease.

The client will express acceptance of his changing health status.

The nurse will demonstrate the procedure for accurate eye care.

The client's daily blood pressure will be less than 140/80 mm Hg this month.

Answer and Explanation

The Correct Answer is D

Choice A reason: While it is important for the client's family to understand signs and symptoms of diabetes, this outcome focuses on the family's knowledge rather than the client's health improvement.

Choice B reason: Expressing acceptance of changing health status is important for emotional well-being, but it does not directly address the client's physical health outcomes.

Choice C reason: Demonstrating accurate eye care procedures is part of nursing interventions, not an outcome.

Choice D reason: Maintaining blood pressure below 140/80 mm Hg is a specific, measurable, and relevant outcome for a client with type 2 diabetes, as it helps prevent complications related to hypertension and diabetes.

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Correct Answer is D

Explanation

Choice A reason: Ignoring the client can escalate the behavior, as individuals with antisocial behavior may act out more to gain attention.

Choice B reason: Introducing him to the newly admitted client and asking him to join the conversation can disrupt the admission process and does not address the client's behavior appropriately.

Choice C reason: Encouraging him to go to the nurse's station and talk with another nurse may be an option, but it does not directly address the client's need for immediate attention.

Choice D reason: Informing him that the nurse is busy and will talk to him later sets clear boundaries and allows the nurse to complete the admission process without disruption.

A. Focus on small achievable tasks, not taxing problems. B. Relax and reduce the amount of effort to solve the problem. C. Analyze past hurts and resentments to identify the source. D. Concentrate on and ventilate emotions when distressed.

Correct Answer is A

Explanation

Choice A reason: Focusing on small achievable tasks helps the client experience a sense of accomplishment and reduce anxiety. It provides structure and manageable goals, which can improve concentration and reduce overwhelming feelings.

Choice B reason: Relaxing and reducing the effort to solve the problem may help to some extent, but it is not a comprehensive coping strategy and does not address the client's avoidance behaviors and concentration difficulties.

Choice C reason: Analyzing past hurts and resentments is more aligned with psychotherapy rather than an immediate coping strategy for generalized anxiety disorder.

Choice D reason: Concentrating on and ventilating emotions when distressed might provide temporary relief but does not address the broader issue of managing anxiety and improving function.

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The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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