The nurse plans to teach a client newly diagnosed with diabetes mellitus how to inject insulin. Upon entering the room with the injection supplies, the nurse finds the client in tears. How should the nurse respond?
"Would you like to talk about what is bothering you?"
"Do you feel like practicing insulin injections now?"
"I know you are afraid, but I am here to help you."
"Before you can go home you must learn how to give insulin."
The Correct Answer is A
A. "Would you like to talk about what is bothering you?" This empathetic approach acknowledges the client's emotional state and opens the door for them to express their concerns, which might be related to the diagnosis, fear of injections, or other anxieties.
B. "Do you feel like practicing insulin injections now?" This disregards the client's emotional state and might be perceived as insensitive.
C. "I know you are afraid, but I am here to help you." While offering reassurance, it assumes the client's fear without allowing them to express their emotions.
D. "Before you can go home you must learn how to give insulin." This is a directive and doesn't address the client's emotional response. It's important to prioritize addressing their concerns before proceeding with teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Takes a first step alone: This is typically achieved closer to 12 months.
B. Sits alone unsupported: Some 8-month-olds might achieve this, but pulling to sit is a more consistent milestone at this age.
C. Can feed self finger food: While some babies might explore finger foods at 8 months, independent feeding is usually a skill developed later.
D. Pulls self to sitting position: This demonstrates developing upper body strength and coordination, commonly seen around 8-9 months.
Correct Answer is C
Explanation
A. Diminished appetite: While this can be a symptom of various conditions, it's not a direct indicator for a bone density screening.
B. Lower body mass index (BMI): A lower BMI can increase the risk of osteoporosis, but it's not a definitive sign requiring immediate bone density screening.
C. Decreased height: Losing height as an adult can be a sign of vertebral fractures caused by osteoporosis. This is a significant finding that warrants a bone density screening to assess bone mineral density.
D. 15-pound weight loss: Sudden or unexplained weight loss can be a concern, but it doesn't directly suggest the need for a bone density test unless accompanied by other risk factors.
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