True or False:

An important consideration when developing the care plan is to ensure that the physician is involved in the process.

Choice A rationale

While physician involvement may be necessary in some cases depending on hospital policy, the nurse's immediate action should be to follow established protocols regarding medical record access. Directly stating the doctor's permission is needed might not be universally true.

Choice B rationale

While patient medical records are confidential, direct denial of access to a family member without checking hospital policy or consulting a supervisor may not be the appropriate first response. There might be specific guidelines regarding family access.

Choice C rationale

Asking the supervisor is the most appropriate initial response. It allows the nurse to adhere to hospital policy and legal guidelines regarding patient privacy and medical record access, ensuring compliance and proper procedure.

Choice D rationale

Allowing the daughter to immediately view the record without verifying hospital policy could lead to a breach of confidentiality or violation of regulations regarding access to protected health information.

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.