Which of the following statements by the client indicates the client is experiencing a learner-related barrier to new information about type 2 diabetes management?
"I know about diabetes; my sister has it.”.
"It can't be that hard to learn, I don't have to take shots.”.
"It won't change my life; it's type 2 diabetes.”.
"I don't like to read; just tell me what I need to know.”. . . .
The Correct Answer is D
Choice A rationale
Prior knowledge of diabetes does not scientifically signify a barrier. Familiarity through a relative can provide foundational awareness, reducing hesitancy in engaging with new management practices or educational material.
Choice B rationale
Belief in ease due to avoiding insulin shots reflects misconceptions about diabetes, but does not scientifically indicate a learner-related barrier. This could reflect limited understanding rather than difficulty in comprehension.
Choice C rationale
Downplaying the impact of type 2 diabetes ignores scientific evidence of significant lifestyle changes needed for its management. However, this denotes misunderstanding rather than a barrier to learning.
Choice D rationale
Difficulty with reading presents a direct scientific barrier. Limited ability to absorb written educational material necessitates alternative teaching methods for effective comprehension of diabetes management concepts. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Directness and honesty when speaking with the client establish trust and encourage open communication, which are essential for accurately identifying and addressing potential abuse situations.
Choice B rationale
Including a family member during history-taking may inhibit the client from freely disclosing abuse and can compromise the integrity of the information gathered.
Choice C rationale
Providing wound care is essential for treating injuries but does not align with the purpose of accurately documenting abuse or establishing necessary interventions.
Choice D rationale
Probing aggressively may cause distress, leading the client to withhold information and potentially re-traumatizing the individual in an already vulnerable state.
Correct Answer is C
Explanation
Choice A rationale
Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.
Choice B rationale
Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.
Choice C rationale
Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.
Choice D rationale
Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.
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