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 B
Explanation
Choice A rationale
Regular toileting prevents incontinence-related complications and reflects appropriate caregiving without any indications of elder abuse or misuse of caregiver authority.
Choice B rationale
Administering Valium without a prescription constitutes medication misuse, which is a form of elder abuse that can endanger the client’s health and violates ethical caregiving practices.
Choice C rationale
Feeding baby food due to swallowing difficulties may indicate proper adaptation to the client's needs, assuming there are no signs of neglect or harm in the caregiving approach.
Choice D rationale
Transitioning an elderly person into a safer home environment demonstrates responsible caregiving and does not inherently suggest any evidence of elder abuse.
Correct Answer is D
Explanation
Choice A rationale
It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.
Choice B rationale
Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.
Choice C rationale
Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.
Choice D rationale
Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.
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