While preparing a teaching plan on a technique for administering insulin, the nurse described what the patient will be able to accomplish after the teaching session. The nurse can document the patient best understood the teaching session by which of the following prior to the patient being discharged from the hospital to home?
The patient verbalized understanding by repeating back the technique.
The patient demonstrated the technique back to the nurse after the training session.
The patient signed a form to document he understood the training session.
The patient was able to repeat facts and knowledge back to the nurse from the training session.
The Correct Answer is B
Choice A reason: Verbalizing understanding by repeating the technique shows comprehension but does not confirm skill. Insulin administration requires practical ability to ensure accuracy and safety. Demonstration is superior, as verbalization alone may miss errors in technique, per patient education and skill-based learning principles.
Choice B reason: Demonstrating the insulin technique back to the nurse confirms understanding and competency, ensuring safe self-administration at home. This return demonstration validates psychomotor skills, critical for correct dosing and preventing complications like hypoglycemia, aligning with effective teaching outcomes, per nursing education standards.
Choice C reason: Signing a form documents acknowledgment but not understanding or skill. Insulin administration requires observed performance to confirm competence. A signature does not verify the ability to perform the technique, risking errors, per patient education and legal documentation standards.
Choice D reason: Repeating facts shows knowledge but not practical ability to administer insulin. Technique requires psychomotor skills, assessed through demonstration. Knowledge alone may not prevent administration errors, making demonstration essential for discharge readiness, per diabetes education and skill validation protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The Quality and Safety Education for Nurses (QSEN) focuses on competencies like patient safety and quality improvement, not moral standards. It guides nursing education to enhance clinical skills and patient outcomes, addressing evidence-based practice and teamwork. Moral standards, involving ethical decision-making and professional conduct, are governed by the ANA Code of Ethics, not QSEN.
Choice B reason: The American Nurses Association Standards of Professional Performance outline behaviors like leadership and collaboration but focus on professional competence, not moral standards. These standards guide performance expectations, such as resource utilization and communication, rather than ethical principles like beneficence or autonomy, which are central to the ANA Code of Ethics for moral guidance.
Choice C reason: The American Nurses Association Code of Ethics provides moral standards for nursing, emphasizing principles like beneficence, nonmaleficence, autonomy, and justice. It guides ethical decision-making in patient care, addressing dilemmas like informed consent and confidentiality. This code ensures nurses uphold moral integrity in professional behavior, making it the correct guide for ethical standards.
Choice D reason: The American Nurses Association Standards of Practice define the nursing process (assessment, diagnosis, planning, etc.) but focus on clinical practice standards, not moral guidelines. These standards ensure competent care delivery but do not address ethical principles like patient autonomy or ethical dilemmas, which are covered by the ANA Code of Ethics.
Correct Answer is D
Explanation
Choice A reason: Sodium 138 mEq/L (normal 135-145 mEq/L) is within normal range. Sodium regulates osmotic balance and nerve conduction. Normal levels do not explain tremors, which are often linked to neurological or electrolyte imbalances, like low magnesium. In the context of acute tremors, sodium is not a concern compared to magnesium deficiency.
Choice B reason: Chloride 100 mEq/L (normal 98-106 mEq/L) is normal and does not contribute to tremors. Chloride supports acid-base balance and neuronal inhibition via GABA receptors. Tremors are more likely caused by low magnesium, which affects neuromuscular excitability. Normal chloride levels do not warrant concern in this acute neurological presentation.
Choice C reason: Potassium 4.1 mEq/L (normal 3.5-5.0 mEq/L) is normal and unlikely to cause tremors. Potassium regulates membrane potential and muscle contraction. Tremors are more associated with magnesium deficiency, which increases neuronal excitability. Normal potassium does not explain the neurological symptoms, making it a lower priority than magnesium in this scenario.
Choice D reason: Magnesium 1.0 mEq/L (normal 1.7-2.2 mEq/L) indicates hypomagnesemia, which causes tremors by increasing neuromuscular excitability. Magnesium stabilizes neuronal membranes and regulates calcium channels. Low levels disrupt nerve signaling, leading to tremors and potential seizures. This critical imbalance requires urgent correction, making it the most concerning lab value in this scenario.
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