A patient with diabetic neuropathy requires teaching about foot ...

[sc00by25]

A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
 
  a. The nurse will demonstrate the proper technique for trimming toenails.
  b. The patient will list three ways to protect the feet from injury by discharge.
  c. The nurse will instruct the patient on appropriate foot care before discharge.
  d. The patient will understand the rationale for proper foot care after instruction.

Question 2

The nurse considers a nursing diagnosis of ineffective health maintenance related to low motivation for a patient with diabetes. Which finding would the nurse most likely use to support this nursing diagnosis?
 
  a. The patient does not perform capillary blood glucose tests as directed.
  b. The patient occasionally forgets to take the daily prescribed medication.
  c. The patient states that dietary changes have not made any difference at all.
  d. The patient cannot identify signs or symptoms of high and low blood glucose.

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Answer to Question 1

ANS: B
Learning goals should state clear, measurable outcomes of the learning process. Demonstrating technique for trimming toenails and providing instructions on foot care are actions that the nurse will take rather than behaviors that indicate that patient learning has occurred. A learning goal that states that the patient will understand the rationale for proper foot care is too vague and nonspecific to measure whether learning has occurred.

Answer to Question 2

ANS: C
The patient's motivation to follow a diabetic diet will be decreased if the patient feels that dietary changes do not affect symptoms. The other responses do not indicate that the ineffective health maintenance is caused by lack of motivation.