A nurse is caring for a client newly diagnosed with diabetes ...

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A nurse is caring for a client newly diagnosed with diabetes mellitus. Which of the following statements best reflects an understanding of client-centered goals?
 
  1. The client's A1C levels will be 7 or below at the first testing date.
  2. The client will experience no blood sugar readings below 60 mg/dL before first follow up visit.
  3. The client will be visited weekly by home health nursing staff beginning 1 week after discharge.
  4. The client will demonstrate the ability to appropriately measure blood sugar lev-els using a glucometer by discharge from nursing unit.

Question 2

Which of the following statements made by the nurse best reflects an understanding of the cli-ent's role in goal setting?
 
  1. He knows what he needs better than anyone else.
  2. When he sets the goals he is more likely to follow the plan.
  3. He identifies the goals and then together we create the plan of action.
  4. He is best suited to determine the level of effort he is capable of providing.

[vickybb89]

Answer to Question 1

ANS: 4
A client-centered goal is a specific and measurable behavior or response that reflects a client's highest possible level of wellness and independence in function, therefore The client will demonstrate the ability to appropriately measure blood sugar levels using a glucometer by dis-charge from nursing unit is correct. Although The client's A1C levels will be 7 or below at the first testing date and The client will experience no blood sugar readings below 60 mg/dL be-fore first follow up visit are appropriate, they are not the best options because they do not re-flect independence in function. The client will be visited weekly by home health nursing staff beginning 1 week after discharge is not client-centered because it does not reflect a client's highest possible level of wellness and independence in function.

Answer to Question 2

ANS: 4
Unless you set goals mutually and make a clear plan for action, clients will not follow the care plan. Clients alone are not always appropriately prepared to set and plan goals without profes-sional help. Although the other answers may be true for many clients, it is not a guarantee that the client possesses all the skills and knowledge necessary to set and plan realistic goals.