Author Question: A patient has been newly diagnosed with type 2 diabetes, and the health care team plans an ... (Read 82 times)

danielfitts88 · **on:** Jul 17, 2018

A patient has been newly diagnosed with type 2 diabetes, and the health care team plans an interdisciplinary approach to educating new diabetic patients about their disease.

The teaching begins in the hospital and continues with classes as outpatients. However, your patient continues to state, I know I do not need to spend my time doing all this because I will be fine once I get out from under all this stress. The barrier to learning that the nurse recognizes and must deal with is: a. the patient already knows all she needs to know, so more education is not neces-sary.
b. the patient doesn't know what she doesn't know, so the circle will continue.
c. the patient's blood sugar is keeping her from thinking clearly, so it is too soon to try to teach her.
d. the patient is in denial and that will need to be dealt with before she will accept the diagnosis and thus the education related to it.

Question 2

The nurse recognizes that, although the new parents did not attend classes to learn about their newborn before the baby was born, they may be ready to learn this new information after the birth.

What understanding leads the nurse to this conclusion? a. The baby will not be discharged until the parents have the training.
b. The nurses on the mother-baby division do a better job of teaching baby care.
c. The parents now have the motivation to learn because the baby has been born.
d. The parents have no choice at this point.

diesoon · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

D
The RN must use rational thought and convey that logic in the presentation of the facts. The pa-tient must decide that the change is necessary. The RN can act only as a conduit of knowledge and for rational thought, leaving prejudices, feelings, and frustrations behind. The RN may need to set up a referral for further assistance. In any case, the RN must understand the patient's deci-sion and show acceptance of it. For example, despite the amount of hard evidence showing a positive relationship between cigarette smoking and a multitude of health problems, many people are not willing to believe it. This way of thinking is known as denial.

Answer to Question 2

C
The motivation to learn often results from a life-changing event, such as childbirth or illness. A patient may perceive learning as an opportunity to improve the condition or make a difference in another significant way. The RN who recognizes the significance of the event can seize the op-portunity to explore the patient's motivation to learn.