Author Question: A diabetic patient presents to the diabetes clinic with A1c levels of 7.5. The nurse has met this ... (Read 77 times)

RODY.ELKHALIL · **on:** Jul 22, 2018

A diabetic patient presents to the diabetes clinic with A1c levels of 7.5. The nurse has met this patient for the first time.

When applying principles of Theory of Planned Behavior (TPB), which teaching strategy by the nurse is most likely to be effective?
a. Provide information on the importance of blood glucose control in maintenance of long-term health and evaluate how the patient has been following the prescribed regime.
b. Establish a rapport with the patient by complimenting them on what they did correctly, and ask what strategies they have tried thus far.
c. Refer the patient to a certified diabetic educator, because the educator is an expert on management of diabetes complications.
d. Have the patient explain what medications they are on and what diet they should be following.

Question 2

The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)

a. Births
b. Weddings
c. Medical diagnoses
d. Career day to day job duties
e. Loss of independence

Kimmy · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Principles of a TPB indicate that the patient will need to establish a good rapport with the nurse in order to talk about nonadherence. If the patient finds it difficult to discuss their diabetes self-management and adherence with the nurse, the patient may not open up to the nurse. Although a referral to an educator is a good idea, it would be better to use this resource as a follow-up for this visit. Having the patient verbalize medications and diet is not part of the TPB method.

Answer to Question 2

ANS: A, B, C, E
The meaning and significance of the event might only be experienced by one individual; others who might be participants in the event might be left virtually untouched and unchanged. These life changing spiritual events include just about any occurrence that has intense and personal relevance to those involved in the event. Examples of spiritually life changing events include births, deaths, weddings, divorces, illnesses, diagnoses, and loss of abilities, loss of independence, death and so many more. These events, having the power to change individuals and families, also have the power to draw people towards the transcendent for many people that transcendent is known as God but this is not universal. Day to day activities are not the best examples of spiritually life changing events.