In order to assist an older diabetic patient to engage in ...

[Kikoku]

In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most important for the nurse to take?
 
  a. Determine what type of activities the patient enjoys.
  b. Remind the patient that exercise will improve self-esteem.
  c. Teach the patient about the effects of exercise on glucose level.
  d. Give the patient a list of activities that are moderate in intensity.

Question 2

The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
 
  a. I can have an occasional alcoholic drink if I include it in my meal plan.
  b. I will need a bedtime snack because I take an evening dose of NPH insulin.
  c. I can choose any foods, as long as I use enough insulin to cover the calories.
  d. I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.

[JYan]

Answer to Question 1

ANS: A
Because consistency with exercise is important, assessment for the types of exercise that the patient finds enjoyable is the most important action by the nurse in ensuring adherence to an exercise program. The other actions will also be implemented but are not the most important in improving compliance.

Answer to Question 2

ANS: C
Most patients with type 1 diabetes need to plan diet choices very carefully. Patients who are using intensified insulin therapy have considerable flexibility in diet choices but still should restrict dietary intake of items such as fat, protein, and alcohol. The other patient statements are correct and indicate good understanding of the diet instruction.

[Kikoku]

Wow, this really help

[Mochi]

Thanks for the timely response, appreciate it