A patient states, I told my husband I wouldn't buy as much ...

[bobbie]

A patient states, I told my husband I wouldn't buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains.
 
  When using the Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change?
  a. Preparation
  b. Termination
  c. Maintenance
  d. Contemplation

Question 2

A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, what is the priority action for the nurse?
 
  a. Instruct about the increased risk for cardiovascular disease.
  b. Provide detailed information about dietary control of glucose.
  c. Teach glucose self-monitoring and medication administration.
  d. Give information about the effects of exercise on glucose control.

[sokh]

Answer to Question 1

ANS: A
The patient's statement indicating that the plan for change is being shared with someone else indicates that the preparation stage has been achieved. Contemplation of a change would be indicated by a statement like I know I should exercise. Maintenance of a change occurs when the patient practices the behavior regularly. Termination would be indicated when the change is a permanent part of the lifestyle.

Answer to Question 2

ANS: C
When time is limited, the nurse should focus on the priorities of teaching. In this situation, the patient should know how to test blood glucose and administer medications to control glucose levels. The patient will need further teaching about the role of diet, exercise, various medications, and the many potential complications of diabetes, but these topics can be addressed through planning for appropriate referrals.

[bobbie]

Excellent

[sailorcrescent]

Gracias!