The nurse is assessing a newly diagnosed diabetic, and the patient's readiness to learn about glucose monitoring. Before planning teaching activities, which approach would be most effective?
a. Assist the patient with long-term goals and plan teaching according to these goals.
b. Provide the patient with all the latest research from the Internet on glucose monitoring.
c. Refer the patient to the diabetic specialist who can assist the patient with the glucometer.
d. Assist the patient in developing realistic short-term goals.
ANS: D
Concordance reflects development of an alliance with patients based on realistic expectations. Providing the patient with the research will not help with the practical skill of using the glucometer. Long-term goals are useful; however, the goals need to be immediate with a newly diagnosed patient learning a new skill. Referring the patient would be useful if the patient has not been able to grasp the concept after several attempts.
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