A nurse is caring for a client newly diagnosed with diabetes mellitus. Which of the following statements best reflects an understanding of client-centered goals?
1. "The client's A1C levels will be 7 or below at the first testing date."
2. "The client will experience no blood sugar readings below 60 mg/dL before first follow up visit."
3. "The client will be visited weekly by home health nursing staff beginning 1 week after discharge."
4. "The client will demonstrate the ability to appropriately measure blood sugar lev-els using a glucometer by discharge from nursing unit."
ANS: 4
A client-centered goal is a specific and measurable behavior or response that reflects a client's highest possible level of wellness and independence in function, therefore "The client will demonstrate the ability to appropriately measure blood sugar levels using a glucometer by dis-charge from nursing unit" is correct. Although "The client's A1C levels will be 7 or below at the first testing date" and "The client will experience no blood sugar readings below 60 mg/dL be-fore first follow up visit" are appropriate, they are not the best options because they do not re-flect independence in function. "The client will be visited weekly by home health nursing staff beginning 1 week after discharge" is not client-centered because it does not reflect a client's highest possible level of wellness and independence in function.
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