When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, "I will never be able to stick myself with a needle." How should the nurse respond?
a. "I can give your injections to you while you are here in the hospital."
b. "Everyone gets used to giving themselves injections. It really does not hurt."
c. "Your disease will not be managed properly if you refuse to administer the shots."
d. "Tell me what it is about the injections that are concerning you."
ANS: D
Devote as much teaching time as possible to insulin injection and blood glucose monitoring. Clients with newly diagnosed diabetes are often fearful of giving themselves injections. If the client is worried about giving the injections, it is best to try to find out what specifically is causing the concern, so it can be addressed. Giving the injections for the client does not promote self-care ability. Telling the client that others give themselves injections may cause the client to feel bad. Stating that you don't know another way to manage the disease is dismissive of the client's concerns.
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