A patient has been newly diagnosed with type 2 diabetes, and the health care team plans an interdisciplinary approach to educating new diabetic patients about their disease
The teaching begins in the hospital and continues with classes as outpatients. However, your patient continues to state, "I know I do not need to spend my time doing all this because I will be fine once I get out from under all this stress." The barrier to learning that the nurse recognizes and must deal with is: a. the patient already knows all she needs to know, so more education is not neces-sary.
b. the patient doesn't know what she doesn't know, so the circle will continue.
c. the patient's blood sugar is keeping her from thinking clearly, so it is too soon to try to teach her.
d. the patient is in denial and that will need to be dealt with before she will accept the diagnosis and thus the education related to it.
D
The RN must use rational thought and convey that logic in the presentation of the facts. The pa-tient must decide that the change is necessary. The RN can act only as a conduit of knowledge and for rational thought, leaving prejudices, feelings, and frustrations behind. The RN may need to set up a referral for further assistance. In any case, the RN must understand the patient's deci-sion and show acceptance of it. For example, despite the amount of hard evidence showing a positive relationship between cigarette smoking and a multitude of health problems, many people are not willing to believe it. This way of thinking is known as denial.
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