After the nurse provides dietary instructions for a patient with diabetes, the patient can explain the information but fails to make the recommended dietary changes. How would the nurse evaluate the patient's situation?
a. Learning did not occur because the patient's behavior did not change.
b. Choosing not to follow the diet is the behavior that resulted from learning.
c. The nursing responsibility for helping the patient make dietary changes has been fulfilled.
d. The teaching methods were ineffective in helping the patient learn the dietary instructions.
ANS: B
Although the patient behavior has not changed, the patient's ability to explain the information indicates that learning has occurred and the patient is choosing at this time not to change the diet. The patient may be in the contemplation or preparation stage in the Transtheoretical Model. The nurse should reinforce the need for change and continue to provide information and assistance with planning for change.
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