A patient refuses to learn how to give himself insulin injections because he gave his father insulin injections and "he died anyway." How can the nurse best facilitate this patient's learning?
1. Provide a diagram of body areas where insulin injections should be given.
2. Talk with the patient about his father's illness and how the insulin injections will help him control his own illness.
3. Ask the patient if he prefers to read about how to administer the injections.
4. Leave a needleless syringe at the patient's bedside for him to practice with.
2
Rationale 1: Providing such a diagram would not support the patient's need for affective learning.
Rationale 2: The patient has experience administering injections but also has an attitude or belief about insulin and the role it plays in diabetes management. The patient needs affective learning, or learning that involves changing an attitude, value, or feeling.
Rationale 3: The nurse should not ignore the patient's statement by asking if he prefers written instructions.
Rationale 4: Leaving a needleless syringe at the bedside would not support the patient's need for affective learning.
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