A school-age child is newly diagnosed with type 1 diabetes mellitus. Which behavior indicates to the nurse that the child might be interested in learning how to self-administer insulin injections?
A) The child cries and calls for the mother with every insulin injection.
B) The child watches the nurse fill and asks to hold the insulin syringe.
C) The child asks how many "shots" are needed before the illness is "all better.".
D) The child tells the nurse that a parent will give the injection so the parent needs the teaching.
B
Feedback:
Designing a teaching plan begins with assessment of the individual child's needs and how the new knowledge will meld with the child's and family's lifestyle, the child's intellectual and language level, current knowledge level, physical/cognitive capabilities, sociocultural values, and attention span. Because the child is school-age and is a concrete thinker, the child who watches the nurse fill and asks to hold the syringe is the most ready for teaching about self-administration of insulin injections. The child who cries for the mother is not emotionally mature for this teaching. The child who asks how many "shots" are needed before the illness is "all better" is not intellectually prepared for this teaching. The child who expects the parent to provide the medication is also not intellectually prepared for this teaching.
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