The nurse plans care for an older male adult who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus
Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? a. Pays for some diabetic supplies
b. Enjoys regular physical activity
c. Practices effective glucose control
d. Lives alone in a high-rise apartment
e. Lacks low-cost, reliable transportation
f. Attends weekly dinner club for diabetics
B, C, F
a. Incorrect. With limited financial resources, paying for some of his diabetic supplies is a burden to overcome and cannot be used in a positive approach toward health and well-being.
b. Correct. The enjoyment of physical activity is a positive aspect of this man, and thus can be included in the nurse's plan because he already incorporates an important part of di-abetic care into his life and, potentially, enjoys the health benefits of exercise.
c. Correct. Practicing effective glucose control demonstrates this man's resilience and capac-ity to manage the challenges associated with a chronic illness effectively, and thus is a strength the nurse uses in a positive approach toward his health and well-being.
d. Incorrect. Living alone is not ideal for an older adult, especially one with diabetes, because of the potential for loneliness and complications from diabetes such as hypoglycemia. This is a negative aspect of this man's life and one which has to be resolved for his safety and well-being.
e. Incorrect. The nurse cannot include this man's transportation issues into a positive plan because it is a problem to overcome and not strength on which to capitalize.
f. Correct. This man has a social network that helps him to live with diabetes and to prevent the long-term complications of diabetes. This is a definite strength the nurse uses to help him achieve his optimal health and well-being.
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