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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

    Explanation & Rationale

    A. "You will suffer serious health issues if you don't take your medication." While it is important to convey the seriousness of diabetes management, this statement may come across as threatening or coercive. It does not encourage open communication or exploration of the client's feelings about their diagnosis or treatment. B. "I'd like to hear your thoughts about giving yourself this medication." This response invites the client to express their feelings and concerns about self-administering insulin. It promotes open dialogue and allows the nurse to understand the client’s perspective, fears, or misconceptions, which can help tailor the education and support provided. C. "Have you considered how your decision to refuse medication will affect your family?" While family considerations can be important, this response may place undue pressure on the client and shift focus away from their personal feelings about their treatment. It does not foster a supportive environment for the client to share their concerns. D. "Why don't you want to learn how to give yourself your medication?" This question may come across as confrontational or judgmental. Instead of encouraging a collaborative discussion, it might make the client defensive. It’s essential to create a safe space for clients to share their thoughts and feelings.

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