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    RN Comprehensive Predictor 2026 Proctored Exam

    A nurse is working with a client who has type 2 diabetes and requires assistance with reaching goals and outcomes of care. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Contacting a provider to admit the client for inpatient care is not appropriate because there is no indication of acute complications or unstable blood glucose requiring hospitalization. Type 2 diabetes management goals are typically achieved in the outpatient setting unless there is an emergency such as diabetic ketoacidosis or severe hyperglycemia. B. Contacting a nurse navigator for a referral to a diabetes support group may be helpful for emotional support and education, but it does not directly address structured goal-setting, ongoing monitoring, and coordinated long-term disease management needed for achieving clinical outcomes in type 2 diabetes. C. Contacting a case manager to enroll the client in a disease management program is the correct action. Disease management programs provide coordinated, evidence-based care that includes monitoring, education, medication adherence support, and follow-up. This approach directly helps clients with chronic conditions like type 2 diabetes meet individualized goals such as glycemic control, lifestyle modification, and complication prevention. D. Contacting a social worker for financial assistance with medications may be beneficial if cost is a barrier to care; however, it addresses only one aspect of care and does not provide comprehensive support for achieving clinical outcomes and long-term diabetes management goals.

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