The nurse is caring for a client newly diagnosed with type 2 diabetes

The nurse is caring for a client newly diagnosed with type 2 diabetes mellitus. Which of the fol-lowing nursing interventions best reflects Orem’s nursing theory?

1. Arranging for a consult with a certified diabetic nurse educator
2. Demonstrating proper documentation of glucose testing results
3. Explaining the role of A1C values in the management of glucose levels
4. Preparing discharge teaching to reinforce proper finger-stick technique

ANSWER

ANS: 4
If a nurse uses Orem’s theory in practice, the nurse assesses and interprets the data to determine the client’s self-care needs, self-care deficits, and self-care abilities in the management of a dis-ease. The theory then guides the design of individualized nursing interventions.
While the other interventions are appropriate and will ultimately affect effective client self-care/management of the diabetes, they are not the correct option because they are not direct-ly involved in determining client self-care needs.