A client diagnosed with type 2 diabetes mellitus reports poor glucose

A client diagnosed with type 2 diabetes mellitus reports poor glucose control since starting her new stressful job. The nurse uses Neuman’s theory to focus on the:

1. Identification of new stressors and improve dietary choices
2. Acquisition of appropriate interpersonal communication skills
3. Learning of effective coping methods and relaxation techniques
4. Implementation of both aerobic and anaerobic exercise routines

ANSWER

ANS: 1
The Neuman Systems Model uses a systems’ approach to describe how clients deal with stressors in their internal or external environments. Nurses using Neuman’s theory in practice focus their care on client responses to the stressors (Meleis, 2006). For example, when a client takes on a new role within their employment, they may react to the stress by eating an improper diet. In this situ-ation the nurse focuses on the client response to the stressors and designs interventions related to improving nutritional intake, both actions directed towards improving glucose control.
While acquiring good interpersonal communication skills may help minimize the stress the client is currently experiencing, it does not address identifying the source of the stress or the manage-ment of the type 2 diabetes.
While acquiring effective coping and relaxation skills may help manage the stress the client is currently experiencing, it does not address identifying the source of the stress or the management of the type 2 diabetes.
While implementing effective exercise routines may help in the management of the type 2 diabe-tes, it does not address identifying the source of the stress or the thorough management of the type 2 diabetes.