IGNOU PB. Bsc. Nsg. Entrance-2025
Fundamental of Nursing
Medium

A nurse is teaching a diabetic patient for self-injecting insulin. The most appropriate method for this purpose is:

Appeared in: IGNOU PB. Bsc. Nsg. Entrance-2025

Explanation

  • Self-injecting insulin is a psychomotor skill, which involves learning a physical action.
  • The most effective teaching method for a psychomotor skill is demonstration, where the nurse shows the patient how to perform the task.
  • Demonstration is typically followed by a 'return demonstration,' allowing the nurse to assess the patient's technique and provide immediate corrective feedback.
  • This hands-on approach ensures the patient gains competence and confidence, which is crucial for safety and effective diabetes management.

Why Other Options Were Wrong

  • Option A: A seminar is a group discussion or lecture format, which is designed for cognitive learning (gaining knowledge), not for mastering a physical, hands-on skill.
  • Option C: A symposium is a formal meeting where multiple experts present on a topic. It is a large-scale educational event and is completely unsuitable for individualized patient skill training.
  • Option D: A brochure is a supplementary aid. While helpful for reinforcing information and providing visual reminders, it cannot replace the active process of learning and practicing a physical skill under supervision.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Patient Education Methods for Psychomotor Skills to guide bedside assessment, documentation, and the next nursing action.
  • Correct insulin injection technique is critical for patient safety. Improper technique can lead to inaccurate dosing, causing hypoglycemia or hyperglycemia, and local complications like lipodystrophy (lumps or dents in the skin).
  • Patient education is a core nursing responsibility. Using the correct teaching method for the type of skill ensures effective learning, improves patient adherence, and empowers the patient in self-management of their chronic condition.
  • What if? If the patient has significant visual impairment or hand tremors, a simple demonstration might not be enough. The nurse would need to assess for adaptive devices like insulin pens with audible clicks for dosing, syringe magnifiers, or involve a family member in the teaching process. The plan must be individualized.
How to Approach the Question
  • First, identify the core task in the question: 'self-injecting insulin'.
  • Classify the type of skill this task represents. Injecting is a physical, hands-on action, which falls under the 'psychomotor' domain of learning.
  • Next, evaluate each option based on its effectiveness for teaching a psychomotor skill.
  • A seminar is for discussion (cognitive). A symposium is a formal presentation (cognitive). A brochure is a passive aid (cognitive support).
  • Demonstration is an active, 'show-how' method, which is the gold standard for teaching physical skills.
  • Conclude that demonstration is the most appropriate and direct method for this type of learning.
Concept Tested & Keywords
  • Concept Tested: Patient Education Methods for Psychomotor Skills
  • Stem keywords: nurse, teaching, diabetic patient, self-injecting insulin
  • Lead-in keywords: most appropriate method

Question ID

QdVuDuPLERNB63OnehBJXD

Reference Book

E6 Pharmacology Nursing Lilley 11e Part 2 p. 215-217

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