Question

a client with a new diagnosis of diabetes will be discharged on insulin therapy. which client psychomotor outcome does the nurse expect after client education?

• the client demonstrates administration of insulin.
• the client identifies signs and symptoms of hypoglycemia.
• the client identifies correct insulin injection sites.
• the client reports testing blood sugar before meals.

Explanation:

Analyze the question requirements

The question asks for a psychomotor outcome expected after educating a client newly diagnosed with diabetes who is being discharged on insulin therapy.

Define the domains of learning

Using the Outcome Criteria knowledge point, we classify learning outcomes into three primary domains:

• Cognitive: Involves knowledge, comprehension, and intellectual skills (e.g., identifying, listing, describing).
• Affective: Involves feelings, attitudes, values, and appreciation (e.g., expressing willingness, reporting compliance).
• Psychomotor: Involves physical movement, coordination, and the use of motor-skill areas (e.g., demonstrating, performing, preparing).

Evaluate the options against the psychomotor domain

Using the Insulin Administration and Diabetes Patient Education knowledge points:

• Option 1: "The client demonstrates administration of insulin." This requires physical coordination, manual dexterity, and motor skills to prepare and inject the medication. This is a classic psychomotor outcome.
• Option 2: "The client identifies signs and symptoms of hypoglycemia." "Identifying" is an intellectual process, which falls under the cognitive domain.
• Option 3: "The client identifies correct insulin injection sites." "Identifying" locations is a cognitive task, whereas actually performing the injection at the site is psychomotor. Thus, this is a cognitive outcome.
• Option 4: "The client reports testing blood sugar before meals." "Reporting" is a verbal statement of behavior or intent, which falls under the cognitive or affective domain rather than direct physical demonstration of the skill.

Select the correct option

The only outcome that directly measures physical performance and motor skills (psychomotor domain) is the physical demonstration of insulin administration.

Answer:

• (A) The client demonstrates administration of insulin. (Correct answer)
• (B) The client identifies signs and symptoms of hypoglycemia.
• (C) The client identifies correct insulin injection sites.
• (D) The client reports testing blood sugar before meals.