Question Of The Day: Endocrine and Metabolic Disorders

Q. The best indicator that the client has learned how to give an insulin self-injection correctly is when the client can:

A. Perform the procedure safely and correctly.
B. Critique the nurse's performance of the procedure.
C. Explain all steps of the procedure correctly.
D. Correctly answer a posttest about the procedure.


Correct Answer:  A

Explanation: The nurse should judge that learning has occurred from evidence of a change in the client's behavior. A client who performs a procedure safely and correctly demonstrates that he has acquired a skill. Evaluation of this skill acquisition requires performance of that skill by the client with observation by the nurse. The client must also demonstrate cognitive understanding, as shown by the ability to critique the nurse's performance. Explaining the steps demonstrates acquisition of knowledge at the cognitive level only. A posttest does not indicate the degree to which the client has learned a psychomotor skill.