c.A 12-year-old girl presents with fatigue,
weight loss, excessive thirst, and frequent
urination. Laboratory tests confirm a diag-
nosis of diabetes mellitus.
Why is the identification of goals in each
stage necessary for optimal care and
outcomes?
2.Some nurses may tell you that care plans are a
waste of time. Think about what knowledge
and experience you need to respond to this
comment. If possible, interview nurses or
search through the literature to discover how
plans can make a difference.REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Use the following expanded scenario from
Chapter 14 in your textbook to answer the
questions below.
Scenario:Glenda Kronk, age 35, comes to the
health center for a routine checkup. Upon
assessment, the nurse notes that she is 25
pounds overweight and has high-normal blood
pressure. During the visit, she verbalizes a
strong motivation and desire to become physi-
cally fit, lose weight, increase her muscle tone,
and improve her cardiorespiratory capacity. She
says, “I know it’ll involve some major lifestyle
changes, including diet and exercise. What’s
with all these diets and diet supplements now?”1.How might the nurse respond to Ms. Kronk’s
questions regarding fitness?2.What would be a successful outcome for this
patient?3.What intellectual, technical, interpersonal,
and/or ethical/legal competencies are most
likely to bring about the desired outcome?4.What resources might be helpful for
Ms. Kronk?78 UNIT III THE NURSING PROCESS
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