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Question:
A 65-year-old Hispanic male has just been diagnosed with type II diabetes mellitus. He and his daughter are speaking with the nurse in an exam room about his new diagnosis, his medication regimen, and some dietary modifications that he needs to implement. The patient uses a walker to move around, but his daughter says he prefers a cane at home. He speaks in Spanish to his daughter, but she speaks English and Spanish. He seems to follow along well and at the end of the visit, he states that he would like to get better. Given this scenario, which of the following is most likely to be a barrier for this patient’s adherence to the nurse’s instructions?
A
his physical condition
explanation
The nurse needs to be aware of any possible barriers to this patient’s following best practices with his new condition, medication routine, and dietary changes. He is with a family member who is translating for him, which means that he has a support system in place and he is getting the information in his native language. He also shows a good attitude about the changes he will need to implement and is motivated to improve his health. The only answer choice that could identify a possible problem would be the fact that he does need physical support moving around safely and this could be a barrier to self-care in terms of getting medication and food.
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