Nurse Tsosie is caring for Mrs. Aleksandra Kowalski, a patient recently diagnosed with diabetes. Mrs. Kowalski speaks English as a second language and is a recent immigrant to the United States. The patient can make her basic needs known but does not ask questions or speak unless prompted to do so. Nurse Tsosie has been unable to determine if this patient can self-inject her insulin. Mrs. Kowalski nods and smiles as Nurse Tsosie begins teaching her about insulin and her diagnosis.

1.

What CUES (Assessment) can Nurse Tsosie assess to help with her clinical judgment of what to do next for Mrs. Kowalski?

2.

What HYPOTHESIS (Diagnosis) will the nurse consider?

3.

What ACTION (Plan and Implement) can Nurse Tsosie employ to help Mrs. Kowalski facilitate self-management?

4.

What resources and/or services can Nurse Tsosie use to evaluate the OUTCOME (Evaluation) that ensures Mrs. Kowalski has understood the teaching?