When planning dietary teaching for a client with diabetes mellitus, what should the nurse do first?

The first step in planning dietary teaching for a client with diabetes mellitus is to ask the client to identify the types of foods she prefers. This approach is important because it engages the client in the learning process, promotes collaboration, and respects individual preferences and cultural considerations when it comes to diet. Understanding a client's food preferences helps in tailoring dietary recommendations that are realistic and sustainable for the individual, increasing the likelihood of adherence to the dietary plan.

When the nurse starts by assessing the client's preferences, it also provides insights into potential challenges the client may face and areas where education may be most effective. For instance, if certain preferred foods are high in sugar or carbohydrates, the nurse can then guide the client in making healthier choices within those preferences or suggest alternatives that would fit their dietary needs without completely eliminating favorite foods.

This individualized approach is foundational in diabetes management, as it not only fosters a positive therapeutic relationship but also empowers the client to take an active role in her dietary management, which is crucial for effective diabetes control and overall health.