A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client?
Provide the client with a printed recipe.
Observe the client during preparation of traditional foods.
Use cookbooks to include traditional foods in meal plans.
Explain diabetes exchange list.
The Correct Answer is B
Choice A reason: Providing the client with a printed recipe is not the first action that the nurse should take when assisting this client. The nurse should first assess the client's current dietary practices and preferences, and then provide culturally appropriate and individualized education and guidance.
Choice B reason: Observing the client during preparation of traditional foods is the first action that the nurse should take when assisting this client. This will help the nurse to understand the client's cultural values and beliefs, as well as the ingredients and methods used in preparing the foods. The nurse can then offer suggestions on how to modify the recipes to fit the client's meal plan.
Choice C reason: Using cookbooks to include traditional foods in meal plans is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's food choices and cooking techniques, and then collaborate with the client to find cookbooks that are suitable for the client's culture and health condition.
Choice D reason: Explaining diabetes exchange list is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's eating habits and patterns, and then educate the client on how to use the exchange list to plan balanced meals that include traditional foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: People who have substance use disorders are not the fastest growing segment of the homeless population, although they are a significant and vulnerable group. Substance use disorders may contribute to or result from homelessness, but they are not the primary cause of the increase in homelessness.
Choice B reason: Families who have children are the fastest growing segment of the homeless population, according to the U.S. Department of Housing and Urban Development (HUD). The number of homeless families with children increased by 9% from 2019 to 2020, and they accounted for 34% of the total homeless population in 2020. The main causes of family homelessness are lack of affordable housing, poverty, unemployment, domestic violence, and health problems.
Choice C reason: Adolescent runaways are not the fastest growing segment of the homeless population, although they are a high-risk and underserved group. Adolescent runaways may face challenges such as abuse, exploitation, mental health issues, and lack of education and employment opportunities. However, the number of homeless youth is difficult to estimate due to their hidden and transient nature.
Choice D reason: Men who are unemployed are not the fastest growing segment of the homeless population, although they are a large and diverse group. Men who are unemployed may face barriers such as low wages, lack of skills, discrimination, and health problems. However, the number of homeless men has decreased by 5% from 2019 to 2020, and they accounted for 60% of the total homeless population in 2020.
Correct Answer is D
Explanation
Choice A reason: Discussing the benefits of eating a well-balanced diet with the client's family is not the first action that the nurse should take. This is an important intervention that can help the client and the family to improve their nutrition and reduce the risk of further complications, but it should be done after the nurse has assessed the family's coping and learning needs.
Choice B reason: Assisting the client and the client's partner with finding an affordable exercise program is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to increase their physical activity and enhance their cardiovascular health, but it should be done after the nurse has evaluated the client's physical and functional status.
Choice C reason: Offering to accompany the client and the client's partner during health care provider visits is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to receive support and guidance during the treatment process, but it should be done after the nurse has established rapport and trust with the family.
Choice D reason: Asking family members about the impact of the disease on relationships within the family is the first action that the nurse should take. This is based on the principle of family-centered care, which states that the nurse should recognize and respect the family as the primary source of support and care for the client. The nurse should ask open-ended questions, listen actively, and express empathy to the family members, and explore how the disease has affected their roles, responsibilities, emotions, and communication.
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