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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Encouraging enrollment and attendance at weight reduction programs is not a priority intervention, as it targets a specific population and does not address the root causes of obesity. It may also have low participation and adherence rates.
Choice B reason: Educating children at a day care center about nutrition and exercise is a priority intervention, as it promotes primary prevention and health promotion. It can also have a positive impact on the children's health behaviors, attitudes, and outcomes, as well as influence their families and communities.
Choice C reason: Distributing health risk appraisal questionnaires at community functions is not a priority intervention, as it is a passive and indirect approach. It may not reach the most vulnerable or at-risk populations, and it does not provide any education or follow-up.
Choice D reason: Measuring the BMI of older adults at a community senior center is not a priority intervention, as it is a secondary prevention strategy that focuses on screening and detection. It does not address the prevention or management of obesity or its complications.
Correct Answer is A
Explanation
Choice A reason: The best first step for a community health nurse is to connect directly with the people who are most affected by the issue. Meeting with community members allows the nurse to assess their concerns, gather information on how the playground is currently used, and explore what resources and willingness the residents have to participate in solutions. This approach promotes community engagement, empowerment, and ownership of the issue, which are critical to ensuring that any interventions are both sustainable and culturally appropriate. Without this initial dialogue, actions taken may not address the true barriers or may fail to gain community support.
Choice B reason: Partnering with city officials and community members to improve the playground condition is not the first action that the nurse should take. This is a tertiary intervention that can help to restore the playground to its optimal state, but it does not address the immediate issue of the garbage accumulation.
Choice C reason: Working with local businesses to sponsor more trash receptacles in the playground is not the first action that the nurse should take. This is a secondary intervention that can help to prevent the recurrence of the problem, but it does not address the immediate issue of the garbage accumulation.
Choice D reason: Engaging families to monitor trash buildup in the playground focuses on surveillance and maintenance, but this step requires prior discussion and buy-in from the community. Asking families to monitor the site without first understanding their concerns, availability, and willingness could lead to resistance or lack of participation. This is a useful strategy after community dialogue has occurred but not as the first step.
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