One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Request the dietary unit bring a new tray and provide it prior to the food getting cold.

Ask the client about her nutritional preferences and beliefs.

Teach the client the importance of a well-balanced diet.

Place the client’s tray in the microwave and heat it to a hotter temperature.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Asking the client about her nutritional preferences and beliefs is the first intervention the nurse should implement. Understanding the client’s cultural and personal preferences is crucial for providing culturally competent care. This approach shows respect for the client’s beliefs and helps the nurse tailor dietary recommendations that the client is more likely to accept and follow.

Choice A reason:

Requesting the dietary unit to bring a new tray and provide it prior to the food getting cold addresses the immediate issue of the food being perceived as “cold,” but it does not address the underlying cultural beliefs and preferences. It is important to first understand the client’s needs before making changes to the meal.

Choice C reason:

Teaching the client the importance of a well-balanced diet is important, but it should come after understanding the client’s cultural preferences and beliefs. Providing education without considering the client’s perspective may not be effective and could be perceived as dismissive.

Choice D reason:

Placing the client’s tray in the microwave and heating it to a hotter temperature may address the immediate concern but does not consider the client’s cultural beliefs about “cold foods.” It is essential to first understand the client’s preferences before making adjustments.

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Correct Answer is B

Explanation

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

A. The consumption of protein products should come from lean meats, nuts, and dried beans. B. The consumption of dairy-based products should be eliminated from the diet. C. The consumption of bread products should be gluten-free. D. The consumption of fruit and/or vegetables should total between 4 to 6 servings.

Correct Answer is A

Explanation

A. The consumption of protein products should come from lean meats, nuts, and dried beans aligns with the DASH diet guidelines. The DASH diet emphasizes the intake of lean protein sources, which are low in saturated fat and beneficial for managing hypertension. Including nuts and dried beans also provides essential nutrients and fiber, supporting overall cardiovascular health.

B. The consumption of dairy-based products should be eliminated from the diet is incorrect. The DASH diet includes low-fat or fat-free dairy products as part of a balanced eating plan. These dairy products provide calcium and other essential nutrients that support heart health.

C. The consumption of bread products should be gluten-free is not a requirement of the DASH diet. The DASH diet focuses on whole grains, which can include gluten-containing grains like whole wheat. The emphasis is on the nutritional quality of the grains rather than their gluten content.

D. The consumption of fruit and/or vegetables should total between 4 to 6 servings is partially correct but not entirely accurate. The DASH diet recommends 4 to 5 servings each of fruits and vegetables per day, totaling 8 to 10 servings combined. This higher intake of fruits and vegetables helps to provide essential nutrients and fiber, which are beneficial for managing hypertension.

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One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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