NCLEX-PN® ExaminationHealth Promotion and MaintenanceHard
A practical nurse is conducting a home visit for a client with newly diagnosed type 2 diabetes. The client is of Hispanic descent and states, 'My family always eats a lot of rice and beans. How can I manage my blood sugar with my traditional diet?' Which nursing action best reflects cultural sensitivity in this situation?
- AInstructing the client to eliminate all rice and beans from their diet immediately.
- BAdvising the client that their traditional diet is incompatible with diabetes management.
- CProviding a standardized diabetic diet sheet with no consideration for cultural foods.
- DExploring the client's current dietary practices and discussing how to modify traditional foods to fit diabetic guidelines.
Show answer & explanationAnswer & explanation
Correct answer: D. Exploring the client's current dietary practices and discussing how to modify traditional foods to fit diabetic guidelines.
Culturally sensitive care involves understanding and respecting a client's cultural background. Instead of imposing a new diet, the nurse should work with the client to integrate their traditional foods into a diabetic meal plan by discussing portion sizes, cooking methods, and healthier substitutions, empowering the client to manage their condition within their cultural context.
Why the other options are wrong
- A. Eliminating staple foods is culturally insensitive and likely leads to non-adherence.
- B. This statement is discouraging, inaccurate, and culturally insensitive, hindering client engagement.
- C. A standardized diet sheet ignores cultural preferences and will likely be ineffective.
Culturally Sensitive Care
Healthcare that respects and integrates a client's cultural beliefs, values, and practices into their care plan to promote better health outcomes.
- Involves active listening and open communication.
- Avoids assumptions and stereotypes.
- Collaborates with the client to adapt care to their cultural context.
Memory trick: Respectful Routines Reconcile Relevant Restrictions.