The nurse is planning to instruct the Hispanic-American client ...

[Jkov05]

The nurse is planning to instruct the Hispanic-American client about nutrition and dietary restrictions. When developing the plan for the instructions, the nurse is aware that this ethnic group:
 
  1. Primarily eats raw fish
  2. Enjoys eating red meat
  3. Views food as a primary form of socialization
  4. Eats bland food and food that lacks color, flavor, and texture

Question 2

The nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse.
 
  Which of the following nursing actions is most appropriate? 1. Continue with the instructions verifying client understanding.
  2. Walk around to the client so that you continuously face the client.
  3. Identify the importance of the instructions for the maintenance of health care.
  4. Give the client a dietary booklet, and return later to continue with the instruc-tions.

[Kingjoffery]

Answer to Question 1

3

Rationale: Hispanic-American foods are rich in color, flavor, texture, and spiciness. In the His-panic-American culture, any occasion is seen as a time to celebrate with food and to enjoy the companionship of family and friends. Because food is a primary form of socialization in the Hispanic-American culture, they may have difficulty adhering to a prescribed diet. Asian Amer-icans eat raw fish, rice, and soy sauce. European Americans prefer carbohydrates and red meat.

Answer to Question 2

1

Rationale: Most Asian-American individuals maintain a formal distance with each other, which is a form of respect. Many are uncomfortable with face-to-face communications, especially when there is direct eye contact. If the client turns away from the nurse during a conversation, the best action is to continue with the conversation. Walking around to the client so that the nurse faces the client is in direct conflict with cultural practices. Identifying the importance of the instruc-tions for the maintenance of health care may be viewed as degrading. Returning later to continue with the explanation may be viewed as a rude gesture.

[Jkov05]

TYSM

[T4T]

Excellent