The nurse working in a clinic is approached by the mother of four children who are all overweight
The mother, from a culture different from the nurse's, says she knows the children's health is negatively impacted by their obesity, and asks for help in changing their diet. Which of the following statements would demonstrate cultural competence in helping this mother? 1. "Here is the diet plan your children should be on."
2. "Because your children are overweight, I'd like to work with you and explain some of the problems they could develop."
3. "We are going to change your family's eating and exercise habits to improve the health of your children."
4. "In order to improve the health of the children, it will be important to reduce caloric intake and increase exercise. What kinds of foods do your children like?"
4
Rationale 1: Answer option 4 is correct because the likes and dislikes of the family are important considerations when changing diet. If the nurse promotes a low-calorie diet filled with foreign foods the family dislikes, compliance is unlikely to occur. Option 1, 2, and 3 do not seek input from the family, and take control over decision making from the family and place it with the nurse.
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Nurses can help the family develop useful day-night routines; that is, help the infant tell the difference between day and night by suggesting all of the following except:
1. save the crib or bassinet for nighttime sleep. 2. feed the baby for the last evening time around 11 PM. 3. keep a small nightlight on to avoid turning on bright lights. 4. play with the baby during nighttime feedings to tire the baby out for more, longer sleep.
The nurse reviews the client's daily laboratory results to find potassium 3.5 mEq/L, sodium 143 mEq/L, and calcium 9 mg/dL. Which should the nurse implement?
1. Prepare the client for emergency resuscitation. 2. Continue the prescribed therapeutic regimen. 3. Administer a Kayexalate enema immediately. 4. Collaborate with provider for hypertonic fluids.