The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. Which action by the nurse is appropriate?
A) Extend the time frame and give the client a longer period to achieve the goal.
B) Select a different goal.
C) Make sure that the client understands the importance of the goal.
D) Modify the plan of care to be consistent with the client's beliefs regarding food.
Answer: D
If the outcomes are not achieved for a client from a different culture, the nurse should be especially careful to consider whether the client's belief system has been adequately included as an influencing factor and modify the plan of care to be consistent with the client's belief regarding food. Extending the time frame, selecting a different goal, or checking how the client understands the importance of the goal may not be as helpful as looking at the cultural practices-including dietary ones-of the client.
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