The nurse recommends that a dietician be consulted for a nutritional assessment when the client:
1. Has difficulty understanding the nurse's questions.
2. Asks too many questions that the nurse cannot answer.
3. Has medical conditions with obvious nutritional implications.
4. Wants foods that are not on the menu.
3
Rationale: When a client has conditions like diabetes mellitus or coronary artery disease, the dietician should be part of the team that plans for optimum client outcomes; that includes a nutritional assessment. The nurse needs to rephrase questions if a client does not understand what the nurse needs to know. Likewise, the nurse should seek appropriate sources to answer client questions and that may include a dietician. It would not necessitate a nutritional assessment. Client food preferences do not merit a nutritional assessment.
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ANS:
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