You are the nurse caring for a patient who is Native American who arrives at the clinic for treatment related to type 2 diabetes

Question

Which question would best provide you with information about the role of food in the patient's cultural practices and identify how the patient's food preferences could be related to his problem?
A) "Do you feel any of your cultural practices have a negative impact on your disease process?"
B) "What types of foods are served as a part of your cultural practices, and how are they prepared?"
C) "As a nonnative, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?"
D) "Tell me about foods that are important in your culture and how you feel they influence your diabetes."

Answer 1

Ans: D
Feedback:
The beliefs and practices that have been shared from generation to generation are known as cultural or ethnic patterns. Food plays a significant role in both cultural practices and type 2 diabetes. By asking the question, "Tell me about the foods that are important in your culture and how you feel they influence your diabetes," the nurse demonstrates a cultural awareness to the client and allows an open-ended discussion of the disease process and its relationship to cultural practice. An overemphasis on negatives can inhibit assessment and communication. Assessing the types and preparation of foods specific to cultural practices without relating it to diabetes is inadequate. The question, "As a nonnative, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?" focuses on "care" and fails to address the significance of food in cultural practice or diabetes.