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
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.
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A nurse is taking a class on providing culturally competent care for clients with severe mental illnesses. Which response best reflects the nurse's self-awareness of the sociocultural factors influencing his or her beliefs?
1. "When I was growing up, my parents believed that mental illnesses were the work of evil spirits." 2. "All that I need to understand about the culture of mental illness is available on the Internet." 3. "My father was a psychiatrist, so I am very knowledgeable about how to work with mental illnesses." 4. "I have been through therapy, so I know what to expect from clients with mental illnesses."
The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax. What does this result in? (Select all that apply.)
a. Waddling gait b. Joint instability c. Urinary frequency d. Back pain e. Aching in cervical spine
A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide based on the patient's medication regimen?
A) Avoid high-fat meals while taking this medication. B) Limit fluid intake to 2 liters a day. C) Limit sodium intake to 2 grams per day. D) Take this medication without regard to meals.
The primary sign of bladder cancer is:
a. painful hematuria b. painless hematuria c. painful hemorrhoids d. frequent urination