Which patient statement on cultural or religious influences on nutrition requires intervention?
1. "My grandmother makes sure I eat a serving of greens each day."
2. "I avoid milk and meat at meals because I am Jewish."
3. "My auntie sent me clay from the south to eat every day."
4. "Because I am Muslim, I do not ever eat any pork products."
Correct Answer: 3
Rationale 1: Greens, such as collard greens and spinach, have high amounts of folic acid and are healthy foods to eat during pregnancy. Women from the southern United States often eat greens.
Rationale 2: A kosher diet involves avoiding pork and shellfish and not eating dairy and meat at the same meal.
Rationale 3: Eating clay is pica. The clay, being a type of soil, can be contaminated with hazardous substances and should be avoided. Some African Americans, especially those from the south, practice clay-eating pica.
Rationale 4: Dietary restrictions in the Muslim tradition include avoidance of pork. Because other meats are eaten, the patient is not at risk for protein or iron deficiency.
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