A Caucasian nurse is caring for an African American client who has a history of myocardial infarction and is receiving atorvastatin (Lipitor)
The nurse assesses the client's diet to be very high in fat. Which teaching plan would be most effective at improving the client's diet and possibly reducing the need for additional medications?
1. Plan to ask an African American nurse to speak to the client about low-fat diets.
2. Discuss the client's diet with whoever prepares meals for the family.
3. Give the client a printout about low-fat diets specific to African Americans.
4. Ask the health care provider for a consult by dietary services so a dietician can teach the client about low-fat diets.
Correct Answer: 2
Rationale 1: This is racist and implies that a Caucasian nurse cannot understand the dietary needs of an African American client.
Rationale 2: Every culture has culture-specific diets; the nurse must include the person in the family who prepares meals if a different diet is to be successful.
Rationale 3: Providing printouts can be helpful, but the nurse must work more closely with the client to make adjustments in the diet.
Rationale 4: At this point, a consult by dietary services is premature.
Global Rationale: Every culture has culture-specific diets; the nurse must include the person in the family who prepares meals if a different diet is to be successful. Asking an African-American nurse to speak to the client implies that a Caucasian nurse cannot understand the dietary needs of an African American client. Providing printouts can be helpful, but the nurse must work more closely with the client to make adjustments in the diet. At this point, a consult by dietary services is premature.
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