The nurse plans care for an older adult who is from Jamaica and resides in New York City. Which should the nurse include in planning care?
a. Attribute his illness to breaking a voodoo.
b. Help him to improve social relationships.
c. Maintain blood pressure below 120/70 mm Hg.
d. Review principles of the magicoreligious system.
C
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A Incorrect. The nurse can be assuming incorrectly that he practices and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and determine how much they influence his attitudes toward Western health care.
B Incorrect. The magicoreligious system maintains social relationships in good condition to prevent illness; however, if he does not follow this cultural practice, this goal can be unsuitable.
C Correct. Because African Americans tend to be at risk for cardiovascular disease and hypertension, the nurse plans to maintain his blood pressure at or below the current recommendation by the American Heart Association.
D Incorrect. The older adult may not believe in this system, so the information can be irrelevant.
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