A diabetic is struggling with the carbohydrate-controlled diet as a result of having a large extended family with many get-togethers. What action by the nurse is best?
a. Remind the patient of the consequences of poor control of diabetes.
b. Tell the patient that once a month he or she can eat as desired.
c. Help the patient make priorities so some favorite foods can be eaten.
d. Tell the patient to increase the insulin dose on get-together days.
C
Nurses working with patients who have dietary issues need to understand the social, emotional, cultural, and religious ties their patients have to food, or the interventions will not be successful. While normally maintaining a diabetic diet the patient can be assisted to prioritize foods that are "must haves" and determine how to work them into the diet.
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