A client who has diabetes mellitus asks a home health nurse to help them adapt some of their traditional cultural foods to fit the prescribed meal plan. Which of the following actions should the nurse take first?

Ask the client about their traditional cultural foods.

Provide the client with printed recipes.

Explain the diabetes exchange list.

Use cookbooks to include traditional foods in meal plans

Answer and Explanation

The Correct Answer is A

A. Ask the client about their traditional cultural foods: This initial action demonstrates cultural sensitivity and helps the nurse tailor interventions that respect the client’s values while promoting adherence to the diabetic meal plan. Building a collaborative plan starts with understanding the client's baseline and traditions.

B. Provide the client with printed recipes: While recipes can be helpful tools for promoting healthy eating, offering them without first understanding the client’s cultural preferences may lead to low engagement. The recipes may not reflect foods the client enjoys or regularly eats, making it less likely they will follow dietary recommendations.

C. Explain the diabetes exchange list: Educating the client on the diabetes exchange system is useful for long-term management, but it should come after the nurse has gathered details about the client's current diet. Only by understanding the client’s cultural foods can the nurse effectively relate those items to the exchange list.

D. Use cookbooks to include traditional foods in meal plans: Cookbooks can be a useful resource for integrating cultural foods into a diabetic meal plan. However, using them prematurely may not align with the client’s actual practices or preferences.

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Correct Answer is ["A","B","D","E"]

Explanation

Client 1: Streptococcus pyogenes (Group A Streptococcus) infections, especially with symptoms suggestive of pharyngitis, are reportable to public health authorities due to their potential to cause outbreaks and complications such as rheumatic fever. National notification helps in tracking and controlling the spread.
Client 2: Elevated blood lead levels in children are a significant public health concern and require mandatory reporting for environmental intervention and follow-up. Lead poisoning can cause serious developmental problems, so this case must be reported.
Client 3: Herpes zoster (shingles) is not a nationally notifiable condition. Although it is contagious to individuals who have not had varicella or the vaccine, it does not require public health notification.
Client 4: Tuberculosis is a highly contagious and serious infectious disease that is nationally notifiable. Positive tuberculin skin test results combined with symptoms consistent with active disease require reporting for public health surveillance and intervention.
Client 5: Chlamydia is a common sexually transmitted infection that is nationally notifiable. Reporting allows for partner notification, treatment, and prevention of further transmission, even if the client is asymptomatic.

A. Neighbourhood and built environment B. Access to and quality of health care C. Social and community context D. Access to and quality of education

Correct Answer is A

Explanation

A. Neighbourhood and built environment: The physical environment, including neighbourhood safety, housing conditions, and infrastructure, directly influences a client’s physical safety by affecting exposure to hazards such as crime, pollution, and unsafe housing structures.

B. Access to and quality of health care: While crucial for health outcomes, access to healthcare affects disease management and prevention rather than directly influencing immediate physical safety in the environment.

C. Social and community context: This involves social support, community engagement, and experiences of discrimination, which impact mental and emotional health more than direct physical safety.

D. Access to and quality of education: Education influences health literacy and long-term socioeconomic status but does not directly impact immediate physical safety.

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A client who has diabetes mellitus asks a home health nurse to help them adapt some of their traditional cultural foods to fit the prescribed meal plan. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the having conditions that require national notification? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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Correct Answer is A

Explanation

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