A nurse is assisting an older adult client who is being treated for pancreatitis to create a menu. Which food selection by the client would lead the nurse to develop a teaching plan for the client?

fried chicken with collard greens

grilled salmon with summer squash

tomato sandwich on white bread

2% milk with high-fiber cereal

Answer and Explanation

The Correct Answer is A

A. Fried chicken with collard greens: Fried foods are high in fat, which can exacerbate symptoms of pancreatitis. Collard greens, although a vegetable, are often prepared with added fats. This choice would warrant a teaching plan on avoiding high-fat foods to prevent aggravating pancreatitis.

B. Grilled salmon with summer squash: Grilled salmon is a lean protein source and summer squash is a low-fat vegetable. This choice aligns well with dietary recommendations for pancreatitis management, so no additional teaching plan may be necessary.

C. Tomato sandwich on white bread: Tomatoes are acidic and may cause discomfort for some individuals with pancreatitis. White bread is refined and lacks fiber, which may not be ideal for digestive health. This choice could prompt a teaching plan on selecting foods that are gentle on the digestive system and higher in fiber.

D. 2% milk with high-fiber cereal: While 2% milk is not excessively high in fat, it still contains some fat which may be problematic for pancreatitis. High-fiber cereal is generally a good choice, but it depends on the specific ingredients and whether they are well-tolerated by the individual. This choice could lead to a teaching plan on selecting low-fat dairy alternatives and choosing high-fiber foods that are easier on the digestive system.

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Correct Answer is C

Explanation

A. "You will need to get used to this at your age." - This response is dismissive and invalidating. It implies that the client's feelings of depression and grief are simply a natural part of aging that they should accept or become accustomed to. It fails to acknowledge the client's emotions and does not offer any support or empathy.

B. "Perhaps you need to make friends with younger people." - This response is not empathetic and fails to address the client's feelings. It suggests a solution that may not be feasible or appropriate for the client's situation. Additionally, it overlooks the importance of the client's existing relationships and the impact of losing friends.

C. "That must be hard for you." - This response demonstrates empathy and validation of the client's feelings. It acknowledges the difficulty of losing friends and the impact it may have on the client's emotional well-being. By expressing understanding and sympathy, the nurse shows willingness to listen and provide support.

D. "That is to be expected." - While this response acknowledges the client's experience, it may come across as somewhat dismissive. It suggests that feeling depressed due to the loss of friends is a normal and expected reaction for an older adult, but it doesn't offer much in the way of validation or support for the client's emotions.

A. The client is using this as a means of going home. B. The food served may violate religious beliefs. C. The food served may not be culturally appropriate. D. The client does not like to eat with other residents of the home.

Correct Answer is C

Explanation

A. The client is using this as a means of going home.

While this could be a possibility, it is not the primary concern in this scenario. Assuming this without further evidence may lead to misunderstanding the client's needs and preferences.

B. The food served may violate religious beliefs.

While this could be a concern, the client's statement, "I just do not like the food here," suggests a personal preference rather than a religious restriction. It's important to consider religious beliefs, but it's not the immediate issue raised by the client.

C. The food served may not be culturally appropriate.

This option directly addresses the client's statement about not liking the food. It suggests that the food may not align with the client's cultural preferences, which is a significant factor to consider in understanding the client's refusal to eat. Exploring cultural preferences and providing culturally appropriate meals can help address the client's concerns.

D. The client does not like to eat with other residents of the home.

While social factors may contribute to the client's reluctance to eat, the primary concern expressed by the client is dissatisfaction with the food itself, not with the dining environment or social interactions. While social factors may also need to be addressed, they are not the immediate focus based on the information provided.

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A nurse is assisting an older adult client who is being treated for pancreatitis to create a menu. Which food selection by the client would lead the nurse to develop a teaching plan for the client?

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