A nurse is planning care for a client during Ramadan who is a devout Muslim. Which of the following actions should the nurse include regarding the client’s diet?

Ensure that pork is included in the evening meal.

Avoid red meat in the client’s meals.

Wait 1 hour after the client consumes dairy to serve poultry.

Schedule for meals to be served after sundown.

Answer and Explanation

The Correct Answer is D

Choice A reason: Pork is prohibited in Islam (haram), and including it during Ramadan violates dietary laws, disrespecting the client’s faith. Scheduling meals after sundown respects fasting. Offering pork risks cultural insensitivity, potentially causing distress, critical to avoid in ensuring respectful, patient-centered care during Ramadan.

Choice B reason: Avoiding red meat is not a Ramadan or Islamic requirement; Muslims may consume halal red meat after sundown. Scheduling meals post-sundown is key. Assuming red meat avoidance risks unnecessary dietary restriction, potentially affecting nutrition, critical to prevent in supporting client health during fasting periods.

Choice C reason: Waiting 1 hour after dairy to serve poultry is not an Islamic dietary rule; it may reflect kosher practices. Scheduling meals after sundown aligns with Ramadan fasting. This assumption risks cultural confusion, delaying meals, critical to avoid in ensuring timely nutrition for Muslim clients during Ramadan.

Choice D reason: Scheduling meals after sundown respects Ramadan fasting, when Muslims eat during non-daylight hours (iftar). This ensures nutritional needs are met, critical for health, maintaining cultural sensitivity, and supporting client comfort, aligning with patient-centered care principles for devout Muslims observing Ramadan in healthcare settings.

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Correct Answer is D

Explanation

Choice A reason: Aspirin is contraindicated in peptic ulcer disease due to its antiplatelet and gastric irritant effects, risking bleeding or ulcer exacerbation. Acetaminophen is safer. Administering aspirin risks gastrointestinal hemorrhage, critical to avoid in ensuring safe pain management for clients with a history of peptic ulcers.

Choice B reason: Ibuprofen, an NSAID, irritates the gastric mucosa, worsening peptic ulcers and increasing bleeding risk, making it unsuitable. Acetaminophen is preferred. Administering ibuprofen risks ulcer perforation or bleeding, critical to prevent in ensuring safe headache relief for clients with a peptic ulcer history.

Choice C reason: Ketorolac, an NSAID, is contraindicated in peptic ulcer disease due to its potent gastric irritant effects, risking ulcer aggravation or bleeding. Acetaminophen is safe. Administering ketorolac risks severe gastrointestinal complications, critical to avoid in providing safe pain management for clients with peptic ulcer history.

Choice D reason: Acetaminophen is safe for headache relief in peptic ulcer clients, lacking gastric irritant effects, avoiding risks of bleeding or ulcer worsening. Administering it ensures effective pain management, critical for client comfort, preventing gastrointestinal complications, and supporting safe care in clients with a history of peptic ulcers.

A. I had to retire because my boss didn’t like me. B. I’m so glad I’ve retired because the work was making me sick and depressed. C. There were lay-offs at my company, so I journaled about what I accomplished during my career. D. Since I retired, I have entered many gardening competitions.

Correct Answer is D

Explanation

Choice A reason: Blaming the boss for retirement reflects projection, not compensation, which involves substituting strengths for losses. Gardening competitions show compensation. Assuming blame is compensation risks misidentifying coping, potentially missing adaptive strategies, critical to avoid in supporting psychological adjustment in recently retired clients.

Choice B reason: Expressing relief about retirement reflects rationalization, not compensation, where new activities offset losses. Gardening competitions indicate compensation. Assuming relief is compensation risks misunderstanding coping, potentially overlooking adaptive behaviors, critical to prevent in assessing psychological health in clients post-retirement.

Choice C reason: Journaling about accomplishments reflects sublimation, not compensation, which involves new activities like gardening to offset retirement loss. Assuming journaling is compensation risks misinterpreting coping, potentially missing adaptive strategies, critical to avoid in supporting emotional adjustment in clients navigating retirement transitions.

Choice D reason: Entering gardening competitions post-retirement reflects compensation, substituting new achievements for lost work identity, promoting psychological adjustment. This adaptive coping is critical for mental health, supporting self-esteem, and ensuring positive adaptation, essential for assessing effective coping strategies in clients recently retired from their careers.

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A nurse is planning care for a client during Ramadan who is a devout Muslim. Which of the following actions should the nurse include regarding the client’s diet?

Nursing Test Bank

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