A nurse is providing discharge teaching to a client who has type 2 diabetes mellitus and follows a vegetarian diet. Which of the following food choices should the nurse recommend as a good source of protein for the client?

Rationale: Tofu is a good source of protein for clients who follow a vegetarian diet, as it is made from soybeans, which are high in protein and low in saturated fat and cholesterol. Tofu can also help lower blood glucose levels, as it has a low glycemic index and can improve insulin sensitivity.

Incorrect options:

B) Rice - Rice is a source of carbohydrates, not protein, and it can raise blood glucose levels, as it has a high glycemic index and can cause spikes in insulin secretion.

C) Cheese - Cheese is a source of protein, but it is also high in saturated fat and cholesterol, which can increase the risk of cardiovascular complications for clients who have diabetes mellitus. Cheese can also raise blood glucose levels, as it contains lactose, which is a type of sugar.

D) Banana - Banana is a source of carbohydrates, not protein, and it can raise blood glucose levels, as it contains fructose, which is a type of sugar. Banana also has a high glycemic index and can cause rapid changes in insulin secretion.

Rationale: The nurse should acknowledge the family members' concern, but also respect the client's right to autonomy and self-determination regarding end-of-life care. The nurse should explain that the client has the right to choose where they want to receive hospice care, whether it is at home or in another setting.

Incorrect options:

B) "I think you should respect your loved one's decision, as hospice care can provide comfort and quality of life at home." - This option is partially correct, as hospice care can provide comfort and quality of life at home for clients who have terminal illnesses. However, this option may imply that the nurse is taking sides with the client or judging the family members for their concern. The nurse should avoid making personal opinions or assumptions about the best option for end-of-life care, as this may vary depending on the client's preferences and values.

C) "I'm sorry, but your loved one has made up their mind, and there is nothing you or I can do to change it." - This option is dismissive and insensitive, as it does not acknowledge or address the family members' concern or attempt to provide support or information. The nurse should engage in open and empathetic communication with the family members to address their concerns and provide education and resources about hospice care.

D) "I agree with your loved one's decision, as hospice care at home is more cost-effective and convenient than hospital care." - This option is inappropriate, as it focuses on cost-effectiveness and convenience rather than the client's autonomy and right to choose their preferred care setting. The nurse should prioritize the client's wishes and values when discussing end-of-life care decisions.