An older adult client from a minority culture refuses to eat at the nursing home, stating, "I just do not like the food here." What factor should the staff assess for this problem?
The client is using this as a means of going home.
The food served may violate religious beliefs.
The food served may not be culturally appropriate.
The client does not like to eat with other residents of the home.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.

Correct Answer is C
Explanation
A. Spending the day at adult day care:
While adult day care programs can offer socialization, supervision, and activities for older adults during the day, they may not directly address the safety concerns associated with the client's recent falls, especially if the falls are occurring at home. Additionally, spending the day at adult day care may not address the need for immediate assistance in case of falls or emergencies when the client is at home alone.
B. A live-in home health care provider:
Having a live-in home health care provider can provide continuous assistance and supervision for the client, which may address safety concerns and reduce the risk of falls, particularly if the falls are related to mobility issues or other health conditions. However, this option may be more intrusive and costly compared to other solutions, and it may not be necessary if the client's needs can be addressed with less intensive interventions.
C. Use of a home monitoring system:
A home monitoring system, such as a medical alert system or a fall detection device, can provide immediate assistance in the event of a fall or emergency. This option allows the client to maintain independence and continue living alone while ensuring that help is readily available when needed. It addresses the immediate safety concerns raised by the client's recent falls and provides peace of mind for both the client and their family members.
D. Relocation to an assisted living facility:
Relocating to an assisted living facility may be considered as a last resort if other options are not feasible or if the client's needs cannot be adequately addressed at home. However, this option may be overly intrusive and disruptive to the client's lifestyle, especially if they prefer to remain in their own home. It is typically reserved for situations where the client requires a higher level of care and supervision that cannot be provided in a home setting.
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