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Exhibits

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Nurses' Notes

3 weeks old:

Follow up newborn weight check. Parent is smoking a cigarette in the living room while infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight.

Vital Signs

3 weeks old:

Temperature 36.9° C (98.4" F)

Heart rate 138/min

Respiratory rate 42/min

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.

A. Support group: Support groups, such as Alcoholics Anonymous or Narcotics Anonymous, provide ongoing peer support, encouragement, and accountability, which are critical for maintaining long-term abstinence. They help individuals build coping skills and a sense of community essential for sustained recovery.

B. Benzodiazepines: Benzodiazepines may be used short-term during detoxification to manage withdrawal symptoms but are not appropriate for long-term abstinence due to their potential for dependence and abuse.

C. Detoxification: Detoxification is an important initial step to safely manage withdrawal symptoms but does not by itself ensure long-term abstinence. Ongoing support and treatment are needed after detox.

D. Respite care: Respite care provides temporary relief for caregivers and is not a strategy designed to maintain long-term abstinence in clients with substance use disorder. It does not address addiction or relapse prevention directly.