Ch 10: Cultural and Religious Influences on Food

The nurse received a report that a client being admitted to the unit has not had dinner while in the emergency department. The client is identified as a member of the Church of Jesus Christ of Latter-Day Saints (Mormon). What item would the nurse NOT include on a food tray for this client? A) tea B) vegetables C) milk D) fish

A) tea

The Chinese incorporate few dairy products into the diet. A good source of calcium would be what traditional food? A) tofu B) beef C) milk D) broccoli

A) tofu

Which of the following groups has the HIGHEST life expectancy of all ethnic groups in the United States? A) Mexican American men B) Asian American women C) Chinese American men D) Irish American women

B) Asian American women

Food habits are one of the last behaviors people change when assimilating to a new country. The evolution that occurs as immigrants implement eating patterns and food selections of the host country is referred to as which of the following? A) cultural reinvention. B) foodway. C) dietary acculturation. D) dietary integration.

C) dietary acculturation

The nurse is discussing all aspects of food related to culture. The nurse is using an inclusive term that refers to all the eating habits and culinary practices of a people, region, or historical period is known as which of the following? A) convenience food. B) culture. C) foodway. D) core foods.

C) foodway.

What percentage of the food budget does the average American spend on food away from home? 69% 43% 31% 13%

43%

Which of the following statements would explain why immigrant children assume foodways of a new culture sooner than their parents do? A) Children do not have a direct cultural identity. B) Parents encourage the adoption of the new culture. C) Children learn from other children at school. D) Parents usually do not change dietary patterns to approximate the host culture.

C) Children learn from other children at school

The time of day that a meal is eaten would be influenced most by which of the following? A) hunger. B) age. C) culture. D) race.

C) culture.

The nurse recognizes what type of bread would be served during Passover for a client who is Jewish? A) whole-wheat bread B) cornbread C) white bread D) unleavened bread

D) unleavened bread

A 68-year-old Asian American client who was recently diagnosed with type II diabetes has come to the clinic for a class on nutrition and diabetes. Which of the following nursing actions demonstrates respect for the client's culture? A) Handing the client a computer-generated instruction sheet on the B) American Diabetic Association exchange system. C) Telling the client to avoid all alcohol and sweets and to limit his fat intake. D) Showing the client pictures of prepared meals that are acceptable. E) Asking the client what foods he enjoys eating.

E) Asking the client what foods he enjoys eating.

what are Lacto-ovo-vegetarians?

Lacto-ovo-vegetarians do not consume meat but do include eggs and dairy products in their diets.

Soy sauce is a traditional seasoning in Asian cultures. Which of the following diagnoses would signal a need to modify the use of soy sauce? A) diabetes mellitus B) hypertension C) mitral valve disease D) cancer

B) hypertension

The nurse is seeing a client who states he mostly eats a Mediterranean diet. The nurse is aware the client most likely obtains most of his fat from which of the following food source? A) butter. B) olive oil. C) canola oil. D) corn oil.

B) olive oil

Stereotyping must be avoided in assessing clients from different cultures. Within any dominant cultural group, individuals exist with distinctive characteristics that affect food intake and nutritional level. The group of such individuals is identified as a: A) convenience group. B) subgroup. C) dietary acculturation. D) superior grouping.

B) subgroup

The nurse is concerned that a client of Japanese descent only drinks green tea for breakfast. What should the nurse do first to improve this client's nutrition for the first meal of the day? A) Ask what foods are preferred to eat for breakfast B) Notify the dietitian to discuss meal choices with the client C) Add eggs, toast, and bacon to the client's breakfast selections D) Discuss the use of nutritional supplements with the health care provider

A) Ask what foods are preferred to eat for breakfast

The nurse is working with a Hispanic client who wants to retain as much of a culturally traditional diet possible while adopting a healthier eating pattern. Which of the following traditional Hispanic foods should the nurse recommend? A) Avocado B) Pork C) Beef D) Mexican cream

A) Avocado

Which of the following statements is correct about the Chinese yin and yang health beliefs? A) Cold foods are eaten to balance hot foods B) A yang, or hot, condition would be treated with large amounts of cold water. C) Yang foods are those foods that are served hot. D) Only rice is consumed during an illness.

A) Cold foods are eaten to balance hot foods

The Buddhist code of morality is given in the Five Moral Precepts. In regard to food, which of the following statements is correct? A) Food selections can be a factor in spiritual enlightenment. B) All Buddhists are lacto-ovo-vegetarians. C) Foods are divided into two groups called halal and haram. D) No meat is consumed on Friday before the Sabbath.

A) Food selections can be a factor in spiritual enlightenment.

During a home visit the nurse notes that a family of Hispanic descent who immigrated to the United States a few years ago is in the process of acculturation. What did the nurse observe to come to this conclusion? A) Prepared frozen pizza for lunch B) Casserole of enchiladas in the oven C) Pot of black bean soup simmering on the stove D) Dishes filled with sliced vegetables to make salsa

A) Prepared frozen pizza for lunch

The nurse recognizes that food habits would be LEAST affected by which of the possible influences listed? A) a documentary on the television. B) the economic status of the person. C) cultural influence on food choices. D) religious dietary laws.

A) a documentary on the television.

The nurse recognizes that one of the healthy eating aspects of the Asian American diet that should be encouraged is which of the following? A) a variety of vegetables are used extensively. B) few dairy products are consumed. C) cooking with butter and lard. D) spices include soy sauce for flavor.

A) a variety of vegetables are used extensively.

The nurse recognizes that developing a nutritional plan for a client must include which of the following? A) cultural beliefs. B) adequate nutrients. C) client accountability. D) client's employment.

A) cultural beliefs

The nurse is seeing a client wants to be able to eat out at a Mexican restaurant while adhering to a healthy eating pattern. Which of the following selections would be best for this client when eating out? A) fajitas with pico de gallo sauce. B) hard shell beef tacos with sour cream. C) chile relleno with arroz roho. D) green chile and cheese flautas.

A) fajitas with pico de gallo sauce.

The nurse educator is helping students understand secondary foods. Which of the following best describes this concept? A) foods that are widespread in the diet but are not eaten consistently. B) foods that are infrequently consumed in the diet. C) foods that form the foundation of the diet. D) foods that are reserved for special occasions.

A) foods that are widespread in the diet but are not eaten consistently.

The nurse is sharing information about the prevalence of health conditions in various cultures. The nurse correctly states that the leading cause of death among African Americans is which of the following? A) heart disease. B) cancer. C) stroke. D) renal disease.

A) heart disease.

What suggestions to improve eating patterns and increase nutritional value can the nurse make for a client who eats primarily the traditional African American diet? A) increasing fruit and vegetable intake B) increasing milk consumption C) decreasing fruit intake D) decreasing milk consumption

A) increasing fruit and vegetable intake

Adherents of Jainism, a branch of Hinduism, practice complete vegetarianism and avoid certain other foods such as: A) root vegetables. B) brown rice. C) dried fruit.. D) water

A) root vegetables.

The nurse prepares to assess the nutritional status of a client who recently immigrated from Jordan. Which question should the nurse use to understand the client's dietary preferences? A) "Do you enjoy eating American food?" B) "Are there any foods that you will not eat?" C) "What time of day do you eat your main meal?" D) "Do you miss eating food from your native country?"

B) "Are there any foods that you will not eat?"

The nurse has finished the admission assessment on a new client. In reviewing the nutritional information, the nurse notes that the client frequently uses frozen vegetables in preparing a meal. What CORRECT conclusion would the nurse reach regarding the nutritional outcome of this practice? A) Using convenience foods decreases the nutritional value of a meal. B) Adding a quick and easy healthy side dish can provide needed nutrients. C) Only fresh vegetables can provide the needed nutrients in a diet. D) Convenience packaging reduces the taste and quality of the food.

B) Adding a quick and easy healthy side dish can provide needed nutrients.

Which of the following statements regarding convenience foods is CORRECT? A) Eating convenience foods is always unhealthy. B) Are likely higher in sodium that "from-scratch" items C) The cost of convenience foods is generally less than that of fixing a meal from scratch. D) It is less expensive to order takeout food than to use convenience foods in the preparation of a meal.

B) Are likely higher in sodium that "from-scratch" items

The nurse is working with a family that traditionally uses soy sauce and rice when preparing food. The nurse is most likely working with a family from which of the following cultures? A) Mexican B) Chinese C) German D) Italian

B) Chinese

The nurse instructs a client on tips to ensure adequate nutrition when eating in a restaurant. Which meal selection indicates that additional teaching is required? A) Poached salmon with asparagus B) Crispy clam strips with coleslaw C) Grilled scallops with baby red potatoes D) Broiled cod with orange juice and broccoli

B) Crispy clam strips with coleslaw

A client of Latino descent who arrived 2 hours late for a scheduled diagnostic test is upset because the test needs to be rescheduled. What should the nurse suspect as the reason for the client's delay? A) Client did not want to have the diagnostic test B) Cultural difference in the interpretation of time C) Client forgot what time the test was scheduled to occur D) Client's health condition improved and the test is not needed

B) Cultural difference in the interpretation of time

Individualism is not well-regarded in some other cultures, in which the welfare of the group is valued over that of the individual. What nursing intervention would improve communication with a client who values group welfare over individualism? A) Inform the client that in America, clients have the right to make choices for themselves. B) Involve the family in the client's health care decisions. C) Plan long-term goals for the client to follow. D) Emphasize the benefits of healthy choices to the client.

B) Involve the family in the client's health care decisions.

Black beans and pinto beans are commonly used in which culture? A) Chinese culture B) Latin American culture C) Asian Indian culture D) Greek culture

B) Latin American culture

The nurse is working with a client who consumes a traditional southern African American diet. The nurse should expect th client may have experienced which of the following effects that are changes to soul food that result from acculturation? A) A variety of beef, pork, poultry, and fish are consumed. B) Packaged and luncheon meats are used more often. C) Rice, grits, and cornbread are grains included in the diet. D) The intake of fats is decreased.

B) Packaged and luncheon meats are used more often.

A nurse is preparing to participate in an outreach program on nutrition in a predominantly Asian American community. To provide beneficial information, the nurse should keep in mind aspects of dietary acculturation. Which of the following statements by the nurse would be most constructive in altering behavior in this population? A) "American food choices would be healthier for you." B) "Soy sauce should be eliminated from your diet." C) "Let's talk about serving size when choosing foods." D) "To reduce fats, baking is a better option than stir-frying."

C) "Let's talk about serving size when choosing foods."

The nurse educator is discussing culture and body image in a nutrition class. The nurse educator correctly states that In which of the listed cultures is being thin be associated with beauty? A) Mexican B) African C) American D) Indian

C) American

A nurse is learning more about food beliefs associated with various religions. Which of the following religions has a moral code that focuses on making thoughtful decisions about food? A) Christianity B) Judaism C) Buddism D) Islamic

C) Buddism

A Roman Catholic client has informed the nurse that the priest is coming to give him Communion in about 30 minutes. The lunch trays are being passed out on the unit. Which of the following actions would be appropriate for the nurse at this time? A) Bring the client his lunch tray first so that he can eat before Communion. B) Find out whether there is an extra lunch tray for the priest. C) Hold the client's lunch tray until after the client has received Communion. D) Send the lunch tray back, as this client will be fasting today.

C) Hold the client's lunch tray until after the client has received Communion. Roman Catholics avoid food and beverage for 1 hour before communion is taken

Although each culture has it owns customs, there is a common element that all share. Which of the following is common between cultures? A) To eat three or more times daily. B) To view slimness as attractive and desirable. C) To use food as a way to socialize. D) To rely on meat to attain their protein requirements.

C) To use food as a way to socialize.

The nurse is helping a client make healthier options when eating at an Italian food restaurant. The nurse should encourage the client to avoid which of the following foods? A) vinegar and oil dressing on the salad. B) vegetables for the side dish. C) alfredo sauce with the pasta. D) Italian ice for dessert.

C) alfredo sauce with the pasta.

In the United States, lifestyle changes have had a dramatic impact on daily food preparation. Meals are often prepared using which of the following? A) fresh fruits and vegetables. B) homemade foods. C) convenience foods. D) nutrient-dense foods.

C) convenience foods

The nurse notes that a client is an Eastern Orthodox Christian. Which dietary action should be taken to support this client's religious beliefs? A) Remove bacon from the breakfast tray B) Provide decaffeinated coffee for all meals C)Offer a glass of water before and after meals D) Ask if there are any foods required on a feast day

D) Ask if there are any foods required on a feast day

The nurse understands that all of the following actions regarding food are influenced by culture EXCEPT: A) how food is prepared. B) when food is eaten. C) symbolic use of food. D) available food in the region.

D) available food in the region.

The nurse is seeing a South Asian client who has hypertension. The nurse is counseling the client about modifying eating habits to decrease the risk of heart disease. Which of the following foods should the nurse recommend the client minimize or eliminate from the diet? A) cinnamon B) mustard C) garam masala D) clarified butter

D) clarified butter

The nurse is discussing core foods in a nutrition class. The nurse is correct when he defines core foods as which of the following? A) food that is eaten on special occasions or not well tolerated B) traditional foods of an ethnic group or culture C) foods that are used depending on availability D) food that is included in the diet on a daily basis

D) food that is included in the diet on a daily basis

The nurse is incorrect to believe that which of the following represents a symbolic use of foods? A) meal versus snack B) reward or punishment C) feminine versus masculine D) healthy or unhealthy

D) healthy or unhealthy not a symbolic use of food, but a description of a food

Which of the following is a CORRECT description of the traditional Hispanic diet? A) low fiber B) low carbohydrate C) high fat D) high protein

D) high protein

Which of the following foods would NOT be acceptable to serve a client who practices dietary restrictions of lacto-ovo-vegetarianism? A) brown rice B) cheese C) boiled egg D) poultry

D) poultry

When providing nutritional education to a client from the Asian American culture, the nurse should keep in mind the that traditional method of food preparation is which of the following? A) baked. B) boiled. C) fried. D) stir-fried.

D) stir-fried.

While performing a nutritional assessment on an American Indian client, the nurse notes that the client looks down when answering questions. The best interpretation of the client's behavior by the nurse is that: A) the client is afraid of the nurse. B) the client is not telling the truth. C) the client is embarrassed by the questions. D) the client is displaying respect for authority.

D) the client is displaying respect for authority.