Chapter 11 | PrepU | Cultural and Religious Influences on Food and Nutrition

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? Judaism Buddhism Christianity Islamic

Buddhism

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 culture? African-American Chinese Mexican Italian

Chinese

Which meal is least likely to have food choice changes in regards to dietary acculturation? Lunch Dinner Snack Breakfast

Dinner

The nurse is caring for a client who practices Buddhism. Which moral code will the nurse understand dictates the restriction of intoxicants? Halal Ahimsa Five Moral Precepts Yin and Yang

Five Moral Precepts

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

Food selections can be a factor in spiritual enlightenment.

The nurse is preparing education topics for clients in a community nutrition course regarding potion control when eating out of the home. Which teaching point will the nurse include? Select a regular size soft drink Create a doggie bag after eating to take some food home to eat later Order an appetizer and an entree Order a value meal since it is more cost effective

Select a regular size soft drink

The nurse is helping a client make healthier choices when eating at an Italian restaurant. The nurse should encourage the client to avoid which food? Italian ice for dessert alfredo sauce with the pasta vinegar and oil dressing on the salad vegetables for the side dish

alfredo sauce with the pasta

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

culture

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? "Do you enjoy eating American food?" "What time of day do you eat your main meal?" "Do you miss eating food from your native country?" "Are there any foods that you will not eat?"

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

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? Notify the dietitian to discuss meal choices with the client Ask what foods are preferred to eat for breakfast Add eggs, toast, and bacon to the client's breakfast selections Discuss the use of nutritional supplements with the health care provider

Ask what foods are preferred to eat for breakfast

A nurse is caring for a client of a cultural background and country of origin that is different than that of the nurse. The client requires a diet change due to a new diagnosis of diabetes mellitus type 2. Which strategy will the nurse include to ensure effective cross-cultural nutrition counseling? Be knowledgeable about cultural food habits and health beliefs. Explain the cultural reasons for recommended changes. Use family or friends to translate whenever they are available. Provide as much information as possible.

Be knowledgeable about cultural food habits and health beliefs.

The nurse is helping a client develop a healthy eating pattern without completely eliminating dining at restaurants. What practice can the nurse recommend to help maintain healthy eating habits when dining out? Choose a restaurant close to home for the most convenience. Ask for a doggie bag at the end of the meal. Order the "value meal" to get the best deal. Eat a small, high-fiber snack an hour before going out to dinner.

Eat a small, high-fiber snack an hour before going out to dinner.

The nurse knows that religion influences many aspects of the client's life. Which dietary standard represents permitted foods according to the Islamic religion? Halal Kosher Ahimsa Haram

Halal

A Roman Catholic client has informed the nurse that the priest is coming to give communion in about 30 minutes. The lunch trays are being passed out on the unit. What action would be appropriate for the nurse at this time? Send the lunch tray back because this client will be fasting today. Bring the client the lunch tray first so that they can eat before communion. Hold the client's lunch tray until after the client has received communion. Find out whether there is an extra lunch tray for the priest.

Hold the client's lunch tray until after the client has received communion.

The nurse is caring for a client whose cultural background values welfare of the group over that of the individual. What nursing intervention would improve communication with this client? Emphasize the benefits of healthy choices to the client. Inform the client that clients in the U.S. have the right to make choices for themselves. Involve the family in the client's health care decisions. Plan long-term goals for the client to follow.

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

Kosher dietary laws are followed by which of the following religions? Jewish Seventh Day Adventist Catholic Mormon

Jewish

The nurse knows that convenience foods and meals from restaurants are a driving force in current food trends. Which percentage of caloric intake for adults comes from food away from home? One third Two thirds One half Three quarters

One third

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? Dishes filled with sliced vegetables to make salsa Pot of black bean soup simmering on the stove Prepared frozen pizza for lunch Casserole of enchiladas in the oven

Prepared frozen pizza for lunch

The nurse is caring for an Chinese American client who has been hospitalized for pneumonia. The client expresses a desire to utilize traditional Chinese health practices as well as Western medicine while hospitalized. Which nursing action would support the client's healing in a culturally competent manner? Discourage family from visiting with the client in the hospital. Provide requested foods and herbs to help balance the client's yin and yang. Encourage the client to fast for 48 hours. Offer the client fish eyes to eat to promote healing.

Provide requested foods and herbs to help balance the client's yin and yang.

The nurse recognizes that food habits are influenced by many factors. Which item would have the least effect on food habits? Television documentary Cultural influence Economic status Religious dietary laws

Television documentary

Although each culture has their own customs, there is a common element they all share. Which element is common between cultures? To view slimness as attractive and desirable To eat three or more times daily To use food as a way to socialize To rely on meat to attain their protein requirements

To use food as a way to socialize

A client who recently emigrated from another country arrived an hour late for a scheduled diagnostic test and is upset because the test needs to be rescheduled. What should the nurse suspect as the reason for the client's delay? The client's health condition improved, and the test is not needed. The client did not want to have the diagnostic test. The client may come from a culture with a different interpretation of time. The client forgot what time the test was scheduled to occur.

The client may come from a culture with a different interpretation of time.

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

convenience foods.

A client who is concerned about developing hypertension asks the nurse what to avoid when eating at a favorite Chinese restaurant. Which food should the nurse recommend the client avoid? steamed dumplings spring rolls egg rolls chicken chow mein

egg rolls

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? chile relleno with arroz roho. green chile and cheese flautas. fajitas with pico de gallo sauce. hard shell beef tacos with sour cream.

fajitas with pico de gallo sauce.

The nurse is seeing a client who was born in Mexico but has lived in the United States for 25 years. As a result of acculturation, the client's eating pattern has likely increased in what foods? complex carbohydrates legumes processed vegetables

processed

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

root vegetables.

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: subgroup. convenience group. superior grouping. dietary acculturation.

subgroup

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

unleavened bread

Dining out at restaurants and eating takeout are growing trends in America. What percentage of the food budget does the average American spend on food away from home? 40% 33% 13% 69%

40%

In preparing community education on nutrition, the nurse should include that in the United States, what percentages of food spending was spent on eating out? 43% 80% 67 % 34%

43%

A nurse is dicussing nutrition with a client who follows a traditional Chinese eating pattern. What does the nurse recognize as a healthy aspect of this diet? A variety of vegetables are used extensively. The dairy products used tend to be low-fat. Seafoods make up most of the protein content. Soy sauce is frequently used as a condiment.

A variety of vegetables are used extensively.

A client asks a nurse for nutritional advice when eating out at an Italian restaurant. Which calorie-laden sauce would the nurse recommend the client avoid? Red clam Marsala Cacciatore Alfredo

Alfredo

Culture has a significant impact on nutrition and health. Which cultural group has the lowest percentage of fair or poor health among all age groups? Hispanic or Latino Americans Black Americans White Americans Asian Americans

Asian Americans

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? Asking the client what foods he enjoys eating. Handing the client a computer-generated instruction sheet on the American Diabetic Association exchange system. Showing the client pictures of prepared meals that are acceptable. Telling the client to avoid all alcohol and sweets and to limit his fat intake.

Asking the client what foods he enjoys eating.

Dietary acculturation occurs when eating patterns of immigrants change to resemble those of the dominant or mainstream culture. Which negative effect(s) would the nurse attribute to dietary acculturation to American eating patterns? Select all that apply. Increase in rates of obesity Increase in vegetable intake Increase in fat intake Decrease in chronic disease rate Increase in sugar intake

Increase in sugar intake Increase in rates of obesity Increase in fat intake

A nurse is helping a client of Roman Catholic religion order lunch. The date is a Friday during the Lent season. What would be an appropriate meal to order for this client? Salmon, roasted potatoes, and zucchini Steak, baked potato, and green beans Barbeque pork sandwich and fresh fruit Spaghetti with meat sauce and garden salad

Salmon, roasted potatoes, and zucchini

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? dietary integration. foodway. dietary acculturation. cultural reinvention.

dietary acculturation.

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

food that is included in the diet on a daily basis

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

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

When working with a client who practices Judaism, the nurse recognizes which of the following CORRECTLY represents the practice of kosher dietary laws? using the leanest cuts of pork having meat and dairy at separate meals eating shrimp and lobster only on special occasions avoiding cheese and dairy products

having meat and dairy at separate meals

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? "To reduce fats, baking is a better option than stir-frying." "Soy sauce should be eliminated from your diet." "Let's talk about serving size when choosing foods." "American food choices would be healthier for you."

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

A nurse is working in conjunction with a dietician to create a plan of care for a client who is obese and wants to lose weight. The client is from a different cultural background and adheres to its traditional beliefs and values. Which statements related to presenting the care plan are likely to accomodate those traditional beliefs? Select all that apply. "You will need to adhere to this care plan without exceptions." "Would you like to include your family while I go over this plan of care with you?" "Okie dokie, here is the plan of care, just let me know later if you have questions." "It's best to decrease sugary drinks such as sweet tea, soda pop, and juices to decrease your overall sugar consumption." "We can spend as much time as you want reviewing and discussing this plan of care together."

"Would you like to include your family while I go over this plan of care with you?" "It's best to decrease sugary drinks such as sweet tea, soda pop, and juices to decrease your overall sugar consumption." "We can spend as much time as you want reviewing and discussing this plan of care together."

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

Children learn from other children at school.

The nurse is caring for a client who self-discloses an Orthodox Jewish religious preference in the hospital setting. Which menu will the nurse recommend to align with the client's wishes? Select all that apply. Salmon filet with a baked potato and asparagus Shrimp scampi with Kosher wine Pulled pork sandwich with raw carrot and celery sticks Beef steak with steamed broccoli and carrots Turkey sandwich with cheddar cheese, fresh fruit, and a glass of milk

Beef steak with steamed broccoli and carrots Salmon filet with a baked potato and asparagus

Eating out at restaurants has become a regular event. Which statement is accurate about food away from home (FAFH)? People who consume more FAFH have less healthy home diets. FAFH tends to be more healthy than meals at home. Meat and milk are more important in FAFH meals than meals at home. FAFH foods are often more calorically dense.

FAFH foods are often more calorically dense.

When educating a client about nutrition, which statement from the nurse describes food away from home? It is associated with a greater likelihood of having normal-range body mass index. It accounts for more than 40% of food spending. Food consumed away from home has higher nutritional quality. This type of food is associed with decreased saturated fats.

It accounts for more than 40% of food spending.

The nurse is preparing a community class about general health and nutrition for Mexican American clients who self-report posessing traditional Mexican health beliefs. Which traditional Mexican health belief(s) will the nurse anticipate discussing with these clients? Select all that apply. Herbal and folk remedies are often used for self-treatment. Illness is the result of punishment or the supernatural/evil eye. The father determined when an illness it beyond his ability to treat. Being overweight may be seen as a sign of wealth. Extended and nuclear families are distant and not reliable for intergenerational help.

Being overweight may be seen as a sign of wealth. Illness is the result of punishment or the supernatural/evil eye. Herbal and folk remedies are often used for self-treatment.

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

Crispy clam strips with coleslaw

Traditional diets of other cultures differ from the standard American diet. Which component is associated with a traditional diet? Increase in red meat intake Decreased intake of legumes Increased intake of vegetables Decrease in grain intake

Increased intake of vegetables

The nurse is providing education about nutrition to a community with a predominantly Hispanic American population. Which nutrition-related health factor is associated with Hispanic or Latino American clients when compared to their non-Hispanic White counterparts? Shorter life expectancy Higher physical activity levels Increased prevalence of diabetes Elevated stroke risk

Increased prevalence of diabetes

A client asks the nurse about the availability of Kosher foods in the hospital. Kosher describes foods that are fit for consumption by which a client that identifies with which religion? Jewish

Jewish

The nurse is sharing information about the prevalence of health conditions in various cultures. The nurse correctly identifies what disorder as the leading cause of death among Black Americans? stroke heart disease renal disease cancer

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? decreasing fruit intake increasing fruit and vegetable intake increasing milk consumption decreasing milk consumption

increasing fruit and vegetable intake