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Difficulty: EasyCultural Awareness and Influences on Health

A practical nurse (PN) is caring for a client who strictly observes a kosher diet. The client's dinner tray arrives with baked chicken, a side of steamed vegetables, a dinner roll, and a carton of milk. Which action by the PN is most appropriate?

  1. Return the tray to dietary services to replace the milk with a non-dairy beverage.Answer
  2. B
    Serve the meal to the client exactly as prepared by the dietary department.
  3. C
    Inform the client that they must eat what is provided to maintain their physical strength.
  4. D
    Instruct the client to drink the milk immediately after finishing the baked chicken.

Answer

Return the tray to dietary services to replace the milk with a non-dairy beverage.
Clients who observe a strict kosher diet do not eat meat and dairy products together in the same meal. By returning the tray to replace the milk with a non-dairy alternative, the PN respects the client's cultural and religious beliefs and prevents the client from being served a non-compliant meal.

Step-by-Step Solution

1
Identify the client's specific cultural and religious dietary requirement.
The client observes a strict kosher diet.
Understanding the specific cultural diet is the first step in providing culturally congruent care.
2
Evaluate the provided meal against kosher dietary rules.
The meal contains both meat (chicken) and dairy (milk).
A core principle of a kosher diet is the strict separation of meat and dairy products at the same meal.
3
Determine the appropriate nursing intervention.
The PN must correct the dietary error before serving the meal to the client.
Nurses are responsible for advocating for the client and ensuring that nutritional interventions align with cultural and religious practices.

Key Concept

Kosher Dietary Restrictions: Separation of Meat and Dairy
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Topics

Cultural Awareness and Influences on Health

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