Question

Difficulty: MediumCultural Awareness and Influences on Health

A client recovering from an appendectomy identifies as a member of the Church of Jesus Christ of Latter-day Saints (Mormon). The assigned practical nurse brings the client's breakfast, which includes scrambled eggs, fruit, and a cup of hot coffee. Which action should the nurse take to demonstrate culturally congruent care?

  1. A
    Deliver the meal as provided and let the client choose whether or not to consume the beverage.
  2. B
    Ask the client why their religious doctrine prohibits the consumption of coffee and tea.
  3. Take the coffee off the meal tray and ask the client if they would prefer a different beverage such as juice or milk.Answer
  4. D
    Explain that the caffeine in the coffee will beneficially stimulate bowel function after surgery.

Answer

Take the coffee off the meal tray and ask the client if they would prefer a different beverage such as juice or milk.
Members of the Church of Jesus Christ of Latter-day Saints typically observe a health code called the Word of Wisdom, which strictly prohibits the consumption of alcohol, tobacco, and hot drinks—specifically coffee and tea. Culturally competent nursing care requires the practical nurse to advocate for the client by actively removing the prohibited item from the tray before the client has to ask. Offering a culturally acceptable alternative, such as water, milk, or fruit juice, ensures the client's nutritional and hydration needs are met while fully respecting their religious beliefs.

Step-by-Step Solution

1
Identify the client's cultural and religious dietary restrictions.
The client is a member of the Church of Jesus Christ of Latter-day Saints (Mormon), a faith that prohibits the consumption of coffee, tea, and alcohol.
Understanding specific cultural and religious practices is essential for providing holistic, client-centered care.
2
Assess the provided meal tray against the client's dietary restrictions.
The breakfast tray contains hot coffee, which violates the client's religious dietary laws.
Nurses must actively verify that the diet provided by the facility aligns with the client's prescribed and culturally required dietary needs.
3
Determine the most culturally appropriate nursing intervention.
The nurse should remove the prohibited item before serving the tray and offer an acceptable substitute.
This action demonstrates respect, advocacy, and cultural competence by anticipating and accommodating the client's needs.

Key Concept

Culturally Congruent Dietary Accommodations
Rate this question