Question

A client newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not provide enough variation of choice. It is against the state's nurse practice act for a nurse to order a diet for the client. Which response by the nurse is most appropriate?

A) "I will bring you a different menu."
B) "I will ask my manager to talk with the dietitian."
C) "Let's look at your diet and see what type of variety we can find."
D) "I will notify the dietary department to change your diet."

Answer 1

The nurse should offer to assist the patient in exploring their diet for more variety, respecting the professional scope and collaborating with a registered dietitian if needed.

Step-by-step explanation:

The nurse should understand the limitations placed by the state's nurse practice act and should work within her scope of practice. The most appropriate response in this scenario is: "Let's look at your diet and see what type of variety we can find." This response is client-centered and engages in problem-solving while respecting professional boundaries. If further dietary advice is required, the nurse can collaborate with a registered dietitian, who is qualified to plan nutrition programs and make necessary adjustments to the client's diet. Registered dietitians play a crucial role in healthcare settings, helping patients manage conditions like diabetes by teaching them about the importance of eating correct types of food, and the appropriate amounts, especially carbohydrates for blood sugar level management.