HESI Registered Nurse EXIT Practice Exam

A Hispanic client in the postpartum period refuses hospital food because it is described as "cold." What should the nurse do first?

1. Have the unlicensed assistive personnel reheat the food if the client wishes

2. Ask the client what foods are acceptable or bad

3. Encourage her to eat for healing and strength

4. Schedule the dietitian to meet with the client as soon as possible

The correct answer is: Ask the client what foods are acceptable or bad

Understanding a client's cultural background and preferences is crucial in providing quality care, especially in the postpartum period when nutritional needs are critical for recovery. In this scenario, the client's refusal of hospital food indicates a possible cultural significance regarding food temperature or type, which is essential for the nurse to explore. Asking the client what foods are acceptable or preferred allows the nurse to gather important information about the client's dietary customs and preferences. This initial assessment establishes rapport, respects the client's cultural identity, and demonstrates a willingness to accommodate her needs. By understanding her specific preferences, the nurse can create a more personalized care plan that respects her values and promotes better compliance with nutritional recommendations. While other responses may contribute to the client's care, they do not prioritize understanding the client’s specific cultural needs first. Reheating the food or scheduling a dietitian may be helpful later, but addressing the client’s preferences directly aligns with culturally competent nursing practices. Encouragement to eat for healing, while important, does not address the underlying issue of cultural food preferences that could be impacting her willingness to eat.