Problem
Maria Fuentes, a 30-year-old Ecuadorian American, has a follow-up appointment related to type 2 diabetes mellitus, which was diagnosed 2 weeks ago during an annual physical assessment.
Her primary language is Spanish, while her English skills are good; she has difficulty understanding complex medical terminology.
Ms. Fuentes is 158 cm tall, weighs 80 kg (body mass index [BMI] 32), and eats a diet high in fats and starches. Her blood glucose levels at home have been elevated.
Maria has a history of obesity and peripheral vascular disorder. Current vital signs are temperature 37.0 C tympanic, pulse 88 beats/min, respirations 18 breaths/min, and blood pressure 142/90. Medications include an oral hypoglycemic, plavix, and a daily vitamin.
Ms. Fuentes tells the CHN that she is going to have a holiday dinner at her brother's house and the whole family will be there. She conveys concern about being able to follow her diet plan while eating with the entire family.
• What could the CHN do to help this patient?
• How might Ms. Fuentes plan for family dinners in her diet plan?
The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.