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Assignment Introduction:
Mastery level requires the student to demonstrate “the ability to apply multiculturalism anddiversity concepts” (concepts such as personal beliefs and values, the benefits of diverseperspectives, tolerance, etc.) “to bridge cultural differences, and build effective relationships.”
Instructions
Imagine yourself in the role of a nutrition counselor, and Josephine is your client. Josephine is a20-year-old female who presents with a purging disorder, an “Other Specified Feeding or EatingDisorder” (OSFED). She currently teaches salsa lessons at the community college and is in herlast semester of college. She reports she is living at home, and the food her mother prepares isnot the healthiest because her mom is from Honduras and her father is from Guatemala, so thefood is prepared differently. She indicates she has been thin all her life, although she hasstruggled to maintain her weight since going through puberty, and since she is a salsa instructor,she has to remain fit. She reports that she feels very guilty if she consumes fried foods during theday, but that is the way her mom primarily cooks. She feels awful telling her mom to stop cookingthat way. She reports that if she consumes too much fried food or junk food, she will run at least2-3 miles or else force herself to vomit, but all the food does not come out. She reportssometimes if she has a later class, she will not eat dinner or only eat one meal per day. She hastried counting calories, but then she gets so mad at herself for consuming more than 1,200calories that it causes her to exercise more, which then leads her to feeling exhausted. Sheindicates she is on no medication but does take a multivitamin when she remembers to. Sheindicates she has gone from 110 pounds to 125 pounds over five years and wants to be backdown to 110 or even less. She also had gone to the doctor, and he was quite concerned with herlab values. She has provided you a 24-hour meal record:
Breakfast:
One 6” corn tortilla
½ cup fried beans cooked with peppers, onions, and oil
½ cup rice
One cup no-sugar-added orange juice
Lunch:
One slice of whole-wheat bread
Two slices turkey
One small apple
Dinner:
Two 6” tortillas
Beef with onions and peppers cooked in oil
Tomato, onion, pepper salad (made with oil and lime juice)
Two cups of rice
Height:
5’2”
Weight:
117 pounds (based on your scale in the office)
Questions for Unit 3:
1) What is Josephine’s culture? Specifically, in terms of family roles and social customs, includingtraditional foods and the expectations placed on Josephine related to them.
2) How does her culture affect her food choices? (Include multiple examples to support yourresponse.)
3) How would you need to change your counseling strategies to establish a trusting relationshipwith Josephine? (Include multiple academic citations to support the strategies you choose.)
4) What multicultural communication skills would you use to have a successful nutritioncounseling session? (Include multiple academic citations to support the skills you select.)
Please do not use question and answer format in your essay. Instead, please write an essay witha separate paragraph to answer each question.
Assignment Directions:
This assignment needs to be at least one page in length and include at least one referenceand citation.
This assignment should be in APA format and follow the conventions of Standard AmericanEnglish (correct grammar, punctuation, etc.). Your writing should be well ordered, logical, andunified, as well as original and insightful. Your work should display superior content,organization, style, and mechanics. Be sure to use APA in-text citations and a referencepage to attribute each source.

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