A client who has a terminal illness asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

Be available to the client.

Call the physician for an antianxiety medication.

Advise the client to pray for answers.

Share personal religious beliefs with the client.

Answer and Explanation

The Correct Answer is A

A. Be available to the client: This is the most appropriate action for the nurse to take. The client's question reflects existential distress and a search for meaning in the face of suffering. Being available to listen to the client's concerns, offering emotional support, and providing a safe space for the client to express their feelings can be comforting and therapeutic. The nurse should demonstrate empathy, validate the client's emotions, and encourage open communication without imposing personal beliefs or judgments.

B. Call the physician for an antianxiety medication: While the client may be experiencing anxiety or distress, immediately resorting to medication is not the most appropriate response to the client's existential question. Antianxiety medication may provide temporary relief of symptoms but does not address the underlying spiritual or existential distress. It is essential for the nurse to explore the client's concerns and provide holistic support rather than solely relying on pharmacological interventions.

C. Advise the client to pray for answers: This response imposes the nurse's religious or spiritual beliefs onto the client and may not be appropriate for individuals who do not share the same beliefs. It is essential for the nurse to respect the client's autonomy and beliefs while providing support and guidance. Instead of advising the client to pray, the nurse should focus on active listening, empathy, and providing nonjudgmental support.

D. Share personal religious beliefs with the client: Sharing personal religious beliefs with the client is not appropriate in this situation. Doing so may impose the nurse's beliefs onto the client, which can be perceived as intrusive or insensitive. It is essential for the nurse to maintain professional boundaries and respect the client's autonomy, beliefs, and preferences. The focus should be on providing empathetic support and addressing the client's emotional and existential concerns.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Isotonic fluid helps the client feel less thirsty when they are NPO: While isotonic fluids can help maintain hydration status, they do not directly address the sensation of thirst. Isotonic fluids replace extracellular fluid volume and help maintain electrolyte balance but do not affect the sensation of thirst.

B. This type of IV hydration replaces blood volume without affecting intracellular fluid: This is the correct property of isotonic fluid replacement. Isotonic IV fluids have a similar osmolarity to extracellular fluid and thus replace fluid volume without significantly impacting the distribution of water between intra- and extracellular compartments. They are effective for expanding intravascular volume without causing a significant shift of water into or out of cells.

C. Isotonic IV hydration can cause cells to burst if given too rapidly: Isotonic IV fluids have the same osmotic pressure as blood plasma and therefore do not cause cells to burst when administered at appropriate rates. It is hypertonic solutions that can cause cells to shrink or swell due to osmotic imbalances.

D. This type of IV fluid must be given in an intensive care setting with frequent monitoring of the client's vital signs: While isotonic fluids are commonly used in various clinical settings, including intensive care, they do not inherently require administration in an intensive care setting with frequent monitoring of vital signs. Isotonic fluids are often administered in routine medical-surgical settings for various fluid balance problems.

A. should be explored while talking to the client. B. should be explored before talking to the client. C. should be shared with the client. D. are not necessary to explore.

Correct Answer is B

Explanation

A. should be explored while talking to the client: While it's important for the nurse to be aware of their own personal values and attitudes regarding sexuality, exploring them while talking to the client may not be the most appropriate approach. The focus during client interaction should be on understanding the client's perspectives, concerns, and needs, rather than discussing the nurse's personal values and attitudes.

B. should be explored before talking to the client: This is the most appropriate action. Before discussing sexuality with a client, the nurse should take time to reflect on their own personal values and attitudes regarding sexuality. This self-awareness can help the nurse approach the discussion with sensitivity, open-mindedness, and professionalism, ensuring that their own biases do not negatively influence the care provided to the client.

C. should be shared with the client: Sharing one's own personal values and attitudes regarding sexuality with the client is generally not recommended. The focus of the interaction should be on the client's needs, concerns, and preferences, rather than the nurse's personal beliefs. Sharing personal values could potentially undermine the therapeutic relationship or make the client feel uncomfortable or judged.

D. are not necessary to explore: Exploring one's own personal values and attitudes regarding sexuality is essential for providing client-centered care and maintaining professionalism. Ignoring or dismissing the nurse's own values can lead to biases influencing the care provided to the client. Therefore, it is necessary for the nurse to explore their own values before engaging in discussions with clients about sexuality.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client who has a terminal illness asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed isotonic IV hydration for their current fluid balance problem. Which property of isotonic fluid replacement is essential for the nurse to understand?

Correct Answer is B

Explanation

When assessing a client's sexuality, the nurse is aware that one's own personal values and attitudes:

Correct Answer is B

Explanation

A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?

The nurse is caring for a client with a fluid volume deficit and hypovolemia. What actions can the nurse take without a physician's order?

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

A client who has a terminal illness asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

Nurse Z is extremely attentive to their client's emotional & spiritual needs. The nurse spends up to 45 minutes each day providing the psychosocial support. As a result, the nurse does not plan enough time to perform assessments or give medications on time. This nurse is liable for:

A home care nurse is completing a comprehensive assessment & sees that the client has written "spiritual but no specific religious denomination". How should the nurse interpret this data? The client...

The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?

The nurse is talking with a 14-year-old female client who has just had her first sexual experience with a boy. At this time, the nurse should assess the client's knowledge of: (SELECT ALL THAT APPLY)