A nurse is assessing a client's spiritual and religious needs as part of their holistic care plan. The nurse wants to ensure they understand the differences between religion and spirituality to provide appropriate support. Which of the following statements best describes the difference between religion and spirituality?

Religion is a personal belief system, while spirituality involves organized practices and rituals.

Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines.

Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments.

Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices.

Answer and Explanation

The Correct Answer is D

A. Religion is a personal belief system, while spirituality involves organized practices and rituals: This reverses the definitions of religion and spirituality.

B. Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines: This is inaccurate as religion often involves doctrine and spirituality includes personal growth.

C. Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments: They are related but not interchangeable concepts.

D. Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices. Religion is structured and involves established practices, rituals, and communal participation. Spirituality is broader, often focusing on personal meaning, connection, and values, which may exist independently of organized religion.

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Correct Answer is D

Explanation

A. "I promise I won't tell anyone about this." This is incorrect because nurses are mandated reporters and must report abuse to appropriate authorities. Promising confidentiality is misleading and violates legal obligations.

B. "Your family is bad for doing this to you." Making judgmental statements about the family can hinder the therapeutic relationship and may increase the child’s stress or feelings of loyalty conflict.

C. "Let's discuss what happened with your family here." Discussing abuse in the presence of the family may put the child at risk for retaliation and discourage open communication.

D. "It is not your fault that this happened." This statement reassures the child and helps mitigate feelings of guilt or shame that are common in abuse victims. It is supportive, nonjudgmental, and developmentally appropriate, fostering trust and safety.

A. Vital sign measurement B. The nature and invasiveness of the surgical procedure C. Visual observation for nonverbal signs of pain D. The client's self-report of pain severity

Correct Answer is D

Explanation

A. Vital sign measurement: While vital signs may change due to pain, they are not specific indicators of pain intensity and should not be the primary basis for pain management.

B. The nature and invasiveness of the surgical procedure: The type of procedure may influence pain, but it is still essential to rely on the client's self-report for pain management.

C. Visual observation for nonverbal signs of pain: While helpful in some cases, nonverbal signs are not as reliable as the client's own report of pain.

D. The client's self-report of pain severity. The most accurate method to assess pain is through the client's self-report. This allows the nurse to understand the severity and nature of the pain, which helps guide treatment.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative. The nurse should base their pain management interventions primarily on which of the following methods of determining the intensity of the client's pan?

Correct Answer is D

Explanation

A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

A nurse is educating a client about the wellness-illness continuum. Which of the following statements by the client indicates an understanding of the concept?

A nurse is conducting a pain assessment for a client who reports discomfort. Which of the following actions is the most appropriate for the nurse to take to obtain a comprehensive understanding of the client's pain?

A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?