A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

"My faith gives me hope during difficult times."

"Therapy is often scheduled during my daily meditation time."

"I gain comfort from meditation."

"My spiritual advisor has increased visits since I became ill."

Answer and Explanation

The Correct Answer is B

- Choice A Rationale: This statement does not indicate spiritual distress. On the contrary, it suggests that the client's faith is a source of strength and hope, which is typically a sign of positive spiritual well-being.
- Choice B Rationale:

This statement suggests a disruption in the client's spiritual practices, which could lead to spiritual distress as it interferes with a meaningful coping mechanism.

- Choice C Rationale: Similar to choice A, this statement reflects a positive aspect of the client's spirituality. Finding comfort in meditation is indicative of a beneficial spiritual practice and does not suggest distress.
- Choice D Rationale:

This reflects active spiritual support, which is helpful during illness and not indicative of spiritual distress.

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Correct Answer is D

Explanation

A. Hepatitis B infection is not a contraindication for prescribing bupropion for smoking cessation.
B. Hypothyroidism is not a contraindication for prescribing bupropion for smoking cessation.

C. Knee arthroplasty 1 month ago does not contraindicate the use of bupropion for smoking cessation.
D. Bupropion is contraindicated in individuals with a recent head injury due to the increased risk of seizures associated with this medication. Therefore, the nurse should report this finding to the provider.

A. "Take your medication with a meal to decrease the onset of dizziness." B. "Dizziness is a common adverse effect of the medication and is related to low blood pressure." C. "Dizziness typically indicates an allergic response, so the medication should be stopped immediately." D. "Take your medication first thing in the morning, and it will not cause as much dizziness."

Correct Answer is B

Explanation

A. Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication.
B. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects.
C. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate.
D. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.

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A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

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