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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Clients have the right to refuse medication, as part of their autonomy and informed consent rights.
B. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations.
C. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity.
D. Clients maintain the right to an attorney, ensuring their access to legal representation and support.
E. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Upon assessment, the nurse should recognize that the client is at risk for developing acute confusion or delirium as evidenced by the client's disorientation to time and place, inability to focus, agitation, and anxiety upon reorientation. These symptoms suggest a disruption in cerebral metabolism, which can be caused by a variety of factors such as infection, fluid or electrolyte imbalance, or medication side effects. It is crucial to identify the underlying cause to provide appropriate care and prevent further complications. The nurse's role includes monitoring the patient's mental status, ensuring safety, and implementing therapeutic interventions to create a calming environment.
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