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 B

Explanation

A. Discussing the importance of confidentiality is important but should not be the first action.
Addressing immediate emotional needs and coping strategies takes precedence.

B. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents'
individual needs.

C. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills.
D. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.

A. Writes a detailed daily activity schedule B. Isolates self from others C. Reports a lack of sleep D. Refuses to engage in conversation

Correct Answer is C

Explanation

A. Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B. Isolating oneself from others could be a sign of depression rather than acute mania.
C. Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D. Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

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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

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