A nurse is caring for a young patient on a ventilator with no brain activity.
The physician discusses options with the family, one of which is removing life support and allowing the patient to die.
The nurse recognizes a decisional conflict related to religious beliefs and treatment options.
The nurse utilizes the HOPE Tool for spiritual assessment.
Which question is NOT part of the HOPE Tool?
Do you have spiritual practices that are helpful to you?
What makes you feel that your belief is correct?
Are you part of a religious or spiritual community?
What sustains you and keeps you going?.
The Correct Answer is B
The HOPE Tool for spiritual assessment is a questionnaire that explores the sources of hope, meaning, comfort, strength, peace, love, and connection for patients in healthcare settings. It does not ask about the correctness of one’s belief, but rather about the relevance and importance of one’s spirituality to one’s overall health and well-being. Therefore, choice B is not part of the HOPE Tool.
Choice A is wrong because it is part of the HOPE Tool. It asks about the personal spirituality and practices of the patient.
Choice C is wrong because it is part of the HOPE Tool. It asks about the organized religion or spiritual community of the patient.
Choice D is wrong because it is part of the HOPE Tool. It asks about the sources of hope or sustenance for the patient.
Normal ranges are not applicable to this question as it is not a numerical or quantitative measure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Watching television until falling asleep at night is a poor sleep habit because it can interfere with the body’s natural sleep-wake cycle and make it harder to fall asleep and stay asleep. Television can also expose the eyes to bright light and stimulating or stressful content, which can affect the production of melatonin, a hormone that regulates sleep.
Choice B is wrong because having a small snack and taking a bath before going to bed each day are good sleep habits that can promote relaxation and sleep quality.
Choice C is wrong because not taking naps throughout the day is a good sleep habit that can help maintain a consistent sleep schedule and avoid disrupting the night-time sleep.
Choice D is wrong because going to bed and getting up at the same times each day is a good sleep habit that can reinforce the body’s circadian rhythm and make it easier to fall asleep and wake up.
Correct Answer is A
Explanation
Nonmaleficence is the ethical principle of doing no harm or preventing harm to a client. It is based on the Hippocratic oath of “primum non nocere” or “first, do no harm”. It means that the nurse should act in the best interest of the client and avoid any actions that could cause injury or suffering.
Choice B. Fidelity is the ethical principle of being faithful and loyal to a client.
It means that the nurse should keep promises, respect confidentiality, and maintain trust.
Choice C. Justice is the ethical principle of treating clients fairly and equally.
It means that the nurse should distribute resources and services based on the client’s needs and not on personal biases.
Choice D. Autonomy is the ethical principle of respecting a client’s right to make their own decisions.
It means that the nurse should inform the client of their options and support their choices, as long as they do not harm others.
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