A nurse is providing care for a patient who has terminal liver cancer.
Which statement from the patient should the nurse recognize as a sign of spiritual distress?

“What did I do to deserve this illness?”

“I blame medical science for not finding a cure.”.

“Where is my daughter when I need her most?”

“Will I ever regain control over my life?”

Answer and Explanation

The Correct Answer is A

Choice A rationale

The statement “What did I do to deserve this illness?” could indicate spiritual distress. This statement suggests that the patient may be struggling with feelings of guilt, punishment, or existential crisis, which are common manifestations of spiritual distress. The patient may be

questioning their moral or spiritual worth, or trying to find meaning or purpose in their suffering.

Choice B rationale

The statement “I blame medical science for not finding a cure” could indicate frustration or anger, but it does not necessarily indicate spiritual distress. While this statement suggests dissatisfaction with medical progress, it does not directly relate to the patient’s spiritual or existential concerns.

Choice C rationale

The statement “Where is my daughter when I need her most?” could indicate emotional distress related to the patient’s interpersonal relationships, but it does not necessarily indicate spiritual distress. This statement suggests that the patient may feel abandoned or unsupported, but it does not directly relate to the patient’s spiritual or existential concerns.

Choice D rationale

The statement “Will I ever regain control over my life?” could indicate emotional distress related to the patient’s sense of autonomy and control, but it does not necessarily indicate spiritual distress. This statement suggests that the patient may feel helpless or powerless in the face of their illness, but it does not directly relate to the patient’s spiritual or existential concerns.

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Correct Answer is A

Explanation

The nurse’s priority action should be to determine the reasons why the client is refusing to use the incentive spirometer. Understanding the client’s concerns or fears can help the nurse address them and encourage the client to participate in this important aspect of postoperative care.

A. They allow the court to overrule an adult client’s refusal of medical treatment. B. They indicate the form of treatment a client is willing to accept in the event of a serious illness. C. They permit a client to withhold medical information from health care personnel. D. They allow health care personnel in the emergency department to stabilize a client’s condition.

Correct Answer is B

Explanation

Choice A rationale

This statement is incorrect. Advance directives do not allow the court to overrule an adult client’s refusal of medical treatment. They are legal documents that provide instructions for medical care and only go into effect if the individual cannot communicate their own wishes.

Choice B rationale

This statement is correct. Advance directives indicate the form of treatment a client is willing to accept in the event of a serious illness. They allow individuals to express their preferences about medical treatment at some point in the future, should they become unable to communicate their wishes.

Choice C rationale

This statement is incorrect. Advance directives do not permit a client to withhold medical information from health care personnel. They are used to communicate the individual’s wishes about medical treatment to their healthcare providers and family.

Choice D rationale

This statement is incorrect. Advance directives do not specifically allow health care personnel in the emergency department to stabilize a client’s condition. They are used to guide choices for doctors and caregivers if the individual is terminally ill, seriously injured, in a coma, in the late stages of dementia or near the end of life.

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A nurse is providing care for a patient who has terminal liver cancer.Which statement from the patient should the nurse recognize as a sign of spiritual distress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postoperative client refuses to use an incentive spirometer following major abdominal surgery. What is the nurse’s priority action?

Correct Answer is A

Explanation

A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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A nurse is providing care for a patient who has terminal liver cancer.
Which statement from the patient should the nurse recognize as a sign of spiritual distress?