A patient refuses to remove a specific spiritual garment for daily bathing. The most appropriate action for the nurse would be to

Respect the patient's wishes and work around it.

Identify the refusal as a sign of spiritual distress.

Remove the article anyway because the garment hinders daily care delivery.

Explain to the patient that the garment has no real spiritual value.

Answer and Explanation

The Correct Answer is A

A. Respect the patient's wishes and work around it:
Respecting cultural and spiritual beliefs promotes holistic and patient-centered care.

B. Identify the refusal as a sign of spiritual distress:
The refusal alone, especially when grounded in spiritual beliefs, is not automatically a sign of distress.

C. Remove the article anyway because the garment hinders daily care delivery:
Doing so violates the patient’s autonomy and cultural rights.

D. Explain to the patient that the garment has no real spiritual value:
This is dismissive and culturally insensitive.

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Correct Answer is B

Explanation

A. 12 hours: This amount of sleep is excessive for a young adult and more typical for infants or toddlers.

B. 8 hours: The National Sleep Foundation recommends that young adults (18–25 years) get 7–9 hours of sleep, with 8 being the average.

C. 11 hours: Too much for a healthy young adult; this may indicate a sleep disorder if needed regularly.

D. 14 hours: This amount is seen in newborns, not adults.

A. “That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction." B. I find that hard to believe. We all grieve the same way, and know that I would not react that way after such a long time." C. "The fact that you reacted so strongly is concerning to me. This could be the beginning of some psychological issues." D. "What happens to you is understandable and common in people who have lost loved ones."

Correct Answer is D

Explanation

A. “That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction.”
This invalidates the patient’s emotions and implies judgment.

B. “I find that hard to believe. We all grieve the same way, and know that I would not react that way after such a long time.”
Dismissive and inappropriate; grief responses vary greatly.

C. “The fact that you reacted so strongly is concerning to me. This could be the beginning of some psychological issues.”
Pathologizes a normal anniversary reaction.

D. “What happens to you is understandable and common in people who have lost loved ones.”
Validates the patient's emotional experience and offers support.

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A patient refuses to remove a specific spiritual garment for daily bathing. The most appropriate action for the nurse would be to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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