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 A

Explanation

A. Maturational:
This is a normal life transition, such as children growing up and leaving home, that can still feel like a loss.

B. Situational:
Situational loss results from unexpected events, such as a job loss or illness, not normal developmental changes.

C. Perceived:
A perceived loss is defined by the individual and is not obvious to others, like loss of independence. This example is better categorized as maturational.

D. Conditional:
“Conditional loss” is not a recognized category in grief theory.

A. Drink a cup of nor tea before bedtime B. Maintain a consistent sleep & wake time C. Take a nap during the day D. Use an eReader to read a favorite book before going to bed

Correct Answer is B

Explanation

A. Drink a cup of hot tea before bedtime
Many teas, including some herbal teas, contain caffeine or diuretics and may disrupt sleep.

B. Maintain a consistent sleep & wake time
Keeping a regular sleep schedule supports the body’s circadian rhythm and improves sleep.

C. Take a nap during the day
Daytime naps can interfere with nighttime sleep, especially in those with insomnia.

D. Use an eReader to read a favorite book before going to bed
The light from screens (blue light) can inhibit melatonin production and disrupt sleep.

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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

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