The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Assume that both have the same spiritual beliefs.

Skip the spiritual belief assessment.

Must use a formal assessment tool to determine patient's beliefs.

Do not impose personal values on the patient.

Answer and Explanation

The Correct Answer is D

A. Assuming that both have the same spiritual beliefs can lead to misunderstandings; individual beliefs can vary significantly even within the same affiliation.
B. Skipping the spiritual belief assessment is inappropriate as it is essential to understand the patient's unique beliefs and values to provide holistic care.
C. While a formal assessment tool can be helpful, it is not mandatory; what’s most important is engaging in a dialogue about the patient’s beliefs rather than strictly following a formal method.
D. It is crucial for the nurse to respect the patient's unique spiritual beliefs and not impose personal values, making this the most appropriate action to support the patient spiritually.

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Correct Answer is D

Explanation

A. Assessment has already been completed as the initial step, involving data collection.
B. Diagnosis is also completed, involving analysis and identification of the patient’s health problems.
C. Implementation occurs after planning, when nursing interventions are executed.
D. Planning is the appropriate next step, involving the creation of specific, measurable goals and interventions based on the identified nursing diagnoses.

A. Atelectasis B. Joint contractures C. Pressure ulcers D. Renal calculi

Correct Answer is B

Explanation

A. Atelectasis is prevented primarily through deep breathing exercises and respiratory interventions, not passive ROM.
B. Passive ROM and splinting help prevent joint contractures by maintaining joint mobility and alignment, so the absence of contractures indicates successful prevention.
C. Pressure ulcers are avoided through regular repositioning and skin care rather than passive ROM alone.
D. Renal calculi are primarily prevented through hydration and diet, not passive ROM or splinting.

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The nurse and the patient have the same religious affiliation. Which action will the nurse take to support the patient spiritually?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

Correct Answer is D

Explanation

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. The absence of which finding will indicate goal achievement for the nurse's action?

Correct Answer is B

Explanation

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