The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:
"I don’t think the patient wants any religious interventions."
"That is a wonderful idea. I am sure that the patient will find comfort in that."
"I need to get an order from the doctor."
"Before you do that, we need to get the patient’s permission."
The Correct Answer is D
Choice A reason: Assuming patient preference lacks evidence; without asking, this dismisses autonomy, potentially misrepresenting the patient’s comfort with spiritual interventions.
Choice B reason: Endorsing without consent is inappropriate; the patient’s lack of affiliation suggests possible rejection, and this risks imposing unwanted religious activity.
Choice C reason: Doctor’s order isn’t required; prayer is a chaplain’s role, not medical, but patient consent is still needed, making this an unnecessary step.
Choice D reason: Permission respects autonomy; without religious affiliation, the patient may decline, and consent ensures ethical care aligned with individual beliefs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 1 mL gives 50 mg; this underdoses the 75 mg order, reducing Vistaril’s sedative effect, risking inadequate anxiety relief for the patient.
Choice B reason: 1.5 mL is correct; 75 mg divided by 50 mg/mL equals 1.5 mL, delivering the precise IM dose for effective anxiolytic action safely.
Choice C reason: 2 mL provides 100 mg; this overdoses Vistaril, risking excessive sedation or hypotension, exceeding the ordered therapeutic amount unnecessarily.
Choice D reason: 2.5 mL yields 125 mg; this far exceeds 75 mg, amplifying side effects like drowsiness or respiratory depression, unsafe for anxiety management.
Correct Answer is C
Explanation
Choice A reason: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence.
Choice B reason: Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration.
Choice C reason: A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient.
Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.
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