The nurse is taking a spiritual history from a patient with a terminal illness. Using the FICA tool, which question(s), if asked by the nurse, would be appropriate?

"Would you like to talk about something else?"

"How can I help you address your spiritual needs?"

"Why do you think your spirituality has not saved you?"

"Would you like me to serve as your spiritual counselor?"

Answer and Explanation

The Correct Answer is B

A. This question does not align with the FICA tool and avoids addressing spiritual concerns.

B. This question is appropriate and aligns with the "C" (Care) in the FICA tool, focusing on addressing the patient's spiritual needs.

C. This question is inappropriate and can be offensive and judgmental.

D. This question assumes a role that the nurse may not be qualified to fulfill and does not align with the FICA tool.

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Correct Answer is ["A","B","E","F"]

Explanation

A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.

F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.

A. Clarification B. Providing Information C. Summarizing D. Confrontation

Correct Answer is A

Explanation

A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.

B. Providing information would involve giving details about the procedure, not exploring the client's feelings.

C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.

D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.

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The nurse is taking a spiritual history from a patient with a terminal illness. Using the FICA tool, which question(s), if asked by the nurse, would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","E","F"]

Explanation

Correct Answer is A

Explanation

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