When learning of a new cancer diagnosis, the client states, "If it is God's will, I will survive this." The nurse who is providing spiritually competent care would respond by:

conveying respect for the client's belief.

further assessing the client's knowledge of cancer.

notifying the physician immediately.

calling the chaplain for a consultation.

Answer and Explanation

The Correct Answer is A

A. Conveying respect for the client's belief: This response acknowledges and respects the client's faith and belief system. It demonstrates empathy and supports the client's coping mechanisms during a challenging time. It fosters a therapeutic relationship by validating the client's feelings and beliefs, which can be essential for providing holistic care.

B. Further assessing the client's knowledge of cancer: While assessing the client's understanding of cancer is important, in this context, the client's statement reflects their coping mechanism and reliance on faith. Addressing the client's belief system and providing support in alignment with their spiritual beliefs should be the initial focus.

C. Notifying the physician immediately: There is no indication in the scenario that immediate medical intervention is necessary. The client's statement reflects their coping strategy and does not suggest an urgent medical concern.

D. Calling the chaplain for a consultation: While spiritual support is valuable, the client's statement does not indicate an immediate need for chaplaincy services. The nurse should first acknowledge and respect the client's belief before considering further spiritual support options, based on the client's preferences and needs.

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Correct Answer is A

Explanation

A. Urinary leakage around the catheter: Securing the indwelling urinary catheter to the thigh helps prevent urinary leakage around the catheter site. Catheter movement or dislodgement can lead to leakage of urine around the catheter, which can cause skin irritation, increase the risk of urinary tract infections (UTIs), and compromise hygiene. Securing the catheter to the thigh helps maintain its position and prevents movement that could contribute to leakage.

B. Fecal matter from entering your bladder: While securing the catheter can help maintain proper positioning and prevent movement, its primary purpose is not to prevent fecal matter from entering the bladder. Indwelling urinary catheters are inserted into the bladder through the urethra, and proper catheter placement and hygiene practices are essential for preventing contamination of the urinary tract with fecal matter.

C. Injury to your urethra: Securing the catheter to the thigh does not directly prevent injury to the urethra. Proper insertion technique and appropriate catheter size selection are more critical for preventing urethral injury during catheterization. Securing the catheter primarily aims to maintain its position and prevent movement that could potentially cause discomfort or complications.

D. The catheter from slipping out of your bladder: While securing the catheter can help prevent inadvertent dislodgement, its primary purpose is not to prevent the catheter from slipping out of the bladder. Proper catheter securement techniques, including securing it to the thigh or using catheter stabilization devices, help maintain the catheter's position and minimize movement, reducing the risk of accidental removal.

A. Milk and cheese B. Lean meats C. Fruit and vegetables D. Bread and pasta

Correct Answer is C

Explanation

A. Milk and cheese: While milk and cheese are sources of calcium and protein, they are not typically recommended as primary dietary choices for preventing or treating constipation. In fact, for some individuals, dairy products can contribute to constipation, particularly if they are consumed in excess or if the individual is lactose intolerant.

B. Lean meats: Lean meats provide protein and essential nutrients but are not specifically known for their role in preventing or treating constipation. While protein is important for overall health, focusing solely on lean meats may not provide the dietary fiber needed to promote regular bowel movements.

C. Fruit and vegetables: This statement is correct. Fruit and vegetables are rich sources of dietary fiber, which plays a crucial role in promoting healthy bowel function and preventing constipation. Fiber adds bulk to the stool, making it easier to pass through the digestive tract. Fruits such as apples, berries, and pears, as well as vegetables like broccoli, spinach, and carrots, are particularly high in fiber and can help alleviate constipation when included in the diet.

D. Bread and pasta: Bread and pasta are sources of carbohydrates, but they may not necessarily contain high levels of dietary fiber, especially if they are made from refined grains. While whole grain bread and pasta can provide more fiber than their refined counterparts, they may not be as effective in preventing or treating constipation compared to fruits and vegetables, which are naturally rich in fiber.

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When learning of a new cancer diagnosis, the client states, "If it is God's will, I will survive this." The nurse who is providing spiritually competent care would respond by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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