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. The elevated serum sodium (Na+) level of 150 mEq/L validates the symptoms of vomiting and diarrhea in the client. Vomiting and diarrhea lead to fluid loss and dehydration, resulting in an increased serum sodium concentration due to the loss of water from the body. Hypernatremia (elevated serum sodium) is consistent with dehydration resulting from prolonged vomiting and diarrhea. An elevated sodium level is indicative of hypertonic dehydration, where water loss exceeds electrolyte loss, leading to increased serum sodium concentration

B. Cl-95 mEq/L: Chloride (Cl-) is an electrolyte often lost in cases of vomiting and diarrhea due to the loss of gastric secretions and chloride-rich fluids. A chloride level of 95 mEq/L is slightly lower than normal (normal range: 96-106 mEq/L), which suggests mild chloride depletion.

C. K+3.7 mEq/L: Potassium (K+) levels within the normal range (3.5-5.0 mEq/L) do not necessarily validate symptoms of vomiting and diarrhea. While potassium loss can occur in cases of prolonged vomiting and diarrhea, the potassium level provided falls within the normal range.

D. HCO3-26 mEq/L: Bicarbonate (HCO3-) levels within the normal range (22-29 mEq/L) do not necessarily validate symptoms of vomiting and diarrhea. Elevated bicarbonate levels may indicate metabolic alkalosis, which can occur as a compensatory mechanism in response to acid loss through vomiting or diarrhea, but this value alone does not confirm the symptoms.

A. gender identity. B. sexual orientation. C. androgyny. D. body image.

Correct Answer is A

Explanation

A. gender identity: Gender identity refers to how a person internally perceives and identifies their gender, which may be male, female, both, neither, or another gender identity. It is a deeply-held sense of being male, female, a blend of both genders (androgyny), or neither gender. Gender identity is an intrinsic aspect of a person's self-concept and may or may not align with the sex assigned at birth.

B. sexual orientation: Sexual orientation refers to a person's romantic or sexual attraction to individuals of the same gender, different gender, or multiple genders. It is distinct from gender identity and encompasses identities such as heterosexual, homosexual, bisexual, pansexual, etc.

C. androgyny: Androgyny refers to a combination of masculine and feminine characteristics or qualities in a single individual. It is a term used to describe a gender expression that does not conform strictly to traditional gender roles or expectations. While related to gender expression, it is not synonymous with gender identity.

D. body image: Body image refers to a person's perception, thoughts, and feelings about their own body's appearance, size, shape, and function. It includes attitudes towards physical attributes, such as weight, height, and physical features, and can influence self-esteem and overall well-being. Body image is related to, but distinct from, gender identity, which focuses specifically on one's internal sense of gender.

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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 A

Explanation

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