Cultural psych and spiritual
modalities test questions and
answers 2024
A Jehovah's Witness client is admitted after a serious car accident and
continues to experience severe anemia after significant blood loss. The
family remains adamantly opposed to blood product support. What is the
nurse’s best intervention?
Offer the client alternative treatment options to consider.
Provide a range of literature to address their religious conflict.
Continue to reinforce the need for and benefit of transfusion.
Request a consultation with the hospital chaplaincy department.
Offer the client alternative treatment options to consider.
Explanation:
In recognizing and respecting the client’s religious beliefs and practices,
the nurse should research and explore alternative treatment options to
offer the client so that healing is not further compromised. It is fruitless to
persist in discussing or providing information about a treatment that is
being rejected due to deep religious feelings. Requesting a consultation
with the chaplaincy department will also not dissuade the client, nor
provide medical treatment options.
The nurse asks the parent of a terminally ill infant if the parent would like
the child to be baptized. The parent becomes upset and asks to speak to
the nurse-manager. What is the nurse-manager’s best response?
Ask the on-duty chaplain to talk to the parent.
Explain that the nurse is only trying to determine the parent’s wishes.
Let the parent express the parent's own spiritual beliefs and wishes.
Apologize for the nurse’s behavior and assign another nurse to this client.
Let the parent express the parent's own spiritual beliefs and wishes.
Explanation:
The best response is to allow the parent to express the feelings. The
chaplain may or may not provide an appropriate response. Explaining and
,apologizing for another’s behavior is not likely to diffuse the situation or
help the parent.
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The nurse is caring for a group of clients in an acute medicine setting.
What statement by a client would most warrant a referral to spiritual care,
with the client's permission?
"It feels like one round of bad news after another for me, like I am being
punished."
"Nothing you give me seems to touch my pain today. It is hard to take."
"I do not really have a close family or a lot of friends that I can call on."
"I am feeling pretty anxious right now, so is there any way I can get
something for that?"
"It feels like one round of bad news after another for me, like I am being
punished."
Explanation:
A client's allusion to feeling "punished" suggests that they are feeling
some distress about the relationship with a cosmic power. A referral to
spiritual care may be helpful. Untreated pain, lack of social support, and
anxiety are all problems that the nurse must address, but none is as
directly suggestive of spiritual distress.
Remediation:
wo days after the donation of the right lobe of the liver to a parent, a
client tells the nurse, "I was pressured by my family to donate a piece of
, my liver." What is the nurse's priority intervention in this situation?
Provide written documentation of the conversation to the ethics
committee.
Inform all the surgeons who harvested and transplanted the liver.
Explore the client's statement to obtain additional, detailed information.
Notify the supervisor to determine if a psychiatric evaluation is necessary.
Explore the client’s statement to obtain additional, detailed information.
Explanation:
This powerful statement by the client needs to be explored and the client
requires support. This is the first step in an ethical analysis. The donor’s
advocate team needs to be informed. Only after collecting the information
on this client situation and completing the steps of an ethical analysis can
it be determined if a report should go to the hospital’s ethics committee.
A possible outcome based on the nurse’s assessment may be to offer
psychiatric support in the form of a consultation or therapy.
We have an expert-written solution to this problem!
A client with major depressive disorder is grieving a recent loss, and is
assessed as having experienced spiritual distress. In what ways will the
nurse integrate spiritual practices into the client's care? Select all that
apply.
Have the client determine if any spiritual practices provide support.
Ask if the client has participated in spiritual practices.
Contact a spiritual leader for advice.
Talk about the client's values and spiritual beliefs.
Address what can be done to implement spiritual practices that may be
helpful.
Wait until the depression has lessened before taking any actions.
Talk about the client's values and spiritual beliefs.
Ask if the client has participated in spiritual practices.
Have the client determine if any spiritual practices provide support.
Address what can be done to implement spiritual practices that may be
helpful.
Contact a spiritual leader for advice.
Explanation:
The nurse will talk with the client about values and spiritual beliefs.
Asking if the client has participated in past spiritual practices will promote
modalities test questions and
answers 2024
A Jehovah's Witness client is admitted after a serious car accident and
continues to experience severe anemia after significant blood loss. The
family remains adamantly opposed to blood product support. What is the
nurse’s best intervention?
Offer the client alternative treatment options to consider.
Provide a range of literature to address their religious conflict.
Continue to reinforce the need for and benefit of transfusion.
Request a consultation with the hospital chaplaincy department.
Offer the client alternative treatment options to consider.
Explanation:
In recognizing and respecting the client’s religious beliefs and practices,
the nurse should research and explore alternative treatment options to
offer the client so that healing is not further compromised. It is fruitless to
persist in discussing or providing information about a treatment that is
being rejected due to deep religious feelings. Requesting a consultation
with the chaplaincy department will also not dissuade the client, nor
provide medical treatment options.
The nurse asks the parent of a terminally ill infant if the parent would like
the child to be baptized. The parent becomes upset and asks to speak to
the nurse-manager. What is the nurse-manager’s best response?
Ask the on-duty chaplain to talk to the parent.
Explain that the nurse is only trying to determine the parent’s wishes.
Let the parent express the parent's own spiritual beliefs and wishes.
Apologize for the nurse’s behavior and assign another nurse to this client.
Let the parent express the parent's own spiritual beliefs and wishes.
Explanation:
The best response is to allow the parent to express the feelings. The
chaplain may or may not provide an appropriate response. Explaining and
,apologizing for another’s behavior is not likely to diffuse the situation or
help the parent.
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:01
/
0:15
Full screen
Brainpower
Read More
The nurse is caring for a group of clients in an acute medicine setting.
What statement by a client would most warrant a referral to spiritual care,
with the client's permission?
"It feels like one round of bad news after another for me, like I am being
punished."
"Nothing you give me seems to touch my pain today. It is hard to take."
"I do not really have a close family or a lot of friends that I can call on."
"I am feeling pretty anxious right now, so is there any way I can get
something for that?"
"It feels like one round of bad news after another for me, like I am being
punished."
Explanation:
A client's allusion to feeling "punished" suggests that they are feeling
some distress about the relationship with a cosmic power. A referral to
spiritual care may be helpful. Untreated pain, lack of social support, and
anxiety are all problems that the nurse must address, but none is as
directly suggestive of spiritual distress.
Remediation:
wo days after the donation of the right lobe of the liver to a parent, a
client tells the nurse, "I was pressured by my family to donate a piece of
, my liver." What is the nurse's priority intervention in this situation?
Provide written documentation of the conversation to the ethics
committee.
Inform all the surgeons who harvested and transplanted the liver.
Explore the client's statement to obtain additional, detailed information.
Notify the supervisor to determine if a psychiatric evaluation is necessary.
Explore the client’s statement to obtain additional, detailed information.
Explanation:
This powerful statement by the client needs to be explored and the client
requires support. This is the first step in an ethical analysis. The donor’s
advocate team needs to be informed. Only after collecting the information
on this client situation and completing the steps of an ethical analysis can
it be determined if a report should go to the hospital’s ethics committee.
A possible outcome based on the nurse’s assessment may be to offer
psychiatric support in the form of a consultation or therapy.
We have an expert-written solution to this problem!
A client with major depressive disorder is grieving a recent loss, and is
assessed as having experienced spiritual distress. In what ways will the
nurse integrate spiritual practices into the client's care? Select all that
apply.
Have the client determine if any spiritual practices provide support.
Ask if the client has participated in spiritual practices.
Contact a spiritual leader for advice.
Talk about the client's values and spiritual beliefs.
Address what can be done to implement spiritual practices that may be
helpful.
Wait until the depression has lessened before taking any actions.
Talk about the client's values and spiritual beliefs.
Ask if the client has participated in spiritual practices.
Have the client determine if any spiritual practices provide support.
Address what can be done to implement spiritual practices that may be
helpful.
Contact a spiritual leader for advice.
Explanation:
The nurse will talk with the client about values and spiritual beliefs.
Asking if the client has participated in past spiritual practices will promote
