A client confides to the nurse that she feels guilty about the ...

[SGallaher96]

A client confides to the nurse that she feels guilty about the poor relationship she had with her mother-in-law, who is now deceased.
 
  The client tells the nurse that she is sure God will punish her for this and that she needs to con-fess her sins to someone. The nurse's best response is:
  1. Would you like to speak to the chaplain when he comes later today? In the meantime, we could talk about your relationship with your mother-in-law.
  2. It sounds as if you need to talk about this. Let's sit down in a private area. I'd like to know more about your relationship with your mother-in-law.
  3. We all have trouble with our in-laws occasionally. God doesn't punish us for that.
  4. What's done is done. We need to focus on your positive qualities.

Question 2

The nurse determines that a client should be referred to the chaplain. Which statement correctly describes the role of the chaplain working with ethnically diverse clients in a mental health set-ting?
 
  1. Assists clients in practicing their religion while in a hospital environment
  2. Assures clients that there is a divine power that will help them overcome their ill-ness
  3. Addresses the spiritual needs and goals of clients who request or require the chaplain's services
  4. Supports staff members as they attempt to meet client-identified spiritual needs

[macmac]

Answer to Question 1

ANS: 1
The client has identified a specific spiritual problem that a chaplain would be equipped to handle, so a referral is appropriate. The nurse, in the meantime, is equipped to discuss relationship issues. In option 2, the nurse sounds curious (even a bit nosy). Option 3 minimizes the client's feelings. Option 4 dismisses the client's needs.

Answer to Question 2

ANS: 3
The role is similar to a chaplain working in any hospital unitto provide direct assistance to cli-ents who request or require the chaplain's services. Options 1 and 4: Each of these describes only one aspect of the chaplain's work. Option 2: This may or may not be something the chaplain does, depending on client need.