Which of the following statements made by a nurse regarding ...

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Which of the following statements made by a nurse regarding spiritual support provided displays an inappropriate intervention or attitude?
 
  1. I offer to pray with my clients as I prepare them for transport to surgery.
  2. I always try to tell my Catholic clients when Mass is being held in the chapel.
  3. When caring for a client for the first time, I always check to see their religious affiliation.
  4. I'm not very comfortable interviewing a client concerning their religious beliefs or practices.

Question 2

A client who recently required advanced cardiac life support after experiencing a myocardial in-farction shares with the nurse that, I could hear voices talking about me dying and then there was this brightly lighted tunnel.
 
  Which of the following statements made by the nurse shows the best understanding of therapeu-tic communication regarding a client's near-death experience?
  1. Tell me more about what you saw and heard.
  2. What you are describing is called a near-death experience.
  3. Many clients who have been clinically dead have those types of memories.
  4. What you are describing is most likely a result of the drugs you were given.

[diana chang]

Answer to Question 1

ANS: 1
It is essential to promote an environment that respects clients' values, customs, and spiritual be-liefs. Routinely implementing nursing interventions such as prayer or meditation is coercive and/or unethical. Therefore determine which interventions are compatible with the clients' beliefs and values before selecting nursing interventions. To routinely offer to pray with a client without first establishing the appropriateness of that intervention is unethical and so requires immediate instruction of that to the nurse. Two options are not inappropriate and so require no intervention while the third reflects the nurse's discomfort with a task but does not indicate any failure to provide effective, appropriate nursing care.

Answer to Question 2

ANS: 1
Clients who have a near-death experience are often reluctant to discuss it, thinking family or caregivers will not understand. However, individuals experiencing a near-death experience who discuss it with family or caregivers find acceptance and meaning from this powerful experience. By encouraging the client to discuss the experience, the nurse is providing therapeutic care in an accepting manner. The remaining options close the communication opportunity by providing a reason for the event.

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