Author Question: The nurse is caring for an older client with end-stage renal disease. What actions should the nurse ... (Read 46 times)

V@ndy87 · **on:** Jul 23, 2018

The nurse is caring for an older client with end-stage renal disease. What actions should the nurse take to support this client's spiritual development?

1. Support the client to have hope for a cure.
2. Suggest the client view losses as liberations.
3. Encourage the client to reminisce about life events.
4. Ask open-ended questions about the client's life purpose.
5. Remind the client that time is running out to make any life changes.

Question 2

The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress. What did the nurse observe to come to this clinical decision?

1. Expressing anger toward God
2. Crying softly in the client's room
3. Hugging family members
4. Talking with caregivers about the client's personal items
5. Refusing comfort from family

Jadwiga9 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2, 3, 4

Rationale 1: Supporting the client to have hope for a cure does not support the client's spiritual development.

Rationale 2: A nursing action to support the older client's spiritual development includes supporting the client to reframe losses of aging as liberations.

Rationale 3: A nursing action to support the older client's spiritual development includes encouraging the client to conduct a life review or reminisce.

Rationale 4: A nursing action to support the older client's spiritual development includes asking open-ended questions to encourage open discussion about the client's life.

Rationale 5: Reminding the client that time is running out to make any life changes does not support the client's spiritual development.

Answer to Question 2

Correct Answer: 1, 5
Rationale 1: Defining characteristics of spiritual distress include expressing anger toward God.
Rationale 2: Crying softly in the client's room is not a defining characteristic of spiritual distress.
Rationale 3: Hugging family members is not a defining characteristic of spiritual distress.
Rationale 4: Talking with caregivers about the client's personal items is not a defining characteristic of spiritual distress.
Rationale 5: Defining characteristics of spiritual distress include refusing comfort from family.