When does the nurse assess patients' spirituality? (Select all ...

[V@ndy87]

When does the nurse assess patients' spirituality? (Select all that apply.)
 
  a. Upon admission
  b. New diagnosis
  c. Life-changing diagnosis
  d. When the chaplain makes rounds
  e. When facing treatment decisions

Question 2

The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.)
 
  a. Desire for shaman to be present
  b. Personal use of herbs and prayers
  c. Desire to create a living will
  d. Power of storytelling for healing
  e. Involvement in church activities

[ASDFGJLO]

Answer to Question 1

ANS: A, B, C, E
There are many times at which a spiritual assessment is necessary. All patients should have their spirituality assessed upon admission at a minimum. Other assessments should be conducted at times when the patient is at risk for spiritual distress. Assessment should be done based on patient need, not when the chaplain is available.

Answer to Question 2

ANS: A, B, D
Native Americans often use shamans; prayers, songs, and dances; storytelling; and herbs in health care. The HOPE framework assesses sources of hope, meaning comfort, strength, peace, love, and connection; organized religion; personal spirituality and practice; and effects on medical care and end of life issues. The nurse who knows about both topics will assess this patient for the desire for a shaman to be present, the personal use of herbs and prayers, and storytelling. A living will is more accurately assessed with the SPIRIT framework. Involvement in church activities can be best assessed using either the SPIRIT or FICA framework.

[V@ndy87]

Excellent

[dawsa925]

TYSM