A patient is scheduled to have an MRI and has a metal religious ...

[Sufayan.ah]

A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown, which can't go in the scanner. What action by the nurse is best?
 
  a. Take the icon off the patient's gown until she returns.
  b. Give the icon to the patient's family for safekeeping.
  c. Pin the icon to the patient's pillow so it can go to radiology.
  d. Explain the restriction and ask the patient's preference.

Question 2

A home health care nurse has been working with a patient who has the nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met?
 
  a. Ask the patient to what extent he/she feels goals have been met.
  b. Ask the patient to rate the distress on a scale of 1-10.
  c. Assess for objective data to support goal attainment.
  d. Determine if the patient thinks the interventions are helpful.

[Pamela.irrgang@yahoo.com]

Answer to Question 1

ANS: D
The religious icon has profound significance for the patient and should not be removed by the nurse. Since the icon cannot go into the MRI scanner itself, the nurse should explain the situation to the patient and get the patient's opinion of various options. All other options are possibilities, but it should be the patient's determination.

Answer to Question 2

ANS: A
For a diagnosis with a large subjective component, getting the patient's feedback on goal attainment is best. There may be no objective data the nurse can use to rate goal attainment. Using a scale can be a part of the evaluation, but the patient's determination is best.

[Sufayan.ah]

Thank you!

[Pamela.irrgang@yahoo.com]

Always glad to help...