Answer to Question 1
1
Rationale: Asking clients to identify which spiritual beliefs are most important to them enables the nurse to reassure clients who fear that their beliefs will be challenged or minimized in a psychiatric environment. The nurse should avoid offering advice such as suggesting the client pray and turn all troubles over to God. Referring the client to a priest or pastor abdicates the nurse's role in helping clients explore the importance of spiritual beliefs in their recovery. Asking clients to tell the nurse what can be done to help places the responsibility for action on the nurse rather than the client and does not encourage discussion of spiritual beliefs.
Answer to Question 2
2,3,4,5
Rationale: The health history may help rule out a physiologic disorder and gives baseline information for the physical assessment. It will be important to know what support systems are available to assist the client in the recovery process. It is important to know what types of immediate interventions may be necessary to address current stressors as they may contribute to being helpless and hopeless. Neither genetic testing nor genetic counseling is necessary for the immediate care of the client.
Client receiving hemodialysis.
Nurse opens sterile package
A functional renal unit.
Example of simplified note for one-time client.
Using small, circular strokes, exfoliate the client’s neck and back.
Removing the sheet from underneath the client.