Author Question: The client who has been hospitalized for 3 weeks following a severe motor vehicle crash tells the ... (Read 78 times)

kaid0807 · **on:** Jul 23, 2018

The client who has been hospitalized for 3 weeks following a severe motor vehicle crash tells the nurse that spirituality and spiritual matters mean a great deal more now than before the incident.

What nursing diagnosis would the nurse add to this client's care plan?
What will be an ideal response?

Question 2

During the morning bath, the client asks if the nurse is religious and believes in God. What guideline would be most helpful to the nurse in formulating a response to this question?

1. The nurse's personal life is none of the client's business.
2. Religion and politics are two subjects not discussed in polite society.
3. Will sharing this information positively contribute to the relationship?
4. What is the culture of the facility regarding self-disclosure?

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

Answer to Question 1

Correct Answer: Readiness for Enhanced Spiritual Well-Being
Rationale : Readiness for Enhanced Spiritual Well-Being is a NANDA-approved wellness diagnosis that reflects the client's ability to experience and integrate meaning and purpose in life through a person's connectedness with self, others, art, music, literature, nature, or a power greater than oneself (NANDA, 2003).

Answer to Question 2

Correct Answer: 3
Rationale 1: While it is true that the nurse's personal life is private, the nurse might decide to self-disclose.
Rationale 2: Some cultures do believe that religion and politics should not be discussed in polite society, but the client does deserve some answer to the question.
Rationale 3: Practice guidelines regarding support of religious practices indicate that the nurse should first consider whether such self-disclosure will contribute to a therapeutic nurse-client relationship.
Rationale 4: Although considering the culture of the unit is important, the nurse can make the clinical decision that what is generally done on the unit does not apply in this situation.