The client being prepared for a procedure asks to be allowed to ...

[waynest]

The client being prepared for a procedure asks to be allowed to wear a religious medal. The client states, I have worn this medal and have not removed it since I was a teenager. What action should be taken by the nurse?
 
  1. Tell the client that the medal must be removed as it is policy to remove all jewelry for these procedures.
  2. Tell the client that the medal can be worn.
  3. Tell the client that the nurse will explain to the colonoscopy staff about the medal and will request that they allow the client to wear it.
  4. Remove the medal and place it on the head of the bed where the client will be able to see it during the procedure.

Question 2

During assessment, the client says that it has been a long time since she has thought very much about religion. The nurse caring for this client has a strong belief in God and the healing power of prayer. What action should be taken by the nur
 
  1. Mention the nurse's belief and offer to pray with the client for forgiveness.
  2. Tell the client that the nurse will pray for her often.
  3. Ask the client if there are any spiritual needs with which the staff can assist.
  4. Refer the client for spiritual counseling.

[BAOCHAU2803]

Answer to Question 1

Correct Answer: 3
Rationale 1: The fact that there is a policy to remove all jewelry is simply a policy, and an exception might be made and documented in this case.
Rationale 2: The nurse should not tell the client that the medal will be allowed as this decision belongs to those directly involved in the procedure.
Rationale 3: The nurse should explain the significance of the medal to the colonoscopy staff and request that the client be allowed to wear it during the procedure.
Rationale 4: Removing the medal and placing it on the head of the bed is not a good choice. There may be no reason to remove the medal. Placing the medal on the head of the bed might allow it to be lost.

Answer to Question 2

Correct Answer: 3
Rationale 1: Offering to pray with the client is over the boundary of professional practice unless the client requests such intervention and the nurse is comfortable with the arrangement.
Rationale 2: Offering to pray for the client is over the boundary of professional practice unless the client requests such intervention and the nurse is comfortable with the arrangement.
Rationale 3: The client can be asked general questions to elicit information about what beliefs and practices are important to the present health care situation, and what, if anything, the client would like from the health care team to support spiritual health.
Rationale 4: At this point, there is no information that indicates the client is in need of referral for counseling. This would occur only if the client demonstrates spiritual distress at the level best handled by a specialist.

[waynest]

TYSM

[AISCAMPING]

Gracias!