Author Question: The nurse has identified the following nursing diagnoses for his assigned clients. Of the follow-ing ... (Read 61 times)

joesmith1212 · **on:** Jul 23, 2018

The nurse has identified the following nursing diagnoses for his assigned clients. Of the follow-ing diagnoses, which one indicates the greatest potential need to plan for the client's spiritual needs?

1. Altered health maintenance
2. Ineffective individual coping
3. Impaired long-term memory
4. Decreased adaptive capacity

Question 2

The nurse, while working with a client to support and assess spirituality should first:

1. Refer the client to the agency chaplain
2. Assist the client to use faith to get well
3. Provide a variety of religious literature
4. Determine the client's personal belief system

raili21 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Ineffective individual coping is a nursing diagnosis that may apply to clients in need of spiritual care. The nursing diagnosis of altered health maintenance does not indicate the greatest potential need for spiritual care. The nursing diagnosis of impaired long-term memory does not imply the need for spiritual care. The nursing diagnosis of decreased adaptive capacity does not indicate the greatest potential need for spiritual care.

Answer to Question 2

ANS: 4
While working with a client to assess and support spirituality, the nurse should first determine the client's perceptions and belief system. Exploring the client's spirituality may reveal responses to health problems that require nursing intervention, or it may reveal the existence of a strong set of resources that enable the client to cope effectively. Although the agency chaplain may be a source for referral, it is not the first action the nurse should take in assessing and supporting a client's spirituality. The nurse needs to first assess a client's spirituality to determine the client's perceptions and belief system before attempting to assist the client to use faith to get well. Providing a variety of religious literature may be ineffective as it does not address the client as an individual and does not assess the client's personal spiritual needs. The nurse should first assess the client's perception and belief system before implementing any intervention.