A client was admitted to home care and was dismayed to find the ...

[brutforce]

A client was admitted to home care and was dismayed to find the nurse discussing such uncomfortable topics as advance directives, living will, and durable power of attorney. Which of the following is the most appropriate response by the nurse?
 
  a. Don't be concerned; this is just routine.
  b. I'm sorry, but the state law says I have to ask you to fill out these forms.
  c. You get to make decisions about your care, but if, for any reason, you can't do this, these forms will tell us what you want us to do.
  d. Your physician asked us to discuss these with you.

Question 2

Which of the following interventions would be appropriate for a faith community nurse who bases care on the CIRCLE Model of Spiritual Care? (Select all that apply.)
 
  a. Giving a mini sermon based on the specific client problem
  b. Listening and showing respect without any actual intervention
  c. Suggesting to the client what would be an appropriate response to the situation
  d. Showing love and empathy toward the client and the situation
  e. Calling the client by name during the conversation
  f.
  Allowing time for prayer during the client interaction

[Ahnyah]

Answer to Question 1

ANS: C
Medicare-certified health care agencies must ask patients about advance directives and provide patients with the advance directive form if the patient is interested in completing the document.

Answer to Question 2

ANS: D, E, F
Faith community nurses should avoid giving sermons or preaching religion to clients. Listening without any intervention is not possible, because listening in and of itself can be therapeutic. Clients retain their autonomy so nurses can give information but cannot suggest to clients what their decision should be. Appropriate emotional interventions include working with feelings, showing love, and using appropriate touch and empathy. Calling a patient by name is part of showing caring during the interaction. Intuition includes allowing time for prayer and sacrament and supports and encourages religious activities.

[brutforce]

Thank you

[Ahnyah]

Happy to help you