A nurse provides spiritual care for a patient awaiting a liver ...

[tth]

A nurse provides spiritual care for a patient awaiting a liver transplant. The nurse should anticipate that the patient's most likely response will be
 
  a. consideration of issues related to own mortality.
  b. devaluation of prayer and organized religion.
  c. misinterpretation of medical information.
  d. clinical depression.

Question 2

A patient with long-standing bipolar disorder comes to the mental health center
 
  The patient says, I lost my job and home. Now, I eat in soup kitchens and sleep at a shelter. I am so depressed that I thought about jumping from a railroad bridge into a river. Which factor has priority for the nurse who determines the appropriate level of care?
  a. Long-standing bipolar disorder
  b. Risk for suicide
  c. Homelessness
  d. Lack of income

[CAPTAINAMERICA]

Answer to Question 1

A
Although each of the options is possible, the most likely response is thinking about what the illness means in terms of lifespan, quality of life, and other mortality issues. The other responses are pathologic and are not seen as frequently.

Answer to Question 2

B
Risk assessment shows the patient to have suicidal thoughts, and a plan for the suicide that is highly lethal, executable, and with low potential for rescue. The other factors do not have as great an effect on the determination of the level of services needed.

[tth]

Excellent

[abro1885]

TYSM