Answer to Question 1
ANS: B
Several barriers may result in the nurses' inability to be totally present and communicate effectively with the patient. First, the nurse may be distracted by other things and may not pay attention to the patient. Multi-tasking while trying to listen to a patient may be a barrier to effective communication. Second, the nurses may miss the meaning of the patient's message because of failure to clarify the meaning of a word, a phrase, or a facial expression. Third, the nurse may interject personal feelings and reactions into the patient's situation rather than allow the patient to explore and discuss his own feelings and reactions. The last barrier occurs when the nurse is busy formulating a response while the patient is still talking. In this instance, the nurse never hears the patient's message.
Answer to Question 2
ANS: C
The nurse can best promote the patient's spirituality practices by arranging for the patient to be left alone when possible to meditate. Meditation is an exemplar of spirituality, not necessarily of the Christian faith. The bible is most often read by believers in the Christian faith. Meditation does not imply that the patient is not religious. Time for meditation should not be limited, whenever possible.
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