Author Question: A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries ... (Read 44 times)

leilurhhh · **on:** Jul 23, 2018

A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?

A) These behaviors are expected before major surgery.
B) These behaviors are signs of spiritual distress.
C) Family members live far away and the client is lonely.
D) The client is naturally emotional and reactive.

Question 2

A nurse is using Anandarajah and Hight's (2001) HOPE acronym to assess a client's spirituality and religious beliefs. Which of the following is a component of this acronym?

A) H = heaven
B) O = openness
C) P = personal spirituality
D) E = eternity

bbburns21 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B
Many clients find it difficult to talk about their spiritual beliefs and problems but may have behavioral indicators of spiritual distress. Significant behavioral observations include sudden changes in spiritual practices, mood changes, sudden interest in spiritual matters, and disturbed sleep.

Answer to Question 2

Ans: C
One simple guide is Anandarajah and Hight's (2001) HOPE acronym:
HSources of hope, meaning, comfort, strength, peace, love, and connection; OOrganized religion; PPersonal spirituality and practice; EEffects on medical care and end-of-life issue.