The client states, I don't know what all this fuss is about ...

[SGallaher96]

The client states, I don't know what all this fuss is about religion. God died years ago. The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.
 
  What is the best question for the nurse to consider before responding to the client's remark?
  1. Will I get into trouble if I say anything?
  2. How much longer will I be caring for this client?
  3. Am I meeting my needs or the client's?
  4. How can I best make this client understand?

Question 2

The client diagnosed with diabetes mellitus develops diabetic ketoacidosis after a religious fast. The client tells the nurse, I have fasted during this season every year since I became an adult. I am not going to stop now.
 
  The nurse is not knowledgeable about this particular religion. What is the best action for this nurse?
  1. Tell the client that it is different now because of the diabetes.
  2. Do some research into the meaning of fasting in this religion.
  3. Ask family members of the same religion to discuss fasting with the client.
  4. Request a consult from a diabetes educator.

[phuda]

Answer to Question 1

Correct Answer: 3
Rationale: The nurse should first determine if it is the nurse's needs or the client's needs that would be met by a response. Only after that determination is made would the nurse move on to the other questions in formulating the response.

Answer to Question 2

Correct Answer: 4
Rationale 1: Telling the client that life is different now does not support religious beliefs.
Rationale 2: Research into the meaning of fasting in this religion would be educative for the nurse, but the client requires more immediate intervention.
Rationale 3: Asking the family to talk to the client might help, but the diabetes educator would be able to provide more direct and helpful information for the client.
Rationale 4: The diabetes educator should be contacted to work with the client on strategies that might allow the fasting to occur in a safe manner.

[SGallaher96]

Excellent

[kswal303]

TYSM