A Native American client is admitted to receive chemotherapy. At ...

[Mr3Hunna]

A Native American client is admitted to receive chemotherapy. At any given time, five family members are in the client's private room. The nurse tells the client that according to hospital policy, only two visitors at a time are allowed.
 
  What is the nurse manager's analysis of the situation?
  1. The nurse should allow the client to have as many family members visiting as desired.
  2. The nurse followed protocol by informing the client about hospital policy.
  3. The nurse should have called the health care provider and obtained an order allowing additional family members to be present.
  4. The nurse should have assessed the client's preference about the number of family members present.

Question 2

A health care provider recommends chemotherapy for a client diagnosed with cancer. The client tells the nurse, This is a punishment from God for the sins I have committed.
 
  Some of the women at my church say so. Which intervention will best meet the client's spiritual needs?
  1. Plan to involve a hospital minister to discuss the client's perspective about cancer.
  2. Plan to meet with family members to discuss their feeling about the cancer and prognosis.
  3. Plan to contact the client's minister to make a visit.
  4. Plan to bring the case before the hospital's board of ethics.

[al]

Answer to Question 1

Correct Answer: 4
Rationale 1: The nurse must be realistic with regard to the number of family members the client wants present. Five family members is acceptable; 20 would be too many.
Rationale 2: The nurse should have assessed the client's preference concerning visitors before interpreting the hospital rules so strictly.
Rationale 3: This situation can be resolved by the nurse; there is no need for a health care provider's order at this point.
Rationale 4: Many hospital rules, such as how many visitors are allowed, are flexible, and do not have to be strictly interpreted; this client is in a private room.
Global Rationale: Many hospital rules, such as how many visitors are allowed, are flexible, and do not have to be strictly interpreted; this client is in a private room. The nurse must be realistic with regard to the number of family members the client wants present. Five family members is acceptable; 20 would be too many. The nurse should have assessed the client's preference concerning visitors before interpreting the hospital rules so strictly. This situation can be resolved by the nurse; there is no need for a health care provider's order at this point.

Answer to Question 2

Correct Answer: 3
Rationale 1: Involving the hospital minister might be an option, but it is best to work through the client's minister initially.
Rationale 2: Meeting with the client's family might help; however, this does not address the client's spiritual needs.
Rationale 3: Strong religious beliefs can affect the outcome of illness. The nurse should involve the client's religious leader when possible.
Rationale 4: Bringing the case before the hospital board of ethics will not meet the client's spiritual needs.
Global Rationale: Strong religious beliefs can affect the outcome of illness. The nurse should involve the client's religious leader when possible. Involving the hospital minister might be an option, but it is best to work through the client's minister initially. Meeting with the client's family might help; however, this does not address the client's spiritual needs. Bringing the case before the hospital board of ethics will not meet the client's spiritual needs.

[Mr3Hunna]

TYSM

[okolip]

Excellent