A nurse in a long-term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?

Explanation:

A. Spirituality can increase feelings of hopelessness.

This statement is generally incorrect. Spirituality often provides individuals with a sense of purpose, meaning, and hope, especially during challenging times such as facing the end of life. It can offer comfort, guidance, and a sense of connection to something greater than oneself, which can alleviate feelings of hopelessness.

B. Spirituality can increase the desire to hasten death.

This statement is not typically true. For many individuals, spirituality provides a source of strength, resilience, and peace, which can help them cope with the end-of-life process without necessarily increasing the desire to hasten death. Spirituality often encourages acceptance, inner peace, and a focus on finding meaning in life's experiences, including the end of life.

C. Spirituality can increase depression.

While spirituality can be a source of support and coping for individuals near the end of life, it is not accurate to say that it increases depression. In fact, spirituality can often provide comfort, solace, and a sense of connection that may help reduce feelings of depression and promote emotional well-being.

D. Spirituality can increase the quality of life.

This statement is correct. Many studies and anecdotal evidence suggest that spirituality plays a significant role in enhancing the quality of life for individuals facing the end of life. It can provide comfort, peace, meaning, and a sense of connection with others, one's beliefs, and the universe, contributing to overall well-being and quality of life.

Explanation:

A. Data collection:

Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, psychological, social, and environmental factors. This involves conducting assessments, obtaining medical histories, performing physical exams, reviewing diagnostic tests, and gathering information from the client, family members, and other healthcare providers. In the scenario, data collection would involve gathering information about the client's postoperative condition, recovery progress, functional abilities, support system, home environment, and any other relevant factors that would influence the discharge planning process.

B. Evaluation:

Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions, measures progress toward goals, and determines the effectiveness of the care provided. It involves comparing the client's actual outcomes with expected outcomes, identifying any deviations or areas needing improvement, and making adjustments to the care plan as necessary. In the scenario, evaluation would occur after the implementation of the discharge plan to assess the client's readiness for discharge, the achievement of goals, and the overall success of the interventions implemented.

C. Planning:

Planning is the phase of the nursing process where the nurse, in collaboration with the client, family, and healthcare team members, develops a comprehensive plan of care based on the collected data and identified needs. This includes setting priorities, establishing expected outcomes and goals, determining appropriate interventions, creating a timeline for implementation, and coordinating resources and services. In the scenario, planning involves working with the social worker and physical therapist to develop a discharge plan that addresses the client's postoperative needs, ensures continuity of care, promotes recovery, and supports a smooth transition from the healthcare facility to the home or next level of care.

D. Implementation:

Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the care plan. This involves putting the plan into action, providing direct care, educating the client and family, coordinating services, monitoring progress, and advocating for the client's needs. In the scenario, implementation would occur as the nurse, along with the social worker and physical therapist, initiates the discharge plan, arranges for services and resources, provides education and instructions to the client and family, and ensures that all necessary preparations are made for the client's transition from the hospital.