A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

"My faith gives me hope during difficult times."

"Therapy is often scheduled during my daily meditation time."

"I gain comfort from meditation."

"My spiritual advisor has increased visits since I became ill."

Answer and Explanation

The Correct Answer is B

- Choice A Rationale: This statement does not indicate spiritual distress. On the contrary, it suggests that the client's faith is a source of strength and hope, which is typically a sign of positive spiritual well-being.
- Choice B Rationale:

This statement suggests a disruption in the client's spiritual practices, which could lead to spiritual distress as it interferes with a meaningful coping mechanism.

- Choice C Rationale: Similar to choice A, this statement reflects a positive aspect of the client's spirituality. Finding comfort in meditation is indicative of a beneficial spiritual practice and does not suggest distress.
- Choice D Rationale:

This reflects active spiritual support, which is helpful during illness and not indicative of spiritual distress.

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Correct Answer is C

Explanation

A. Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B. Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C. Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

A. Soy protein B. Echinacea C. St. John's wort D. Ginkgo biloba

Correct Answer is C

Explanation

A. Soy protein is not known to interact adversely with fluoxetine.

B. Echinacea is not known to interact adversely with fluoxetine.

C. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure.
D. Ginkgo biloba is not known to interact adversely with fluoxetine.

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