A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Ask the client to describe his spiritual beliefs.

Provide available resources on spiritual care for the client.

Consult a dietitian to incorporate the client's religious preferences into a meal plan.

Offer to contact the local leader of the client's religious group.

Answer and Explanation

The Correct Answer is A

A. Ask the client to describe his spiritual beliefs. This is correct. Understanding the client’s spiritual beliefs is the first step in providing appropriate and individualized care.
B. Provide available resources on spiritual care for the client. Providing resources is helpful but should follow an understanding of the client’s specific needs and beliefs.
C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. This is important for comprehensive care but is not the first step in addressing spiritual distress related to treatment conflicts.
D. Offer to contact the local leader of the client's religious group. Contacting a religious leader can be supportive, but the first step should be to understand the client’s specific spiritual beliefs and concerns.

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Correct Answer is D

Explanation

A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.

A. Ginkgo biloba B. Feverfew C. Echinacea D. Melatonin

Correct Answer is D

Explanation

A. Ginkgo biloba is often used to improve cognitive function and memory, not for sleep.
B. Feverfew is commonly used to prevent migraines and not typically for insomnia.
C. Echinacea is primarily used to boost the immune system and treat colds, not for sleep.
D. Melatonin: This is correct. Melatonin is a hormone that regulates sleep-wake cycles and is commonly used as a supplement to treat insomnia.

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A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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