A nurse is reluctant to pray when a client requests to pray together.
Which statement by the nurse would best meet the client’s spiritual needs?

“I don’t know how to pray, but I will bring you a Bible.”.

“Wouldn’t you prefer to pray with one of your visitors?”.

“I don’t share your religious beliefs, so I cannot pray with you.”.

“I feel uncomfortable praying with you, but I will find someone who won’t feel that way.”.

Answer and Explanation

The Correct Answer is D

“I feel uncomfortable praying with you, but I will find someone who won’t feel that way.” This statement by the nurse would best meet the client’s spiritual needs because it acknowledges the nurse’s own boundaries and feelings while also respecting the client’s request and finding a way to fulfill it.

Some possible explanations for why the other choices are wrong are:

Choice A is wrong because it does not address the client’s request to pray together and it assumes that the client wants a Bible without asking.

Choice B is wrong because it implies that the nurse does not want to pray with the client and that the client’s visitors would be more suitable for this task, which could make the client feel rejected or unsupported.

Choice C is wrong because it directly rejects the client’s request and discloses the nurse’s personal beliefs, which could create a sense of disconnection or conflict between the nurse and the client.

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Correct Answer is B

Explanation

Heat application increases blood flow and reduces muscle spasms, which can help relieve pain and promote healing. However, heat should not be applied for longer than 30 minutes at a time, as it can cause tissue damage and inflammation.

Choice A is wrong because maximum benefits do not occur within the first five minutes.

It takes time for heat to penetrate the tissues and cause vasodilation.

Choice C is wrong because the heat should not be left in place for at least one hour to be effective.

This can lead to burns, increased edema, and decreased blood flow.

Choice D is wrong because heat can not be left in place for as long as 12 hours without harmful effects.

This can cause severe tissue damage, infection, and necrosis.

Normal ranges for heat application are between 104°F and 113°F (40°C and 45°C).

The temperature should be checked frequently and adjusted according to the patient’s comfort and tolerance.

The skin should also be inspected for signs of erythema, blisters, or burns.

A. Assessing pain status. B. Administering a placebo. C. Reviewing a pain diary. D. Offering a back massage.

Correct Answer is D

Explanation

A back massage is a type of cutaneous stimulation that can help reduce pain by activating the gate control theory of pain. Cutaneous stimulation is a non-pharmacological intervention that can be delegated to unlicensed assistive personnel (UAP) or nursing assistive personnel (NAP) under the supervision of a registered nurse.

Choice A is wrong because assessing pain status requires critical thinking and clinical judgment, which are skills that only registered nurses have. Pain assessment is not a task that can be delegated to UAP/NAP.

Choice B is wrong because administering a placebo is a type of pharmacological intervention that involves giving a substance that has no therapeutic effect. Placebos are unethical and ineffective for pain management and should not be used by any health care provider.

Choice C is wrong because reviewing a pain diary involves evaluating the patient’s response to pain interventions and adjusting the plan of care accordingly. This is a complex task that requires nursing knowledge and skills and cannot be delegated to UAP/NAP.

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A nurse is reluctant to pray when a client requests to pray together. Which statement by the nurse would best meet the client’s spiritual needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse how long a heat application should be left in place. Which response should the nurse make?

Correct Answer is B

Explanation

A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?

Correct Answer is D

Explanation

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A nurse is reluctant to pray when a client requests to pray together.
Which statement by the nurse would best meet the client’s spiritual needs?