The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:
"I don’t think the patient wants any religious interventions."
"That is a wonderful idea. I am sure that the patient will find comfort in that."
"I need to get an order from the doctor."
"Before you do that, we need to get the patient’s permission."
The Correct Answer is D
Choice A reason: Assuming patient preference lacks evidence; without asking, this dismisses autonomy, potentially misrepresenting the patient’s comfort with spiritual interventions.
Choice B reason: Endorsing without consent is inappropriate; the patient’s lack of affiliation suggests possible rejection, and this risks imposing unwanted religious activity.
Choice C reason: Doctor’s order isn’t required; prayer is a chaplain’s role, not medical, but patient consent is still needed, making this an unnecessary step.
Choice D reason: Permission respects autonomy; without religious affiliation, the patient may decline, and consent ensures ethical care aligned with individual beliefs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A 12-degree angle is too shallow, increasing the risk of incorrect placement and ineffective administration of the intradermal injection.
Choice B reason: The 15-degree angle ensures precise intradermal placement, forming a wheal that indicates proper administration into the dermis for optimal absorption.
Choice C reason: A 30-degree angle places the medication too deep into subcutaneous tissue, compromising intended drug absorption.
Choice D reason: A 45-degree angle results in subcutaneous rather than intradermal injection, altering the drug’s effectiveness and purpose.
Correct Answer is D
Explanation
Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.
Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.
Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.
Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.
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