The nurse is taking a spiritual history from a patient with a terminal illness. Using the FICA tool, which question(s), if asked by the nurse, would be appropriate?

"Would you like to talk about something else?"

"How can I help you address your spiritual needs?"

"Why do you think your spirituality has not saved you?"

"Would you like me to serve as your spiritual counselor?"

Answer and Explanation

The Correct Answer is B

A. This question does not align with the FICA tool and avoids addressing spiritual concerns.

B. This question is appropriate and aligns with the "C" (Care) in the FICA tool, focusing on addressing the patient's spiritual needs.

C. This question is inappropriate and can be offensive and judgmental.

D. This question assumes a role that the nurse may not be qualified to fulfill and does not align with the FICA tool.

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Correct Answer is D

Explanation

A. Address the patient by his last name.
Addressing the patient by their last name can be formal but may not reflect the patient’s personal preference. It is generally respectful but does not consider individual preferences.

B. Use both first and last name with each encounter.
Using both names with each encounter can be overly formal and might not be necessary unless specified by the healthcare setting or the patient’s preference.

C. Call the patient by his first name.
Using the patient’s first name can be perceived as too informal or presumptive, depending on the patient’s preferences and cultural norms.

D. Ask the patient how he prefers to be addressed.
This is the most appropriate approach as it shows respect for the patient’s preferences and allows for a personalized and respectful interaction. It acknowledges that patients may have specific preferences for how they are addressed.

A. "If you keep saying that I will tell everyone what you did last night." B. "Please do not raise your voice at the children. I am the one who left dishes in the sink." C. "Can you tell me the reason you get upset each time I go to the mall?" D. "She is always bossing me around. Should she do that?"

Correct Answer is C

Explanation

A. This statement is a threat and does not promote effective communication.

B. This is an example of taking responsibility but not necessarily fostering effective communication.

C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.

D. This statement does not foster constructive dialogue or problem-solving.

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The nurse is taking a spiritual history from a patient with a terminal illness. Using the FICA tool, which question(s), if asked by the nurse, would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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