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. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

A. Tell the client that offensive language is a problem. B. Ask the client to avoid using offensive language. C. Describe how the offensive language is disrespectful of others. D. Explain positive consequences of using appropriate language.

Correct Answer is C

Explanation

A. Telling the client that offensive language is a problem does not involve a respectful, caring approach or explain the issue.

B. Asking the client to avoid offensive language is a step that can come after explaining the issue.

C. Describing how the offensive language is disrespectful of others is the first step in the CARE method, which involves Confronting the behavior with a clear explanation.

D. Explaining positive consequences is a later step, after addressing the current behavior.

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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

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. Using the CARE method of confrontation, what should the nurse do first?

Correct Answer is C

Explanation

The patient asks the nurse to explain why computers are needed in healthcare. Which response by the nurse is best?

The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

A nurse who cares for patients in the emergency department is distressed, fatigued, and frustrated by the demands of the job. Which are appropriate methods for the nurse to renew energy and find meaning in nursing practice? (Select all that apply.)

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?

Which of the following statements made by the nurse best demonstrates the "S" in the DESC script?

The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

According to Riley, which of the following best describes the generation comprising of 55% of Western society's workforce, characterized by idealism, workaholism, whose strength can be assisting with consensus building and mentoring?