Solutions - Chapter 41 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. The mother of a pediatric client states, “I can’t understand God would allow this to happen to my innocent child!” Which NANDA diagnosis is most accurate?
1.  Spiritual Distress related to search for meaning of child’ illness
2.  Impaired Religiosity related to anger at God
3.  Ineffective Coping related to anger
4.  Risk for Spiritual Distress related to threatened sense of hope
Get Solution


1CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
Terry stated that he was “not very religious.” Does that mean that he is not spiritual? Explain.
Get Solution


2CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
What data suggest that Terry may be experiencing spiritual distress?
Get Solution


2TYK. A client’s wife asks the nurse to pray for her. What would be the best initial response for a nurse who believes in prayer?
1.  “May I call the chaplain to come and pray with you?”
2.  “I know your faith is important to you. It is to me, too. Let’s pray.”
3.  “I’m happy to do that. For what would you like me to pray?”
4.  “Isn’t it wonderful that we have a God with whom we can share our concerns?”
Get Solution


3CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
How might illness affect one’s spiritual beliefs? Religious beliefs?
Get Solution


3TYK. A client is experiencing severe pain that cannot be controlled by analgesics. An appropriate intervention is full presencing, which involves which of the following?
1.  Physical presence
2.  Physical presence with mental awareness of the client
3.  Physical, mental, and emotional presence
4.  Physical, mental, emotional, and spiritual presence
Get Solution


4CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
How might a spiritual assessment be of benefit to both you and Terry?
Get Solution


4TYK. A client reports, “Cancer was the best thing that happened to me! It is making me appreciate life so much more.” This statement fits best with which NANDA diagnosis?
1.  Spiritual Distress
2.  Risk for Spiritual Distress
3.  Readiness for Enhanced Spiritual Well-Being
4.  Cognitive Denial
Get Solution


5CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
What questions might be helpful to ask to further understand Terry?
Get Solution


5TYK. A dying client states, “Part of what makes dying hard is that I don’t know for sure where I’m going. Nurse, what do you believe happens in the hereafter?” Which ethical guideline should guide your response?
1.  Never share personal spiritual beliefs.
2.  Share all spiritual beliefs, favoring none.
3.  Share only your beliefs.
4.  First assess for what prompts the client’s question.
Get Solution


6CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
What might you say to show Terry empathy?
Get Solution


6TYK. Research evidence that supports providing spiritual care to older adults suggests that
1.  Older adults are not very religious, but are very spiritual.
2.  Older adults who are more religious have more illness.
3.  Spiritual health and mental health are correlated.
4.  Increased spiritual well-being is found among older adults with depression.
Get Solution


7TYK. A client in the emergency department needs a transfusion of red blood cells. The client tells the nurse that, as a Jehovah’s Witness, blood transfusions are not permitted. Which statement would most likely lead to a resolution for this conflict?
1.  You must accept the transfusion or else leave.
2.  Don’t worry, you can ask for pardon after taking the blood.
3.  May I please call a representative of your religion so that I can understand your position better?
4.  I understand your position; I’ll be here with you as you die.
Get Solution


8TYK. An 88-year-old woman has just been admitted to a skilled nursing facility. She tells the nurse that she has been a Sunday school teacher and volunteers for many of her church’s projects. Which of the following NANDA diagnoses is most appropriate?
1.  Risk for Spiritual Distress
2.  Risk for Impaired Religiosity
3.  Readiness for Enhanced Spiritual Well-Being
4.  Impaired Religiosity
Get Solution


9TYK. Which of the following thoughts made by a nurse illustrate a “wounded healer”?
1. “I didn’t need that much analgesic when I had abdominal surgery.”
2. “No pain, no gain!”
3. “If clients would choose a more positive attitude, they’d feel better.”
4. “I felt scared when I had surgery; maybe this client feels similarly.”
Get Solution