Nokea
A patient who stated their religion as Jewish at the intake interview was served a kosher meal ordered from a restaurant on a paper plate because the hospital had no provision for kosher food or dishes. The patient became angry and accused the nurse of insulting him, emphatically stating, "I want to eat what everyone else does-and give me decent dishes." After analyzing the data, the nurse returns to the patient and makes which of these statements?
- A. "I'm terribly sorry, I should have ordered kosher food and dishes as well."
- B. "Did someone on the staff behave condescendingly or critically?"
- C. "It seems difficult to please you today."
- D. "We did not ask about your dietary preferences; tell me what you usually eat."
Correct Answer: D
Rationale: On the basis of the patient's stated religion, the nurse assumed they would want a kosher diet. This is a form of stereotyping. When evaluating the outcome of the situation, the nurse returns to the first step of the nursing process and assesses the patient's dietary practices and preferences.
You may also like to solve these questions
The Roman Catholic family of an infant born with hydrocephalus requests a baptism for their infant. The nurse advocates for the family's wishes to be honored for which reason?
- A. Baptism frequently helps postpone or prevent death or suffering.
- B. It is legally required that the nurse provide for this care when requested.
- C. It is a nursing function to assure the salvation of the infant.
- D. Not facilitating the baptism may increase the family's sorrow and suffering.
Correct Answer: D
Rationale: Failure to ensure that an infant baptism is performed when parents desire it may greatly increase the family's sorrow and suffering. Whether baptism postpones or prevents death and suffering is a religious belief that is insufficient to bind all nurses. There is no legal requirement regarding baptism, and although some nurses may believe part of their role is to ensure the salvation of the infant, this function could be rejected by many.
A nurse in a long-term care facility is performing spirituality assessments of residents on their unit. What is the best question the nurse could use to assess for spiritual needs?
- A. "Can you describe your usual spiritual practices and how you maintain them daily?"
- B. "Are your spiritual beliefs causing you any concern?"
- C. "How can I and the other nurses help you maintain your spiritual practices?"
- D. "How do your religious beliefs help you to feel at peace?"
Correct Answer: C
Rationale: Questioning how the staff can meet patients' spiritual practices assesses spiritual needs. Asking the patient to describe spiritual practices is an assessment of spiritual practices. Asking about concerns assesses spiritual distress, and asking about feeling at peace assesses the need for forgiveness.
A nurse who is caring for patients on a pediatric unit is assessing children's spiritual needs. Which is the most important source of learning for a child's own spirituality?
- A. Child's church or religious organization
- B. What their parents say about God and religion
- C. Their parents' behavior in relationship to the family, others, and to God
- D. Family's spiritual advisor
Correct Answer: C
Rationale: Children learn most about their own spirituality from how their parents behave in relationship to one another, their children, others, and God (or a higher being). What parents say about God and religion, the family's spiritual advisor, and the child's church or religious organization are less important sources of learning.
A nursing student is caring for a patient admitted with chest pain related to aortic valve stenosis. The student notes the patient, who had been calm and cooperative the day before, has become contemplative and withdrawn, stating, "I've never thought much about dying, but my chances of making it through tomorrow's surgery are 50-50." How does the student best respond when the clinical professor asks the student why this behavior likely surfaced later in the patient's admission?
- A. Patients usually want to maintain privacy about their spiritual needs.
- B. People are better able to focus on spiritual needs after their spiritual advisor visits.
- C. Family members and close friends often initiate spiritual concerns.
- D. Illness increases spiritual concerns, which may initially be difficult to verbalize.
Correct Answer: D
Rationale: Illness may increase spiritual concerns, which many patients find difficult to initially express. The other options presume patients are purposefully secretive or must speak with a spiritual advisor, friends, or family to promote discussion of spiritual concerns.
A surgeon tells a patient who is a Jehovah's Witness that they need emergency surgery to repair an aortic aneurysm, which will require blood transfusions. The patient states, "If I receive blood, I will not go to paradise. It is against my religion." What nursing response to the patient is appropriate?
- A. "I understand you will not receive blood products, even if it means you will die."
- B. "Please listen to the surgeon; I've seen many aneurysms successfully repaired"
- C. "Have you discussed your decision to refuse surgery with your family?"
- D. "What can I say to help you through this difficult decision?"
Correct Answer: A
Rationale: Patients who practice the Jehovah's Witness faith believe blood transfusions violate God's laws and do not allow them. The nurse supports the patient's beliefs. It is disrespectful of the nurse to attempt to coerce a decision or impose their beliefs on the patient.