Question 1

A client scheduled for surgery wants to continue to wear a religious medal.Which actions by the nurse support the client's religious needs? Select all that apply.

Accepted Answer

A) The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.
B) The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.
C) The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.
D) The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.
E) The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.

Question 2

A client who was raped tells the nurse that she is planning to have an abortion because she cannot raise a child who was conceived this way; however,abortion is against her religion.Which action by the nurse is the most appropriate?

Accepted Answer

A) The client's decision is to have an abortion even though it is against her religion. The best thing for the nurse to do is to ask the client what she needs to support her decision. The nurse should not provide information about adoption because the client is not planning on carrying the child to term. The nurse should not suggest she talk with clergy because the client did not ask to do so. The nurse should not remind the client that abortion is killing because this would not support the client's resolution of her moral dilemma.
B) The client's decision is to have an abortion even though it is against her religion. The best thing for the nurse to do is to ask the client what she needs to support her decision. The nurse should not provide information about adoption because the client is not planning on carrying the child to term. The nurse should not suggest she talk with clergy because the client did not ask to do so. The nurse should not remind the client that abortion is killing because this would not support the client's resolution of her moral dilemma.
C) The client's decision is to have an abortion even though it is against her religion. The best thing for the nurse to do is to ask the client what she needs to support her decision. The nurse should not provide information about adoption because the client is not planning on carrying the child to term. The nurse should not suggest she talk with clergy because the client did not ask to do so. The nurse should not remind the client that abortion is killing because this would not support the client's resolution of her moral dilemma.
D) The client's decision is to have an abortion even though it is against her religion. The best thing for the nurse to do is to ask the client what she needs to support her decision. The nurse should not provide information about adoption because the client is not planning on carrying the child to term. The nurse should not suggest she talk with clergy because the client did not ask to do so. The nurse should not remind the client that abortion is killing because this would not support the client's resolution of her moral dilemma.

Question 3

While hospitalized,a client learns that a dear friend has died as a result of an accident.The client is crying and asking God,"Why?" The nurse realizes the client is demonstrating which type of spiritual distress?

Accepted Answer

A) Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
B) Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
C) Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
D) Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.

Question 4

A client says that even though a diagnosis of hypertension is disappointing,with medication and lifestyle changes,it can be controlled and the client will become a better person.Based on this data,which aspect of spirituality is the client demonstrating?

Accepted Answer

A) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.
B) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.
C) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.
D) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.

Question 5

A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?

Accepted Answer

A) To support the client's need to avoid surgery during Holy Days, the nurse should communicate the client's request to the surgeon. The nurse should not remind the client that health is more important than following Holy Days or suggest that the client consider not having surgery. The nurse should also not provide the client with alternative forms of treatment to replace having surgery.
B) To support the client's need to avoid surgery during Holy Days, the nurse should communicate the client's request to the surgeon. The nurse should not remind the client that health is more important than following Holy Days or suggest that the client consider not having surgery. The nurse should also not provide the client with alternative forms of treatment to replace having surgery.
C) To support the client's need to avoid surgery during Holy Days, the nurse should communicate the client's request to the surgeon. The nurse should not remind the client that health is more important than following Holy Days or suggest that the client consider not having surgery. The nurse should also not provide the client with alternative forms of treatment to replace having surgery.
D) To support the client's need to avoid surgery during Holy Days, the nurse should communicate the client's request to the surgeon. The nurse should not remind the client that health is more important than following Holy Days or suggest that the client consider not having surgery. The nurse should also not provide the client with alternative forms of treatment to replace having surgery.

Question 6

The nurse is providing care to a Catholic client.Which treatment option may cause this client spiritual distress?

Accepted Answer

A) The elective termination of pregnancy, or an abortion, is a treatment that may cause this client spiritual distress. Blood transfusion, a specialized cardiac diet, and a below the knee amputation would not cause this client spiritual distress.
B) The elective termination of pregnancy, or an abortion, is a treatment that may cause this client spiritual distress. Blood transfusion, a specialized cardiac diet, and a below the knee amputation would not cause this client spiritual distress.
C) The elective termination of pregnancy, or an abortion, is a treatment that may cause this client spiritual distress. Blood transfusion, a specialized cardiac diet, and a below the knee amputation would not cause this client spiritual distress.
D) The elective termination of pregnancy, or an abortion, is a treatment that may cause this client spiritual distress. Blood transfusion, a specialized cardiac diet, and a below the knee amputation would not cause this client spiritual distress.

Question 7

While helping a client with the evening meal,the nurse observes the client close his eyes,bow his head,and murmur words of thanks and praise.What does this behavior indicate to the nurse?

Accepted Answer

A) The client's behavior of bowing the head, closing the eyes, and murmuring words of thanks and praise are indications that the client was praying. The client was not demonstrating confusion. The nurse has no way of knowing if the client was asking that the meal be better than the last. The client was not delaying the nurse so that she did not leave.
B) The client's behavior of bowing the head, closing the eyes, and murmuring words of thanks and praise are indications that the client was praying. The client was not demonstrating confusion. The nurse has no way of knowing if the client was asking that the meal be better than the last. The client was not delaying the nurse so that she did not leave.
C) The client's behavior of bowing the head, closing the eyes, and murmuring words of thanks and praise are indications that the client was praying. The client was not demonstrating confusion. The nurse has no way of knowing if the client was asking that the meal be better than the last. The client was not delaying the nurse so that she did not leave.
D) The client's behavior of bowing the head, closing the eyes, and murmuring words of thanks and praise are indications that the client was praying. The client was not demonstrating confusion. The nurse has no way of knowing if the client was asking that the meal be better than the last. The client was not delaying the nurse so that she did not leave.

Question 8

A nurse is admitting a client to the oncology unit.During the admission assessment,when the nurse asks the client about religious preference,the client states,"I am an atheist." The nurse is aware that the client holds which belief?

Accepted Answer

A) An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
B) An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
C) An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
D) An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.

Question 9

A client,learning that her baby has died in utero,is planning to carry the baby until natural delivery because abortion is against her religion.Which is the client demonstrating based on this data?

Accepted Answer

A) Religion and morals can at times be interrelated within health care. The client wants to maintain the baby until natural delivery occurs because having an abortion would be against her religion. The client is demonstrating her morals. The client may or may not be demonstrating sound judgment or a healthy decision. The nurse has no way of knowing if the client is in fear of retribution.
B) Religion and morals can at times be interrelated within health care. The client wants to maintain the baby until natural delivery occurs because having an abortion would be against her religion. The client is demonstrating her morals. The client may or may not be demonstrating sound judgment or a healthy decision. The nurse has no way of knowing if the client is in fear of retribution.
C) Religion and morals can at times be interrelated within health care. The client wants to maintain the baby until natural delivery occurs because having an abortion would be against her religion. The client is demonstrating her morals. The client may or may not be demonstrating sound judgment or a healthy decision. The nurse has no way of knowing if the client is in fear of retribution.
D) Religion and morals can at times be interrelated within health care. The client wants to maintain the baby until natural delivery occurs because having an abortion would be against her religion. The client is demonstrating her morals. The client may or may not be demonstrating sound judgment or a healthy decision. The nurse has no way of knowing if the client is in fear of retribution.

Question 10

A nursing instructor is discussing moral principles with a group of students.Which comment made by a student nurse indicates the need for further instruction?

Accepted Answer

A) Justice is often referred to as fairness, which would be demonstrated by the nurse assuring that each client gets an adequate amount of time with the nurse. Beneficence refers to the fact that nurses are obligated to do good. Autonomy refers to the right to make one's own decisions. Veracity refers to telling the truth. Fidelity means to be faithful to agreements and promises.
B) Justice is often referred to as fairness, which would be demonstrated by the nurse assuring that each client gets an adequate amount of time with the nurse. Beneficence refers to the fact that nurses are obligated to do good. Autonomy refers to the right to make one's own decisions. Veracity refers to telling the truth. Fidelity means to be faithful to agreements and promises.
C) Justice is often referred to as fairness, which would be demonstrated by the nurse assuring that each client gets an adequate amount of time with the nurse. Beneficence refers to the fact that nurses are obligated to do good. Autonomy refers to the right to make one's own decisions. Veracity refers to telling the truth. Fidelity means to be faithful to agreements and promises.
D) Justice is often referred to as fairness, which would be demonstrated by the nurse assuring that each client gets an adequate amount of time with the nurse. Beneficence refers to the fact that nurses are obligated to do good. Autonomy refers to the right to make one's own decisions. Veracity refers to telling the truth. Fidelity means to be faithful to agreements and promises.

Question 11

The nurse is assessing a client for spiritual distress.Which observations indicate that a client is experiencing spiritual distress? Select all that apply.

Accepted Answer

A) The client who states a loss of faith in God after getting ill, the client who is crying, pacing and moving his head from left to right, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
B) The client who states a loss of faith in God after getting ill, the client who is crying, pacing and moving his head from left to right, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
C) The client who states a loss of faith in God after getting ill, the client who is crying, pacing and moving his head from left to right, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
D) The client who states a loss of faith in God after getting ill, the client who is crying, pacing and moving his head from left to right, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
E) The client who states a loss of faith in God after getting ill, the client who is crying, pacing and moving his head from left to right, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.

Question 12

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus.The client wishes to take Communion but must fast for one hour prior to receiving it.Which action by the nurse is most appropriate?

Accepted Answer

A) To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
B) To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
C) To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
D) To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.

Question 13

When providing nursing care the client states,"I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body." Which action by the nurse is appropriate when providing care to this client?

Accepted Answer

A) To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
B) To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
C) To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
D) To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.

Question 14

The nurse is assessing a client's spirituality.Which findings indicate the client is experiencing spiritual strength? Select all that apply.

Accepted Answer

A) Characteristics that exhibit spiritual strength include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual strength. The other observations are not examples of spiritual strength.
B) Characteristics that exhibit spiritual strength include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual strength. The other observations are not examples of spiritual strength.
C) Characteristics that exhibit spiritual strength include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual strength. The other observations are not examples of spiritual strength.
D) Characteristics that exhibit spiritual strength include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual strength. The other observations are not examples of spiritual strength.
E) Characteristics that exhibit spiritual strength include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual strength. The other observations are not examples of spiritual strength.

Question 15

While assessing a client's spiritual needs,the nurse asks,"What spiritual beliefs are important to you?" This question represents which step of the FICA assessment model?

Accepted Answer

A) Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
B) Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
C) Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
D) Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"

Question 16

A client,who received a kidney from a young victim of a car accident,states,"Life is so unfair.Why did this young person have to die so that I could receive a kidney to live!" Which observations demonstrate the client has resolved the moral dilemma? Select all that apply.

Accepted Answer

A) The client needed to face the moral dilemma and resolve it before he could move on. The client talking with the parents of the victim is evidence that the moral dilemma was resolved. The client asking the organ transplant coordinator for information on how to volunteer to help other clients is evidence that the client's moral dilemma is resolved. The other statements do not demonstrate a client experiencing a moral dilemma.
B) The client needed to face the moral dilemma and resolve it before he could move on. The client talking with the parents of the victim is evidence that the moral dilemma was resolved. The client asking the organ transplant coordinator for information on how to volunteer to help other clients is evidence that the client's moral dilemma is resolved. The other statements do not demonstrate a client experiencing a moral dilemma.
C) The client needed to face the moral dilemma and resolve it before he could move on. The client talking with the parents of the victim is evidence that the moral dilemma was resolved. The client asking the organ transplant coordinator for information on how to volunteer to help other clients is evidence that the client's moral dilemma is resolved. The other statements do not demonstrate a client experiencing a moral dilemma.
D) The client needed to face the moral dilemma and resolve it before he could move on. The client talking with the parents of the victim is evidence that the moral dilemma was resolved. The client asking the organ transplant coordinator for information on how to volunteer to help other clients is evidence that the client's moral dilemma is resolved. The other statements do not demonstrate a client experiencing a moral dilemma.
E) The client needed to face the moral dilemma and resolve it before he could move on. The client talking with the parents of the victim is evidence that the moral dilemma was resolved. The client asking the organ transplant coordinator for information on how to volunteer to help other clients is evidence that the client's moral dilemma is resolved. The other statements do not demonstrate a client experiencing a moral dilemma.

Question 17

The nursing student is reviewing communication techniques with the instructor.The nursing student is practicing assessment questions regarding spiritual or religious beliefs.Which questions would the nursing instructor identify as appropriate for the nursing student to ask when assessing spiritual beliefs? Select all that apply.

Accepted Answer

A) This is an appropriate question for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
B) This is an appropriate question for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
C) This is an appropriate question for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
D) This is an appropriate question for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
E) This is not an appropriate question for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs. The nursing student should not assume that a client follows all of the practices of the client's stated religion.

Question 18

The family of a terminally ill client requests that the client not be informed of the diagnosis.Which moral principle does the request violate?

Accepted Answer

A) Veracity is the duty to tell the truth. The family of a terminally ill client is requesting that the diagnosis be withheld from the client, which would violate the principle of veracity. Beneficence is the duty to "do good." Nonmaleficence is the duty to do no harm. Justice refers to fairness.
B) Veracity is the duty to tell the truth. The family of a terminally ill client is requesting that the diagnosis be withheld from the client, which would violate the principle of veracity. Beneficence is the duty to "do good." Nonmaleficence is the duty to do no harm. Justice refers to fairness.
C) Veracity is the duty to tell the truth. The family of a terminally ill client is requesting that the diagnosis be withheld from the client, which would violate the principle of veracity. Beneficence is the duty to "do good." Nonmaleficence is the duty to do no harm. Justice refers to fairness.
D) Veracity is the duty to tell the truth. The family of a terminally ill client is requesting that the diagnosis be withheld from the client, which would violate the principle of veracity. Beneficence is the duty to "do good." Nonmaleficence is the duty to do no harm. Justice refers to fairness.

Question 19

The nurse is admitting a client to the medical unit who was brought to the emergency department by a neighbor.The client states,"I ran out of my medication last week.I don't have any family or close friends to help me." Upon assessment,the nurse notes the following findings: oxygen saturation of 93% on room air,breath sounds reveal crackles bilateral bases,P 110 bpm,R 22 breaths per min,BP 110/60 mmHg.Which is the priority psychosocial nursing diagnosis for this client?

Accepted Answer

A) Social isolation lead to the client's current medical manifestations. The priority nursing diagnosis based on the data is Social Isolation. While Risk for Impaired Gas Exchange would also be appropriate for this client, the current data does not suggestion Impaired Gas Exchange. Noncompliance and Interrupted Family Processes are not supported by the scenario presented.
B) Social isolation lead to the client's current medical manifestations. The priority nursing diagnosis based on the data is Social Isolation. While Risk for Impaired Gas Exchange would also be appropriate for this client, the current data does not suggestion Impaired Gas Exchange. Noncompliance and Interrupted Family Processes are not supported by the scenario presented.
C) Social isolation lead to the client's current medical manifestations. The priority nursing diagnosis based on the data is Social Isolation. While Risk for Impaired Gas Exchange would also be appropriate for this client, the current data does not suggestion Impaired Gas Exchange. Noncompliance and Interrupted Family Processes are not supported by the scenario presented.
D) Social isolation lead to the client's current medical manifestations. The priority nursing diagnosis based on the data is Social Isolation. While Risk for Impaired Gas Exchange would also be appropriate for this client, the current data does not suggestion Impaired Gas Exchange. Noncompliance and Interrupted Family Processes are not supported by the scenario presented.

Question 20

Which situation indicates a conflict in morality?

Accepted Answer

A) Morality refers to issues that are either right or wrong. In the situations provided, the nurse who provides a terminally ill client a meal with food that he should avoid but requested would demonstrate a conflict with morality. The nurse is going against the "right" decision, which would be to not provide the client with the foods; however, the client is terminally ill and is requesting foods that he enjoys. The other situations would not involve the same question of morality.
B) Morality refers to issues that are either right or wrong. In the situations provided, the nurse who provides a terminally ill client a meal with food that he should avoid but requested would demonstrate a conflict with morality. The nurse is going against the "right" decision, which would be to not provide the client with the foods; however, the client is terminally ill and is requesting foods that he enjoys. The other situations would not involve the same question of morality.
C) Morality refers to issues that are either right or wrong. In the situations provided, the nurse who provides a terminally ill client a meal with food that he should avoid but requested would demonstrate a conflict with morality. The nurse is going against the "right" decision, which would be to not provide the client with the foods; however, the client is terminally ill and is requesting foods that he enjoys. The other situations would not involve the same question of morality.
D) Morality refers to issues that are either right or wrong. In the situations provided, the nurse who provides a terminally ill client a meal with food that he should avoid but requested would demonstrate a conflict with morality. The nurse is going against the "right" decision, which would be to not provide the client with the foods; however, the client is terminally ill and is requesting foods that he enjoys. The other situations would not involve the same question of morality.

Quiz 30: Spirituality