NU270--Week 2& 3: Spirituality/ Health, Wellness, Illness

A nurse is interviewing the family members of a pregnant client to obtain a genetic history. While asking questions, which information would be most important?

if couples are related to each other or have blood ties

A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness?

Ask whether the patient would like to make any substitutions in the foods and fluids received.

Which factor is most protective against squamous cell carcinomas?

Dark skin color

A husband and wife who both have type 2 diabetes are taking part in a weight loss program. The woman asks why her husband, who has the same starting height and weight, has lost more weight than her despite identical interventions. What is the nurse's best response?

Men burn more calories than women as part of their metabolism.

A 71-year-old male has been recently diagnosed with a stage III tumor of colorectal cancer, and is attempting to increase his knowledge base of his diagnosis. Which statement about colorectal cancer demonstrates a sound understanding of the disease?

"While diet is thought to play a role in the development of colorectal cancer, the ultimate causes are largely unknown."

To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes:

Ambulating the client as soon as possible

A nurse identifies a nursing diagnosis of spiritual distress for a patient based on assessment of which of the following? Select all that apply.

Anger Ambivalence Despair

The nurse who is preparing a Native American client for surgery notes that the client is wearing a medicine bag. What intervention should the nurse implement to best address the client's spiritual needs with respect to presurgical care needs?

Ask the client how the medicine bag can be respected while preparing for surgery.

Members of which religious tradition are likely to have the most stringent restrictions and parameters placed on their medical care?

Christian Scientist

The adult child of a dying client is surprised at a parent's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what my parent really wants. My parent has never been a religious person in the least." What is the nurse's best action in this situation?

Contact the chaplain to arrange a visit with the client.

Retention of which electrolyte is the most life-threatening effect of renal failure?

Potassium

When performing a spiritual assessment on a child, the nurse and child discuss church attendance and practices that are most important to the child. Which domain is the nurse addressing when doing this assessment?

Social

Which phase in the trajectory model of chronic illness is characterized by the reactivation of an illness in remission?

Unstable

When planning nursing interventions, the nurse must review the etiology of the problem statement. The etiology:

identifies factors causing undesirable response and preventing desired change.

The spouse of a terminally ill client is confused by the new terminology being used during discussions regarding the client's treatment. The nurse should explain that palliative care is:

care that will reduce the client's physical discomfort and manage clinical symptoms.

A client has a diagnosis of Bathing/Hygiene Self-care Deficit due to recent surgery and decreased strength. An appropriate goal to include in the client's plan of care would be:

client will participate in self-care measures by the end of the week.

A parent informs the nurse that immunizations are against the parent's cultural and religious beliefs and the parent does not want the child to receive immunizations. The nurse proceeds to inform the parent that the child will be consistently ill and will not be allowed to start school unless immunized. The nurse also informs the parent that the nurse had all of the nurse's own children vaccinated. The nurse's behavior an example of:

cultural imposition.

A client in the community is taking regular and NPH insulin to manage type 1 diabetes. What finding best demonstrates that the client's diabetes management is adequate?

glycosylated hemoglobin (HbA1C) level of 6.1%

The nurse is caring for expectant and new mothers. The nurse would encourage breastfeeding for the client who is:

diagnosed with mastitis.

The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. The nurse informs the parents that the development of a child's spirituality is best accomplished by:

educating through parental behaviors.

When discussing spirituality with the mother of an 8-year-old child, the nurse instructs the mother that children of this age:

enjoy lore and legends of religious groups.

The nurse provides health teaching to inform the client with oral cancer that

many oral cancers produce no symptoms in the early stages.