Culture, Spirituality, and Alternative/Complementary Modalities PASSPORT PrepU

A client is resting in bed. The nurse visits the client to reassess the client's pain. The nurse notices that a visitor is in the room and is touching the client in various places on the client's body. The nurse understands that this type of practice is called:

therapeutic touch.

A client with a diagnosis of metastatic breast cancer asks the nurse, "Why has God done this to me? I need to see a minister and go back to church." What interventions would be most helpful to the client at this point in time? (Select all that apply.)

Discuss feelings related to the illness. Address the use of spiritual resources. Encourage communication about religious beliefs.

A client who has received a poor prognosis tells the nurse, "I have not been to church in decades even though I was raised Catholic. Can you arrange for a priest to come see me?" What is the nurse's best response?

"We will try to get in touch with one and ask him to come and see you."

A client comes to the emergency department reporting a headache. The client is diagnosed with hypertension and is given a prescription for an antihypertensive. In reviewing the discharge instructions, the client declines the prescription and tells the nurse "it is in God's hands now." What is the nurse's best response to the client?

"Can you tell me more about what that means?"

A client with a vaginal yeast infection asks the nurse if it is a good idea to start taking acidophilus along with the prescribed vaginal cream. What assessment question would the nurse ask prior to answering the client's question?

"How often do you eat yogurt with live cultures?"

An elderly Jewish client received a lunch tray that consists of a cheeseburger, French fries, and an apple. The client tells the nurse to remove the tray. What is the nurse's understanding of why the client wants the tray removed?

Clients of the Jewish faith do not allow the mixture of dairy and meat

A nurse is caring for a client of the Buddhist faith who is dying. The client's family is at the bedside. Which intervention would the nurse implement to support the client's death with dignity?

Ensure that the room is calm, dimly lit, and quiet.

In the hospital setting, the child of a client who is dying tells the nurse, "It is hard to just sit here for hours and not say or do anything." As the nurse responds to the child's statement, what issue is most important for the nurse to focus on during their discussion?

Know that being present with the person is importan

The client is discussing the client's medication history with the nurse. During the discussion, the client pulls out a list of the prescribed medications, which include fish oil and St. John's Wort. What is the nurse's understanding of why these alternative therapies are used by the client?

The client has a history of depression.

The nurse is educating a client with type 2 diabetes from France who speaks English as a second language. What behavior alerts the nurse to a possible lack of communication of the educational material? Select all that apply.

asking questions about shopping laughing at some of the brochures looking away from the speaker

The family of a client with a terminal illness tells the hospice nurse supervisor that they have lost hope for a peaceful death for their loved one. While talking to this family about their concerns, the nurse would immediately explore their concerns about which health care issue?

effective management of the client's physical discomfort

A nurse is working in a rural health clinic that serves a large Amish population. The nurse is developing a program to address common health promotion strategies. Which aspect would be most important for the nurse to integrate into the program to promote its success? Select all that apply.

importance of the extended family in providing support focus on being in tune with nature for health maintenance need to ask for permission before physically touching a client