The nurse is caring for a client receiving hospice services. The client states “I feel no real connection with God.” Which action should the nurse take?
The nurse is caring for a client receiving hospice services. The client states “I feel no real connection with God.” Which action should the nurse take?
A. Give the client a hug and tell them that their life still has meaning
[1%]
B. Arrange for a spiritual adviser to visit the client
[10%]
C. Ask the client if they would like to talk about their feelings
[88%]
D. Call in a close friend or relative to talk with the client
[1%]
Statistics
Subject/Lesson
Subject
Fundamentals
Lesson
Cultural, Spiritual, and Religion Concepts
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Cultural Awareness/Cultural Influences
Item Type
Item Type
Application
Explanation
Choice C is correct. When caring for a client who is in spiritual distress; the nurse should listen to the client first. Goals and expected outcomes for clients in spiritual distress need to be individualized and may include a client achieving some of the following:
- Exploring the origin of spiritual beliefs and practices
- Identifying factors in life that challenge spiritual beliefs
- Exploring alternatives given these challenges: denying, modifying, or reaffirming beliefs, developing new beliefs
- Identifying spiritual supports
- Reporting or demonstrating a decrease in spiritual distress after successful intervention
Choice A is incorrect. Offering physical comfort can be beneficial, this response does not directly address the client's spiritual concerns and could potentially invalidate their feelings by redirecting the focus solely on the meaning of life rather than her connection with God.
Choice B is incorrect. After listening to the client, the nurse can ask if the client would like a consultation with a spiritual adviser. However, the nurse should not arrange for a spiritual adviser to visit without the client's consent.
Choice D is incorrect. While involving a close friend or relative may provide support, it is not the most appropriate response to address the client's spiritual concerns directly. Involving friends or relatives should only be done if the client wishes to do so.
Related Videos
2 Key Topics
Therapeutic communication
13.3 Therapeutic Communication & Environment
Additional Info
✓ It's essential for nurses to respect the client's autonomy and allow them to express their feelings and beliefs without judgment or imposition of personal beliefs.
✓ Nurses should be sensitive to the client's cultural and religious beliefs regarding spirituality. Understanding the client's cultural background can help nurses provide appropriate support and guidance.
✓ Nurses should utilize therapeutic communication techniques to establish trust and rapport with the client and create a safe environment for open dialogue. Active listening, empathy, and nonjudgmental responses can facilitate meaningful conversations about the client's spiritual concerns and promote a sense of validation and support.
