A 76-year-old client has just been admitted to the nursing unit with t

A 76-year-old client has just been admitted to the nursing unit with terminal cancer of the liver. The nurse is assessing the client’s spiritual needs and responds best by saying:

1. “I notice you have a Bible; is that a source of spiritual strength to you?”
2. “What do you believe will happen to your personal spirit when you die?”
3. “We would allow members of your church to visit you whenever you desire.”
4. “Has hearing about your terminal condition made you lose your faith or beliefs?”

ANSWER

ANS: 1
Stating the observation of a client having a Bible opens communication regarding the client’s source of strength. Assessing a client’s source of strength and faith can direct interaction with the client, including medical treatment plans. Asking what the belief about the spirit upon death is not the best response. It does not provide information that would assist the nurse in meeting the client’s spiritual needs. Allowing fellow church members is not the best response. It implies the client goes to church or should go to church, and assumes that church members are a source of strength for the client. It does not provide assessment information to determine the client’s spir-itual needs. Asking if this has caused a loss in faith or beliefs is not the best response. It has a negative connotation, and does not assess the client’s source of strength or the beliefs of the cli-ent.