After asking general assessment questions regarding spirituality, the

After asking general assessment questions regarding spirituality, the nurse finds the client content and satisfied. How should the nurse conduct the rest of the assessment?

1. Specific questions regarding beliefs should be included.
2. The nurse should validate spiritual information with the client’s family.
3. The assessment can now move on to physical assessment.
4. No further specific spiritual assessment is currently necessary.

ANSWER

Correct Answer: 4
Rationale 1: If the client is satisfied and content with current levels of spirituality, there is no further specific spiritual assessment necessary.
Rationale 2: There is no need to validate spiritual assessment with family unless there is a question of the client’s reliability as a historian.
Rationale 3: The spiritual assessment should take place at the end of the assessment, so physical assessment should already have been completed.
Rationale 4: If the client is satisfied and content with current levels of spirituality, there is no further specific spiritual assessment necessary.