When planning care of childbearing families, the nurse encounters different spiritual and religious beliefs and practices. Which spiritual practice could impact the nurse's care of the childbearing family?

1. A strong belief in reincarnation, and thus refusal of an autopsy
2. The desire to light candles at home during a naming ceremony
3. Request by the family to speak to a Roman Catholic priest
4. Refusing consent for a blood transfusion by a Jehovah's Witness


1
Rationale 1: Spirituality relates to issues of the soul or spirit. Many people believe that the body will be reincarnated after death, and that procedures like autopsy and organ donation or transplantation will affect the form of the reincarnated body. Thus the nurse must assess the family's preferences and not assume that an autopsy will be performed.
Rationale 2: Candles are often used in religious and spiritual ceremonies. Only if the family wished to light candles in the hospital would nursing care be affected.
Rationale 3: Roman Catholicism is a formal religion, not a spiritual belief. If a patient desires to speak to a priest, there might be a hospital chaplain that is one, or their own parish can be called.
Rationale 4: Jehovah's Witnesses comprise a formal religion, not a spiritual or religious belief. As part of their religion, they do not believe in blood transfusions.

Nursing

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