The patient confides in the nurse that she is drawn to complementary and alternative medicine because it promotes the "whole person." The patient would like spirituality and prayer included in her plan of care. What is the best response by the nurse?
1. "We will include spirituality in your plan. Would you like to say a prayer?"
2. "I think your spiritual concerns are best left up to you and your minister."
3. "What exactly do you mean by spirituality and prayer?"
4. "We usually do not pray with patients; is there something you are worried about?"
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Rationale 1: Complementary and alternative medicine tends to include the "whole person" more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this.
Rationale 2: Refusing to acknowledge the patient's spiritual concerns, and referring her to her minister, does not treat the "whole person." Asking the patient to clarify what she means by spirituality and prayer could be appropriate but is not the best.
Rationale 3: Asking the patient to clarify what she means by spirituality and prayer could be appropriate but is not the best answer.
Rationale 4: Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.
Global Rationale: Complementary and alternative medicine tends to include the "whole person" more than traditional medicine does. The nurse should offer to pray with the patient if the patient requests this. Refusing to acknowledge the patient's spiritual concerns, and referring her to her minister, does not treat the "whole person." Asking the patient to clarify what she means by spirituality and prayer could be appropriate but is not the best answer. Telling the patient that the nurse does not usually pray with patients will discourage her from discussing spirituality.
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