The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of one's spirituality?
a. Belief in and the worship of God or gods
b. Attendance at a specific church or place of worship
c. Personal effort made to find purpose and meaning in life
d. Being closely tied to one's ethnic background
ANS: C
Spirituality refers to each person's unique life experiences and his or her personal effort to find purpose and meaning in life. The other responses apply to religion.
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A client is pacing in the hall. The nurse overhears the client say, "Leave me alone. I am not in the Mafia." The best response from the nurse would be:
1. "Remember you are safe from the Mafia here in the hospital." 2. "Tell me what you are hearing right now." 3. "You need to attend the next recreation group. That will help you ignore the voices." 4. "You are hearing voices again, right?"
The psychiatric nurse should plan interventions based on the knowledge that clients may be
intolerant of, or resistant to, common procedures such as vital signs, blood glucose monitoring, or insulin administration. Common reasons for resistance include (more than one answer may be correct) A. anxiety. B. obstinacy. C. lack of trust. D. thought impairment.
The morphology of a normal S wave is a(n) ______________
A) small, negative, spiked deflection B) asymmetrical appearance C) large, positive, spiked deflection in Lead II D) small curved positive wave in Lead II
A nurse, a licensed practical nurse (LPN), and a nursing assistant are caring for a group of clients. The nurse asks the nursing assistant to check the pulse oximetry level of a client who underwent laminectomy. The nursing assistant reports that the pulse oximetry reading is 89%. The client Kardex contains an order for oxygen application at 2 L/min should the pulse oximetry level fall below 92%. The nurse is currently assessing a postoperative client who just returned from the postanesthesia unit. How should the nurse proceed?
a. immediately go the client's room and assess vital signs, administer oxygen at 2 L/minute, and notify the physician. b. ask the nursing assistant to notify the physician of the low pulse oximetry level c. ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy d. complete the assessment of the new client before attending to the client who underwent laminectomy