During assessment, the client says that it has been "a long time" since she has thought very much about religion. The nurse caring for this client has a strong belief in God and the healing power of prayer. What action should be taken by the nur
1. Mention the nurse's belief and offer to pray with the client for forgiveness.
2. Tell the client that the nurse will pray for her often.
3. Ask the client if there are any spiritual needs with which the staff can assist.
4. Refer the client for spiritual counseling.
Correct Answer: 3
Rationale 1: Offering to pray with the client is over the boundary of professional practice unless the client requests such intervention and the nurse is comfortable with the arrangement.
Rationale 2: Offering to pray for the client is over the boundary of professional practice unless the client requests such intervention and the nurse is comfortable with the arrangement.
Rationale 3: The client can be asked general questions to elicit information about what beliefs and practices are important to the present health care situation, and what, if anything, the client would like from the health care team to support spiritual health.
Rationale 4: At this point, there is no information that indicates the client is in need of referral for counseling. This would occur only if the client demonstrates spiritual distress at the level best handled by a specialist.
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