A resident in a nursing home insists that a priest hear his confession. The resident is very anxious, and the nursing home does not have a Roman Catholic chaplain. Which intervention should the nurse implement?
a. An Episcopal priest is coming to visit the home this evening. Arrange an appoint-ment with her for the resident.
b. Report the resident's change in behavior in detail so that the attending physician can appropriately prescribe medication.
c. Refer the resident to the staff psychologist to address the underlying cause of the pa-tient's anxiety.
d. Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident.
D
The nurse should respect the resident's beliefs and practices and accommodate them when they are not harmful. Receiving the Sacrament can potentially relieve much of the patient's anxiety. Arranging an appointment with an Episcopal priest for the resident is not an appropriate inter-vention; the two belief systems are not the same, and the resident is unlikely to experience the minister's efforts as satisfactory. Reporting the resident's change in behavior to the attending physician is also inappropriate; the resident's wish can be understood entirely within the resi-dent's belief system and need not reflect a medical problem, particularly if a visit by a priest re-lieves the resident's anxiety. Referring the resident to the staff psychologist to address the un-derlying cause of the patient's anxiety is an approach that attempts to change the resident's belief system.
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