A 76-year-old patient has just been admitted to the nursing unit with terminal cancer of the liver. Which of the following is the best response for the nurse who is assessing the patient's spiritual needs?
a. "I notice you have a Bible. Is that a source of spiritual strength to you?"
b. "What do you believe happens to your spirit when you die?"
c. "We would allow members of your church to visit you whenever you desire."
d. "Has your terminal condition made you lose your faith or beliefs?"
A
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A Stating the observation of the patient having a Bible opens communication regarding the patient's source of strength. Assessing a patient's sources of strength and faith can direct interaction with him or her, including medical treatment plans.
B "What do you believe happens to your spirit when you die?" is not the best response, as it does not provide information that would assist the nurse in meeting the patient's spiritual needs.
C "We would allow members of your church to visit you whenever you desire" is not the best response, as it implies that the patient goes to church or should go to church, and assumes that church members are a source of strength for the patient. It does not provide assessment information to determine the patient's spiritual needs.
D "Has your terminal condition made you lose your faith or beliefs?" is not the best response. It has a negative connotation and does not assess the patient's sources of strength or the beliefs of the patient.
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