A young woman comes to the clinic where her primary care provider (PCP) works. She asks to speak with the nurse
The patient says she has just come from the surgeon's office where her PCP referred her and that the she has been told she is terminal. She says she felt she should let her PCP know the results of her tests and that she has chosen to receive only palliative care now. The woman is calm, smiles often, and exhibits no outward signs of anxiety. While speaking with the nurse, the patient says that she needs to go home and talk to her family. The nurse asks if she can do anything for the patient and is told by the patient "No, this will not be easy, I know, but I am sure that my faith will not fail me." What is the best way for the nurse to document the patient's meeting with her?
A) "Patient feels that her physiologic condition will give her the strength to complete her final tasks."
B) "Patient feels that her spiritual belief will give her the strength to complete her final tasks."
C) "Patient feels that her physical integrity will give her the strength to complete her final tasks."
D) "Patient feels that her congruent lifestyle will give her the strength to complete her final tasks."
Ans: B
Feedback: Faith, considered the foundation of spirituality, is a belief in something that a person cannot see. The spiritual part of a person views life as a mystery that unfolds over the lifetime, encompassing questions about meaning, hope, relatedness to God, acceptance or forgiveness, and transcendence. Nowhere in the scenario is it indicated that the patient feels her physiologic condition, her physical integrity, or her congruent lifestyle will get her through this last part of her life.
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