A nurse enters a client's room to assess an intravenous (IV) infusion because of an alarm on the pump that required the nurse's attention
While assessing the IV infusion, the client is asking the nurse questions regarding religion and the client indicates that he would like to have someone to pray with. Which action taken by the nurse while in the room is an example of transcendent presence?
A) After entering the room, the nurse focuses her attention on the intravenous infusion and does not acknowledge the client.
B) The nurse enters the room and answers the client's questions by nodding while taking care of the intravenous infusion.
C) After entering the room and while taking care of the intravenous infusion, the nurse stops and listens to the client's questions and then offers to call a clergy member.
D) After entering the room and while taking care of the intravenous infusion, the nurse stops and listens to the client's questions and then offers to pray with the client.
Answer: D
While taking care of the IV, the nurse who listens to the client and offers to pray with the client is demonstrating transcendent presence. The nurse is physically, mentally, emotionally, and spiritually present for the client. The other answers demonstrate presence, partial presence, or full presence, but not transcendent presence.
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