A nurse is caring for a client with a terminal illness. The client asks if the nurse will pray with the client for the remission of the cancer
The nurse does not practice the same religion and does not believe that a remission is possible at this stage of the disease. The nurse should: 1. Gently confront the client about unrealistic expectations that the cancer is going to regress.
2. Encourage the client to go ahead, but leave the room while the client prays.
3. Call the chaplain and set up a referral for the client's spiritual distress.
4. Stand silently for a few moments while the client prays.
4
Rationale: Silence and respect do not indicate that the nurse agrees or supports the client's religion, but that the nurse accepts and understands the importance of coping mechanisms. Leaving the room is not supportive of the client's preferred coping mechanism and the client may feel offended by the nurse's actions. While there is no evidence that the client is experiencing spiritual distress, a referral to the chaplain can be made. Confronting the client about unrealistic expectations does not address the client's coping mechanisms.
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