The nurse is using the SPIRIT model to assess a patient's spirituality. In which order should the nurse ask the following questions?
1. What gives your life meaning/purpose?
2. Are there any unresolved areas of your life?
3. What are your sources of hope and strength?
4. What lifestyle activities does your religion encourage?
5. Do you belong to any religious or spiritual community?
6. Would you like to discuss religious implications of your health care?
Correct Answer: 1, 3, 5, 4, 6, 2
The question "What gives your life meaning/purpose?" assesses the spiritual belief system. The question "What are your sources of hope and strength?" assesses personal spirituality. The question "Do you belong to any religious or spiritual community" assesses integration and involvement with a faith or spiritual community. The question "What lifestyle activities or practices (e.g., diet, worship practices, prayer rituals, holy day observances, medical treatment childbearing/child-rearing practices) does your religion encourage, discourage, or forbid?" assesses ritualized practices and restrictions, behaviors, and lifestyle practices that influence health. The question "Would you like to discuss religious/spiritual implications of your nursing and health care?" assesses implications for health and nursing/medical care. The question "Are there any unresolved areas of your life at this point that you would like us to assist you with addressing?" assesses terminal events planning or end-of-life care.
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a. administer antidepressant medications as ordered b. empower the client c. refer to social service d. notify the physician of negative ideation
Which statements describe the status of research concerning development of major depressive disorder (MDD) and bipolar disorder (BPD)?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. It is likely that gene manipulation will reduce the prevalence of both MDD and BPD in the near future. 2. Genes responsible for the development of BPD have been identified, but those responsible for MDD are still elusive. 3. Some regions of the genome have been identified as potentially containing the genes that make clients susceptible to these disorders. 4. It is becoming increasingly clear that genetics is a prime determinant for the development of these disorders. 5. Development of these disorders is thought to be a result of interaction between genetics and environment.
A toddler is admitted to the hospital for observation following a fall down a flight of stairs. The pediatric nurse caring for the patient knows that the typical reaction of a toddler to separation from family is:
A) negative behaviors and verbal expressions of anger or sadness. B) no adverse reaction if there is contact with a nurturing caregiver. C) an intense and emotional reaction; exhibiting aggressive behavior. D) the association of certain providers with specific stressful treatments.
The nurse notices a circular lesion with a red border and clear center on the arm of an 18-year-old summer camp counselor who is in the camp clinic complaining of chills and muscle aches. Which action should the nurse take next?
a. Palpate the abdomen. b. Auscultate the heart sounds. c. Ask the patient about recent outdoor activities. d. Question the patient about immunization history.