The nurse is teaching a group of staff nurses about the influence of religion and spirituality on clients and their decisions about health care. Which of the following statements would be appropriate for the nurse to include?
Spirituality is a sense of devotion to one or more gods.
Many religions have cultural and ethical underpinnings.
Religion represents a group's philosophy of how a person interacts with the environment.
Those with a high sense of spirituality follow a prescribed set of beliefs and tenets.
The Correct Answer is B
Rationale:
A. Spirituality is a sense of devotion to one or more gods is too narrow and may not encompass the broader concept of spirituality, which can include personal beliefs and practices beyond organized religion.
B. Many religions have cultural and ethical underpinnings accurately reflects how religion and spirituality influence health care decisions by providing a framework for values and behaviors.
C. Religion represents a group's philosophy may be more about religion than spirituality and does not fully encompass personal spiritual beliefs.
D. Those with a high sense of spirituality may not necessarily follow a prescribed set of beliefs, as spirituality can be highly individualized and not always tied to specific religious doctrines.
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Correct Answer is D
Explanation
Rationale:
A. Bruises from a sports injury are less likely to indicate intimate partner violence without additional context.
B. Stress from work is a general issue and does not directly suggest intimate partner violence.
C. A fall down the stairs could be an accident; however, further context is needed to assess if this is related to violence.
D. Fear at home and reluctance to discuss it could indicate underlying intimate partner violence, requiring further assessment and intervention.
Correct Answer is B
Explanation
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.