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 ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Telling the client she should leave is not supportive and may not be appropriate; decisions about leaving should be made by the client.
B. Helping the client get her partner into a treatment program is not within the nurse's immediate role and does not address the client’s immediate safety needs.
C. Helping the client to develop a safety plan and providing emergency contact information is crucial for the client’s immediate safety and is an appropriate intervention.
D. Assisting the client to explore resources such as shelters and legal protection supports her in making informed decisions and accessing necessary help.
E. Communicating acceptance of the client's decision and avoiding blame helps build trust and ensures the client feels supported in a non-judgmental environment.