An older adult Roman Catholic client who recently received a terminal prognosis is experiencing severe bone pain and acute spiritual distress. The client is crying and states, "This illness is a punishment from God for my past mistakes. I feel completely abandoned." Which of the following nursing actions are appropriate? Select all that apply.
- Validate the client's emotional distress by actively listening and remaining present in the room.Cevap
- Administer the prescribed as-needed intravenous opioid analgesic to manage the physical pain.Cevap
- Ask the client if they desire a consultation with a hospital chaplain or a Catholic priest.Cevap
- DInform the client that a loving higher power would not use illness as a form of punishment.
- EDelegate the assessment of the client's religious coping strategies to the unlicensed assistive personnel (UAP).
- FWithhold the administration of breakthrough pain medication until the client has had uninterrupted time to pray.
Cevap
The appropriate actions are to validate the client's distress, administer the prescribed pain medication, and offer to contact a spiritual advisor.
When caring for a client experiencing both acute physical pain and severe spiritual distress, the nurse must apply Maslow's hierarchy of needs and address physiological priorities (pain management) concurrently with psychosocial interventions. Validating the client's feelings through active listening provides a safe therapeutic environment. Offering to contact a chaplain or priest facilitates specialized spiritual care while respecting the client's autonomy and specific religious framework.
Adım Adım Çözüm
Anahtar Kavram
Spiritual Distress, Prioritization, and Therapeutic Communication