A client who practices Orthodox Judaism is upset. The client's son has recently committed suicide. The client tearfully tells the nurse that the son may not be able to be buried with honors. Which intervention should the nurse implement?

Correct Answer: D

Rationale: The correct answer is D: Sit with the client and allow expression of loss and sorrow. This intervention is appropriate as it demonstrates empathy, support, and active listening. By sitting with the client and allowing them to express their emotions, the nurse is providing a safe space for the client to grieve. This approach aligns with the principles of therapeutic communication and client-centered care. A: Asking the client why the son won't be buried with honors may come off as insensitive and could potentially make the client feel judged or misunderstood. B: Accepting that the client is upset and leaving them alone does not address the client's emotional distress or provide support during a difficult time. C: Calling the psychiatrist for antianxiety medication does not address the client's immediate emotional needs and may not be the most appropriate intervention in this situation.

Correct Answer: A

Rationale: The correct answer is A, during the orientation phase. This is the initial phase where the nurse establishes rapport, gathers information, and sets the tone for the relationship. Planning for termination during orientation allows for a smooth transition and helps manage expectations. Addressing termination at the end of the working phase (choice B) may be abrupt and disrupt the therapeutic process. Near the beginning of the termination phase (choice C) is too late as it doesn't allow sufficient time for the patient to process and prepare for closure. Waiting for the patient to bring up termination (choice D) may lead to uncertainty and anxiety for the patient.

Correct Answer: D

Rationale: The correct answer is D because the patient's action can be explained by the concept of interpreting the UAP's behavior as potentially harmful. In this scenario, the patient was asleep and suddenly awakened by the UAP quietly entering the room and touching the bed. The patient's instinctive response of hitting the UAP in the face can be seen as a defensive reaction triggered by perceiving a potential threat or harm from the UAP's unexpected actions. This aligns with the idea that older adults in a vulnerable state may react aggressively when feeling threatened or unsafe. Choice A is incorrect because it generalizes behavior without considering the specific context of the situation. Choice B is incorrect as it does not directly address the patient's perception of harm from the UAP's actions. Choice C is incorrect as there is no evidence provided in the scenario to support the idea that the patient learned violent behavior from other patients.

Correct Answer: C

Rationale: The correct answer is C: Atheism. Atheism is the belief that there is no existence of any gods or deities. In this scenario, the patient explicitly states that "God does not exist for me," indicating a lack of belief in a higher power. Animism (A) is the belief that objects, places, and creatures possess a distinct spiritual essence. Agnosticism (B) is the belief that the existence of a higher power is unknown or unknowable. Polytheism (D) is the belief in multiple gods or deities, which is not reflected in the patient's statement.

Correct Answer: D

Rationale: The correct answer is D: "What gives your life meaning?" because it directly relates to assessing the patient's spirituality by exploring their values, beliefs, and purpose in life. This question allows the nurse to understand the patient's spiritual perspective and connection to something greater than themselves. Choice A is incorrect because it focuses on mental health and suicide risk rather than spirituality. Choice B is also incorrect as it emphasizes the importance of family rather than exploring the patient's spiritual beliefs. Choice C is incorrect as it delves into moral philosophy rather than directly addressing the patient's spirituality. By asking about the meaning in life, the nurse can gain insight into the patient's spiritual well-being and provide appropriate support.