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1. A nurse is caring for a patient who is terminally ill with
cancer. The patient expresses anger and resentment towards
God and questions the meaning of life. The nurse
recognizes that the patient is experiencing a spiritual crisis.
What is the most appropriate intervention for the nurse to
do?
a) Encourage the patient to pray and read religious
scriptures.
b) Refer the patient to a chaplain or a spiritual counselor.
c) Validate the patient's feelings and provide empathic
listening.
d) Avoid discussing spirituality and focus on physical
comfort.
*Answer: c) Validate the patient's feelings and provide
empathic listening.*
Rationale: The nurse should respect the patient's spiritual
beliefs and values and provide emotional support.
Validating the patient's feelings and providing empathic
listening can help the patient cope with the spiritual crisis
and find meaning in their situation. Encouraging the patient
to pray and read religious scriptures may not be helpful if
the patient is angry with God or has different religious
preferences. Referring the patient to a chaplain or a
spiritual counselor may be appropriate, but only after
assessing the patient's willingness and readiness to talk to
them. Avoiding discussing spirituality may make the
patient feel isolated and neglected.
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