Evolve HESI Practice Exam

A client who is a Jehovah's Witness is admitted to the unit. What is the nurse's main concern regarding the client's beliefs?

1. All medications need to be church-approved

2. Blood transfusions are forbidden

3. Participation in therapy is discouraged

4. Dietary restrictions must be met

The correct answer is: Blood transfusions are forbidden

The primary concern for the nurse in this scenario revolves around the belief that blood transfusions are forbidden for Jehovah's Witnesses. This belief is based on their interpretation of biblical scripture, which prohibits the ingestion of blood. As a result, the nurse must be particularly vigilant regarding any medical procedures that may involve blood products or transfusions, as the client may refuse such treatments even in life-threatening situations. It is crucial for the healthcare team to respect these beliefs while also exploring alternative options for treatment that align with the client’s values and preferences. In contrast, the other considerations, while potentially relevant to care, do not carry the same weight of immediacy or ethical concern in this context. For example, while some medications may need to be discussed for any compatibility with their beliefs, there is no blanket prohibition like there is with blood transfusions. Participation in therapy and dietary restrictions, although they may be related to personal beliefs, do not have the same critical implications for immediate medical treatment as the refusal of blood products.