A client with combat-related post-traumatic stress is admitted for treatment of complicated pneumonia. The first night, he experiences nightmares and frightens everyone with his screaming. He declines offers of anxiolytics, replying that he just needs privacy to perform his Reiki treatment. What is the nurse's best response?

A client with combat-related post-traumatic stress is admitted for treatment of complicated pneumonia. The first night, he experiences nightmares and frightens everyone with his screaming. He declines offers of anxiolytics, replying that he just needs privacy to perform his Reiki treatment. What is the nurse's best response?

• A. Can you explain to me how you use Reiki?
• B. We will not allow you to do nonmedical therapies in the hospital.
• C. Would you like me to arrange a private room so you can sleep?
• D. Reiki is not a medical therapy; you should stop.

Answer: (A)

Respecting the patient’s spiritual practice and inviting dialogue about it is the best approach. By asking, “Can you explain to me how you use Reiki?” you validate his coping method and open a nonjudgmental conversation. This signals that his beliefs and personal healing rituals are important parts of his care, not something to be sidelined. It also gives the nurse essential information: how Reiki is performed, what equipment or space is needed, and whether there are any safety considerations during pneumonia treatment or nighttime distress. This open-ended question helps build trust and rapport, and it can guide practical steps—such as arranging a private, quiet space if the patient desires, coordinating with spiritual care services if appropriate, and ensuring the practice does not interfere with medical treatment. Dismissing the practice or insisting on nonmedical therapies stopping would undermine the patient’s autonomy and could erode the therapeutic relationship. Simply offering a private room addresses comfort but doesn’t engage with the patient’s stated coping method and needs.

Respecting the patient’s spiritual practice and inviting dialogue about it is the best approach. By asking, “Can you explain to me how you use Reiki?” you validate his coping method and open a nonjudgmental conversation. This signals that his beliefs and personal healing rituals are important parts of his care, not something to be sidelined. It also gives the nurse essential information: how Reiki is performed, what equipment or space is needed, and whether there are any safety considerations during pneumonia treatment or nighttime distress.

This open-ended question helps build trust and rapport, and it can guide practical steps—such as arranging a private, quiet space if the patient desires, coordinating with spiritual care services if appropriate, and ensuring the practice does not interfere with medical treatment. Dismissing the practice or insisting on nonmedical therapies stopping would undermine the patient’s autonomy and could erode the therapeutic relationship. Simply offering a private room addresses comfort but doesn’t engage with the patient’s stated coping method and needs.