Deck 17: Spiritual Needs, Spiritual Caring, and Religious Differences

Question 1

A patient who is a member of the Church of Latter Day Saints (Mormon) must increase fluid intake. Which beverages should the nurse offer?

A) Wine or beer
B) Fruit juice, milk, or water
C) Coffee, tea, or iced tea
D) Unfermented or fermented apple juice

Answer 1

Fruit juice, milk, or water

Question 2

The Jewish patient tells the nurse that he does not observe the Sabbath on Sundays. What other time interval would the nurse need to provide for patient Sabbath observances?

A) Monday noon to Tuesday noon
B) Friday sundown to after sunset Saturday
C) Thursday midnight to Friday midnight
D) Alternate Saturdays

Answer 2

Friday sundown to after sunset Saturday

Question 3

A nurse is preparing a presentation about spirituality and religion. To adequately prepare for peer questions, the nurse should know that the three major religious groups in the United States are the

A) Lutherans, Catholics, and Presbyterians.
B) Baptists, Assembly of God, and Lutherans.
C) Roman Catholics, Protestants, and Jews.
D) Protestants, Unitarians, and Catholics.

Answer 3

Roman Catholics, Protestants, and Jews.

Question 4

A patient who is terminally ill describes himself as "agnostic." The nurse caring for this person can correctly assume that the patient

A) does not possess spirituality.
B) will not experience spiritual distress.
C) will practice the rituals of a particular denomination.
D) will benefit from general spiritual care interventions.

Question 5

A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by understanding that the patient would likely pray to

A) Allah.
B) Islam.
C) Buddha.
D) Jesus Christ.

Question 6

A nurse is caring for an Orthodox Jewish patient who has terminal cancer. The nurse demonstrates cultural sensitivity toward the patient by stating

A) "Would you like me to assist you in praying to Jesus?"
B) "I'm sure you will go to heaven. You're a good person."
C) "Would you like me to ask your rabbi to come to visit you?"
D) "Would you like me to bring you a copy of the New Testament?"

Question 7

The nurse is caring for an Orthodox Jewish patient who is close to death. An important intervention would be to find out whether the patient

A) wishes to have the Sacrament of the Sick.
B) has been baptized.
C) wishes to have his Koran nearby.
D) can be touched by the nurse after death.

Question 8

Select the patient who would benefit least from the nurse reading from the New Testament.

A) Mrs. A of the Assembly of God
B) Mr. B, who is Roman Catholic
C) Miss C, who is a Jehovah's Witness
D) Mr. D, who is an Orthodox Jew

Question 9

When a patient is asked about religious preference, she states, "I am agnostic." The nurse's best interpretation of this is the patient

A) does not believe in God.
B) believes in God and supernatural powers.
C) does not believe that the supernatural exists.
D) believes that the existence of God can be neither proved nor disproved.

Question 10

The nurse who is preparing a Muslim female for a physical examination is told by the patient, "I cannot undress completely." The nurse will appropriately choose interventions based on the knowledge that Muslim women

A) observe standards of modesty requiring coverage from head to ankle.
B) speak openly to women but are silent in the presence of men.
C) wear writings from the Koran on the neck, arm, or waist.
D) are given alcoholic beverages with each meal.

Question 11

A patient tells the nurse, "I know my minister will visit me when he checks at the admissions desk and learns I'm a patient." The most facilitative response the nurse can make would be

A) "I'm sure you can count on seeing your pastor within a day or two."
B) "Because of a federal law, the hospital cannot make your name available to clergy."
C) "Clergy rarely make calls to this hospital, so your pastor may not know you're here."
D) "I can arrange for a phone so that you may call your minister and ask him to visit."

Question 12

For which patient should the nurse be most alert for emerging spiritual needs?

A) Miss A, who has been given the diagnosis of gallbladder disease
B) Mrs. B, who has been told she has metastatic cancer
C) Mr. C, who has varicose veins
D) Mr. D, who has herpes zoster

Question 13

A Hindu patient is admitted after a severe head injury and is near death. The organ procurement person tells the nurse, "I don't know much about the Hindu religion, and I have to talk to the family about organ donation. Can you give me any hints?" The best response for the nurse would be

A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."

Question 14

The nurse working in the neonatal intensive care unit would implement baptism for a baby not expected to live if the infant's religion is listed as

A) Assembly of God.
B) Roman Catholic.
C) Mormon.
D) Baptist.

Question 15

A patient who practices Buddhism tells the nurse, "My pain is the result of things I have done in the past." The nurse, who wishes to be supportive, should respond

A) "Are you saying you have been a bad person?"
B) "This understanding helps give meaning to your pain."
C) "Perhaps you could ask God to help you bear the pain."
D) "Pain can be an enlightening experience."

Question 16

A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by

A) allowing the patient to pray three times daily.
B) placing the patient's dinner tray on top of the Koran.
C) offering the patient food and fluids during Ramadan.
D) positioning the patient's bed in a southeast direction from the United States.

Question 17

A patient has a small piece of paper on which unfamiliar symbols are written hanging on a black string around the neck. To prepare the patient for the operating room (OR), the nurse should

A) allow the patient to wear the item, but make note of it for the OR staff to see and reposition if needed.
B) insist that the patient take off the item and leave it in the bedside stand.
C) remove the item and tie it to the foot of the patient's bed.
D) place the item in a plastic bag and lock it in the narcotics cabinet.

Question 18

To provide effective spiritual care for a Muslim patient, the nurse recognizes that those who believe in Islam refer to God as

A) Brahma.
B) Moroni.
C) Redeemer.
D) Allah.

Question 19

A patient whose religion is listed as Seventh-Day Adventist is admitted to the unit just before lunch. The patient is being examined, and the nurse does not want to interrupt to ask about lunch preferences. A good choice would be to order a

A) regular diet.
B) Kosher meal.
C) vegetarian meal.
D) meal with no dairy products.

Question 20

In what religion do adults abstain from food, drink, and sexual activity from dawn to sunset during the ninth month of their religious calendar?

A) Buddhism
B) Jehovah's witness
C) Mormon
D) Islam

Question 21

A religion that was founded by Siddhartha Gautama in the sixth century BC in India is

A) Buddhism.
B) Hinduism.
C) Mormonism.
D) Catholicism.

Question 22

A religion that was founded by Joseph Smith in the nineteenth century is

A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.

Question 23

To implement effective patient care, which patients would the nurse identify as non-Christians? (Select all that apply.)

A) Mr. A, who is Jewish
B) Miss B, who is Presbyterian
C) Mrs. C, who is Roman Catholic
D) Mr. D, who is Eastern Orthodox
E) Miss E, who is Seventh-Day Adventist
F) Mr. F, who is Buddhist

Question 24

A religion that was founded in the nineteenth century by Mary Baker Eddy is

A) Mormonism.
B) Christian Scientist.
C) Jehovah's Witness.
D) Seventh-Day Adventist.

Question 25

A nurse is caring for a patient who practices Mormonism. The nurse should expect the patient to study religion from the Holy Bible and ____________________.

Question 26

A religion that was formed in 1957 by merger of Congregational and Evangelical and Reformed Churches is

A) Mormonism.
B) Presbyterianism.
C) Seventh-Day Adventist.
D) United Church of Christ.

Question 27

A religion that began in Scotland and evolved from John Calvin in the sixteenth century is known as

A) Presbyterianism.
B) Episcopalian.
C) Seventh-Day Adventist.
D) United Church of Christ.

Question 28

A religion in which members observe the Sabbath from sunset on Friday to sunset on Saturday is

A) Mormonism.
B) Catholicism.
C) Islam.
D) Seventh-Day Adventist.

Question 29

A nurse is caring for a patient who refuses to consume meat on Ash Wednesday and all Fridays during Lent. The nurse understands that this patient is of what religion?

A) Islam
B) Mormonism
C) Catholicism
D) Presbyterianism

Question 30

A nurse is caring for a patient who follows teachings from a holy book called the Koran. The nurse understands that this patient practices what religion?

A) Hindu
B) Islam
C) Quaker
D) Buddhism

Question 31

The LPN/LVN is preparing to educate a healthy patient regarding methods of birth control. The patient's history indicates she is a member of the Mormon church. The LPN/LVN is aware that education of this patient should include information related to

A) oral contraceptives.
B) natural family planning.
C) barrier methods.
D) spermicides.

Question 32

When Martin Luther separated from the Catholic Church because of scandals in the church, which religion was formed?

A) Mormonism
B) Lutheranism
C) Scientology
D) Jehovah's Witness

Question 33

A patient following a kosher diet consumes a breakfast of toast, eggs, and turkey bacon. The LPN/LVN is aware that 6 hours must pass before the patient is offered

A) water.
B) juice.
C) milk.
D) coffee.

Question 34

The LPN/LVN is providing care to a patient of the Roman Catholic (Western) faith. Necessary knowledge regarding beliefs, practices, and nursing interventions for care of this patient would include which of the following? (Select all that apply.)

A) Medicine cannot be taken before communion.
B) The nurse may baptize a stillborn infant without a witness.
C) Cremation is prohibited.
D) Organ donation is allowed.
E) Water may be taken before communion.

Question 35

A religion in which members believe they receive Divine Truth from "inner" light supplied by the Holy Spirit is

A) Quaker.
B) Episcopalian.
C) Seventh-Day Adventist.
D) United Church of Christ.