Deck 28: Spirituality in Health and Health Care

Question 1

When discussing spirituality with adolescent patients,of what should the nurse be aware?

A)That many adolescents have a good concept of a supreme being.
B)That many adolescents question religious practices and values.
C)That adolescents fully accept the higher meaning of their faith.
D)That adolescents do good deeds for others as a spiritual task.

Answer 1

That many adolescents question religious practices and values.

Question 2

The patient is having a difficult time dealing with his diagnosis of acquired immune deficiency syndrome (AIDS).He states,"It's not fair.I'm totally isolated from my family because of this.Even my father hates me for this.He won't even speak to me." What does the nurse need to do?

A)Assure the patient that his father will accept his situation soon.
B)Use therapeutic communication to establish trust and caring.
C)Point out that the patient has no control and that he has to face the consequences.
D)Tell the patient,"If your father can't get over it,forget it.You have to move on."

Answer 2

Use therapeutic communication to establish trust and caring.

Question 3

The nurse's initial action while working with a patient to assess and support the patient's spirituality is which of the following?

A)Referring the patient to the agency chaplain.
B)Helping the patient use faith to get well.
C)Providing a variety of religious literature.
D)Determining the patient's perceptions and belief system.

Answer 3

Determining the patient's perceptions and belief system.

Question 4

When a patient's risk for spiritual crises is evaluated,which of the following are part of the evaluation process? (Select all that apply. )

A)Reviewing the patient's self-perception regarding spiritual health.
B)Reviewing the patient's view of his or her purpose in life.
C)Discussing with family and associates the patient's connectedness.
D)Asking whether the patient's expectations are being met.
E)Impressing on the patient that spiritual health is permanent once obtained.

Question 5

The nurse is caring for a patient who claims that he does not believe in God and does not believe in an "ultimate reality." The nurse realizes what about this patient?

A)The patient is devoid of spirituality.
B)The patient is an atheist/agnostic.
C)The patient finds no meaning through relationships with others.
D)The patient believes that what he does is meaningless.

Question 6

The word spirituality derives from the Latin word spiritus,which refers to breath or wind.Today,spirituality can be described as which of the following?

A)Transcendence beyond self,everyday living,and suffering.
B)Less important than coping with the patient's illness.
C)Patient centred and having no bearing on the nurse's belief patterns.
D)Equated with formal religious practice and having a minor effect on health care.

Question 7

Which of the following can nurses used to develop their own spiritual awareness while facilitating the spiritual practices of others?

A)Hosting a church group on the medical unit.
B)Engaging in mindfulness.
C)Taking part in other religions' practices.
D)Taking a university-level course on religion.

Question 8

Which statement about religion and spirituality is true?

A)Religion is a unifying theme in people's lives.
B)Spirituality is unique to the individual.
C)Spirituality encompasses religion.
D)Religion and spirituality are synonymous.

Question 9

When asked about his religious affiliation,a patient responds,"That's personal;why do you want to know?" Which of the following is the most appropriate nursing response?

A)"You need not answer my question if you prefer not to share that information."
B)"By knowing your religious preferences,I can best meet your spiritual needs."
C)"All information that you provide will be kept in strict confidence."
D)"I did not mean to offend you;we ask that question of all of our new admissions."

Question 10

What is the best statement by a nurse who is assessing the spiritual needs of a 76-year-old patient who was just admitted to the nursing unit with terminal cancer of the liver?

A)"I notice you have a Bible.Is that a source of spiritual strength to you?"
B)"What do you believe happens to your spirit when you die?"
C)"We would allow members of your church to visit you whenever you desire."
D)"Has your terminal condition made you lose your faith or beliefs?"

Question 11

The nurse is admitting a patient to the hospital.The patient states that he is a very spiritual person but does not practise any specific religion.What should the nurse understand about these statements?

A)That they are contradictory.
B)That they indicate a strong religious affiliation.
C)That they indicate a lack of faith.
D)That they are reasonable.

Question 12

The patient is admitted with chronic back pain.The nurse who is caring for this patient should do which of the following?

A)Focus on finding quick remedies for the back pain.
B)Look at how pain influences the patient's ability to function.
C)Realize that the patient's only goal is relief of the back pain.
D)Help the patient realize that there is little hope of relief from chronic pain.

Question 13

In caring for the patient's spiritual needs,what should the nurse understand?

A)Establishing presence is part of the art of nursing.
B)Presence involves "doing for" the patient.
C)A caring presence involves listening to the patient's wishes only.
D)The nurse must use her expertise to make decisions for the patient.

Question 14

In assessing the spiritual health of her patients,what should the nurse understand?

A)Spiritual beliefs change as patients grow and develop.
B)Spiritual health in older persons does not lead to peace and acceptance of others.
C)Older persons often express spirituality by focusing on themselves.
D)Beliefs among older people are focused on one or two factors.

Question 15

Which of the following attributes of spiritual care in nursing practice is described as a direction to place patients' needs first and protect vulnerability?

A)Altruism.
B)Interpersonalism.
C)Intuitiveness.
D)Integrativeness.

Question 16

Which of the following are included in the five Cs of relational practice? (Select all that apply. )

A)Compassion.
B)Curiosity.
C)Commitment.
D)Communication.
E)Competence.
F)Corresponding.

Question 17

The nurse is caring for a patient who is terminally ill with very little time left to live.The patient states,"I always believed that there was life after death.Now,I'm not so sure.Do you think there is?" The nurse states,"I believe there is." What has the nurse attempted to do?

A)Strengthen the patient's religion.
B)Provide hope.
C)Support the patient's agnostic beliefs.
D)Support the horizontal dimension of spiritual well-being.

Question 18

The nurse is caring for a patient who is in the final stages of his terminal disease.The patient is very weak but refuses to use a bedpan and wants to get up to use the bedside commode.What should the nurse do?

A)Explain to the patient that he is too weak and needs to use the bedpan.
B)Insert a rectal tube so that the patient no longer needs to actively defecate.
C)Enlist assistance from family members if possible and assist the patient to get up.
D)Put the patient on a bedpan and stay with him until he is finished.

Question 19

If a patient is identified as following the traditional health care beliefs of Judaism,while planning patient care,which of the following should be incorporated in nursing care?

A)Observance of the Sabbath.
B)Faith healing.
C)The removal of religious symbols,
D)Sacraments of Holy Communion.

Question 20

Which of the following is an intervention that will facilitate connectedness?

A)Restricting visits from pets.
B)Placing memorabilia in the patient's view.
C)Avoiding physical touch and massage.
D)Implementing relevant rituals and traditions.