Deck 16: Spirituality

Question 1

Which of the following statements about spirituality is TRUE?

A)There is no evidence of a connection between spirituality and health.
B)Spiritual nursing requires specialized training in order to perform.
C)Spirituality and values are the same.
D)Spirituality is the core of a person's being.

Answer 1

Spirituality is the core of a person's being.

Question 2

The acronym FICA for spiritual assessment represents:

A)faith,importance or influence,community,and address
B)family,importance or influence,community,and address
C)faith,importance or influence,caring,and attitude
D)faith,importance or influence,caring,and address

Answer 2

faith,importance or influence,community,and address

Question 3

A client has a terminal diagnosis and is crying while holding a rosary.Which of the following would be the MOST appropriate nursing intervention?

A)Notify the family and the client clergy of the change in the client.
B)Provide distractive activities.
C)Administer antianxiety medication as ordered by physician.
D)Provide quiet,uninterrupted time.

Answer 3

Provide quiet,uninterrupted time.

Question 4

Which of the following criteria for spiritual care has The Joint Commission recommended be included in their accreditation criteria?

A)Agency will provide for these needs by promoting religious beliefs.
B)Agency will provide for these needs through pastoral care.
C)Agency will provide for these needs by allowing time for prayer.
D)Agency will provide for these needs by training nurses in spiritual care.

Question 5

Which of the following questions would the nurse ask to assess the client's ability to seek meaning and fulfillment in life?

A)"What brings you joy and peace in your life?"
B)"How do you feel about yourself right now?"
C)"Do you belong to any groups?"
D)"Why do you want to get well?"

Question 6

The nurse is caring for a client who expresses,"I believe that God will help the physician to heal me and make my health better." This is an example of:

A)hope
B)values
C)spirituality
D)faith

Question 7

Which of the following statements about faith is NOT true?

A)It is closely linked to beliefs.
B)It provides people the power to heal themselves.
C)It is linked to spirituality.
D)It is often referred to as religion.

Question 8

The nurse is aware that the purpose of using meditation is to:

A)develop a connectedness to the nurse
B)develop a sense of healing
C)to experience a state of peace and relaxation
D)to experience a state of health

Question 9

The nurse is caring for a client who has a recent diagnosis of pancreatic cancer with metastasis.The client states,"This can't be happening to me! Why,God,why?" Which of the following nursing diagnosis would be MOST appropriate?

A)Anxiety elated to ineffective coping
B)Decisional conflict related to powerlessness
C)Spiritual distress related to concerns for her role in life
D)Ineffective coping related anxiety and anger

Question 10

Which of the following questions would the nurse ask to assess the client's inner strengths?

A)"What brings you joy and peace in your life?"
B)"How do you feel about yourself right now?"
C)"Do you belong to any groups?"
D)"Why do you want to get well?"

Question 11

A client has received a terminal diagnosis.Which statement by the client causes the nurse the greatest concern?

A)"I had a feeling the news was going to be bad."
B)"This runs in my family.I knew there was a chance it would be terminal."
C)"Why did this happen to me? I thought I was taking care of my health."
D)"Why is God angry with me? Do I deserve this punishment?"

Question 12

Providing spiritual care to a client requires the nurse to have a comfort level with this type of care and:

A)the use of touch
B)conscientious thought and personal reflection
C)knowledge of religions
D)prior spiritual experiences

Question 13

Which organization's code of ethics states the ethical responsibility for providing spiritual care?

A)The Joint Commission
B)American Association of Colleges of Nursing
C)American Nurses Association
D)North American Nursing Diagnosis Association

Question 14

A client has received a terminal diagnosis and tells the nurse,"Why is God angry with me? Do I deserve this punishment?" Which nursing diagnosis is MOST appropriate for this client?

A)Readiness for enhanced religiosity
B)Acute sorrow
C)Readiness for enhanced spiritual well-being
D)Spiritual distress

Question 15

When caring for clients whose values and beliefs are considerably different,a dilemma for the nurse exists if there is:

A)conflict with what the nurse believes
B)conflict with what the physician believes
C)conflict with what the client believes
D)conflict with facility policies

Question 16

According to Stoll's guidelines for spiritual assessment,the MOST appropriate question asked by the nurse would be:

A)"What is your source of strength?"
B)"Do you pray?"
C)"Do you attend religious services?"
D)"Does your family have the same beliefs?"

Question 17

Which of the following would be the MOST appropriate goal for a client experiencing spiritual distress?

A)The client will acknowledge that illness is does not affect belief system.
B)The client will demonstrate coping techniques to deal with spiritual distress.
C)The client will acknowledge that treatment will be guided by belief system.
D)The client will demonstrate understanding of treatment modalities.

Question 18

When caring for a client's spiritual needs,the nurse faces challenges such as different values,beliefs,and:

A)dislike of different foods
B)different languages
C)different health care practices
D)different choices

Question 19

Which of the following would be the MOST appropriate evaluation criteria for a client experiencing spiritual distress?

A)The client shared thoughts,feelings,and beliefs.
B)The client does not have religious affiliation.
C)The client verbalized anger at God for the current medical problem.
D)The client demonstrated lack of interest when clergy visited.

Question 20

Which of the following is the highest priority when providing care to a client experiencing spiritual distress?

A)notifying the physician that the client needs sleeping medication
B)a decrease in appetite
C)a verbalization of suicidal thoughts
D)a verbalization in loss of faith in God

Question 21

When performing a spiritual assessment on a client,the nurse is aware that MOST spiritual care models originated from which field of study?

A)pastoral care and medicine
B)medicine and nursing
C)nursing and pastoral care
D)pastoral care and psychology

Question 22

When discussing spirituality with a client,the nurse is aware that the definition of value is:

A)standards or qualities that consist of a person's beliefs
B)principles,standards,or qualities considered worthwhile or desirable
C)a confident belief in the truth or trustworthiness of a person,idea,or thing
D)communication with divine and spiritual entities

Question 23

Which of the following are ways parents transmit values to children? (Select all that apply. )

A)moralizing
B)modeling
C)coping mechanisms
D)laissez-faire
E)code of ethics
F)values clarification

Question 24

The nurse is caring for a client demonstrating signs of spiritual distress.Which of the following would the nurse note? (Select all that apply. )

A)lack of hope
B)anger toward family
C)poor coping mechanisms
D)feelings of courage
E)faith in God
F)lack of purpose in life

Question 25

Which of the following are included in Stoll's guidelines for spiritual assessment? (Select all that apply. )

A)concept of good and evil
B)sources of hope and strength
C)religious faith
D)relationship between spiritual beliefs and health
E)beliefs and values
F)community