Question 1

When nurses appreciate the belief that the client's observations may be more objective than the nurses' because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life transitions, they are recognizing which approach to health care?

A)Scientific
B)Phenomenological
C)Deontological
D)Religious

Phenomenological

Accepted Answer

Phenomenological approach in health care acknowledges the importance of the patient's subjective experiences and personal perspectives. It recognizes that the client's observations may be more objective than the nurse's because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life transitions. This approach values the patient's perspective and is focused on understanding their experiences rather than just treating their symptoms.

Question 2

What is a disruption in the life principle that pervades a person's entire being and integrates and transcends one's biological and psychosocial nature?&#10;A)Mental illness&#10;B)Anxiety&#10;C)Spiritual distress&#10;D)Alterations in individual coping

Accepted Answer

Spiritual distress refers to a disruption in a person's belief system or sense of meaning that pervades their entire being and transcends their biological and psychosocial nature. It can cause feelings of anxiety, isolation, and hopelessness, as well as physical symptoms such as sleep disturbances and changes in appetite. While mental illness and anxiety can also have a profound impact on a person's well-being, they do not necessarily involve a disruption in one's spiritual or existential beliefs. Alterations in coping may be a symptom of spiritual distress or other forms of psychological distress.

Question 3

Identify the purpose of spiritual modes of healing.&#10;A)They always produce physical cure.&#10;B)They are used only with clients who have a strong belief in God.&#10;C)They enhance comfort and produce an inner peace with disability or death.&#10;D)They are used only by members of the clergy.

Accepted Answer

Spiritual modes of healing do not necessarily aim to produce physical cure, but rather aim to enhance comfort and produce inner peace with disability or death. They are not limited to clients who believe in God, nor are they exclusively used by members of the clergy.

Question 4

Identify a statement made by a client that has a nocebo effect.&#10;A)&#34;My father died at age 55, so I will also.&#34;&#10;B)&#34;The food on this tray is nutrition to help me heal.&#34;&#10;C)&#34;I'll take my medication because it will help my lungs.&#34;&#10;D)&#34;I should be able to walk by the end of the week.&#34;

Accepted Answer

This statement creates a negative belief or expectation about one's own health based on a familial precedent, and can have a nocebo effect on the client's health outcomes.

Question 5

Identify the principle upon which Nightingale's spirituality was based.&#10;A)The beliefs of her Unitarian and Anglican parents&#10;B)Scientific rationalism&#10;C)Adherence to a set of rules of behavior, the participation in prescribed rituals, prayer, and the study of sacred texts&#10;D)A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality

Accepted Answer

Nightingale's spirituality was based on a belief in a divine intelligence who creates and sustains the cosmos, as well as an awareness of her own inner connection with this higher reality. She saw spirituality as a personal and experiential journey, rather than adherence to prescribed rituals or dogma.

Question 6

As a philosophical approach to understanding truth, ________________advocates the view that consciousness determines reality and truth in space and time.

Accepted Answer

The answer of As a philosophical approach to understanding truth,...

Question 7

A nurse employed in a critical care unit is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which would receive the lowest priority?

A)Lack of adequate staffing and mandatory overtime
B)Lack of control in decision-making and autonomy
C)Receiving a 2.5% annual raise because of revenue loss by the hospital
D)Frequent deaths of critically ill clients

Accepted Answer

C) Receiving a 2.5% annual raise because of revenue loss by the hospital would receive the lowest priority because it is less directly related to the immediate stressors of working in a critical care unit, such as staffing issues, lack of autonomy, and dealing with patient deaths. These other factors have a more direct and immediate impact on the nurse's daily work stress.

Question 8

Choose the nursing intervention that is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of &#34;spiritual distress.&#34;&#10;A)Communicate acceptance of the client's spiritual needs and acknowledge their importance.&#10;B)Express a willingness to assist and cooperate with religious practices that are not detrimental to the client's health in the treatment setting.&#10;C)Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client.&#10;D)Explain the nurse's religious beliefs and values immediately when requested to do so by the client.

Accepted Answer

Explaining the nurse's own religious beliefs and values may not be effective or appropriate in addressing the client's spiritual distress. It is important for the nurse to focus on the client's spiritual needs and consider their individual beliefs and values. This choice may also conflict with the nursing principle of non-judgmental care. It is better to provide support and resources for the client's spiritual practices rather than to impose the nurse's own beliefs on the client.

Question 9

Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.&#10;A)Religion&#10;B)Spirituality&#10;C)Truth&#10;D)Meditation

Accepted Answer

The term used for a person who lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality is spirituality. While religion may also involve belief in a transcendent reality, it usually includes specific practices, beliefs, and organizational structures. Truth and meditation are related concepts but do not necessarily imply belief in a transcendent reality.

Question 10

What do clients practice when they meditate using an image of a desired outcome or the process of attaining it?&#10;A)Wishful thinking&#10;B)Visualization&#10;C)Relaxation techniques&#10;D)Religion

Accepted Answer

Clients who meditate using an image of a desired outcome or the process of attaining it practice visualization. Visualization is a technique where an individual imagines a specific outcome or scenario in their mind. It is commonly used in many areas, including sports, business, and personal development, to help individuals achieve their goals.

Question 11

What must the nurse recognize when trying to understand the concept of &#34;truth&#34;?&#10;A)Truth is always supported by facts.&#10;B)Hypothetical-deductive reasoning and quantitative research are the only ways to arrive at truth.&#10;C)Spirituality cannot be proven, so it is not truth.&#10;D)Truth is a relative concept.

Accepted Answer

The answer of What must the nurse recognize when trying...

Question 12

What are clients experiencing major life transitions least likely to encounter?&#10;A)Anxiety and vulnerability&#10;B)Spiritual abandonment&#10;C)Stagnation and apathy&#10;D)Spiritual enlightenment

Accepted Answer

The answer of What are clients experiencing major life transitions...

Question 13

What is the least effective measure for nurses to use to maintain an internal state of balance and prevent burnout?&#10;A)Use multitasking at work&#10;B)Take time to feed their spirits&#10;C)Use periodic retreats&#10;D)Play basketball

Accepted Answer

The answer of What is the least effective measure for...

Question 14

Which question would be most appropriate for a nurse to ask in assessing the spiritual distress of a client in the critical care unit?&#10;A)Do you believe that God has sent this illness to you as a punishment for your past sins?&#10;B)When was the last time you went to church to ask for God's help?&#10;C)What do you do to feel hope or feel stronger?&#10;D)Would you like to talk with the hospital chaplain about any spiritual concerns you have?

Accepted Answer

The answer of Which question would be most appropriate for...

Question 15

What is involved in a secular approach to spirituality?&#10;A)A set of positive values, such as love, honesty, and truth, chosen by an individual that ultimately become that person's supreme focus of life and organizing framework&#10;B)The ideology of the Imago Dei (i.e., image of God), or soul, that exists in every person&#10;C)A profound sense of transcendence and awe&#10;D)Integrative energy that is capable of producing internal human harmony or holism

Accepted Answer

The answer of What is involved in a secular approach...

Deck 21: Spirituality and Health Care