Deck 45: Spirituality

Question 1

Which of the following statements by a nurse would nurture spirituality by promoting love and relatedness?

A) "I know you are angry about your diagnosis."
B) "Tell me about what you do in your job."
C) "Tell me about how you get along with others."
D) "How often do you read the Bible each day?"

Answer 1

"Tell me about how you get along with others."

Question 2

Nurses provide care to meet needs in all the human dimensions. What is one intervention nurses can implement to meet spiritual needs?

A) Refer all questions to a spiritual advisor.
B) Remind clients that nurses are not ministers.
C) Avoid any discussion of religion or spirituality.
D) Offer a compassionate presence.

Answer 2

Offer a compassionate presence.

Question 3

A nurse is caring for a hospitalized child. What would the nurse consider to meet the spiritual needs of the child?

A) Nothing; children do not have a spiritual self.
B) Complete information from the child's parents.
C) Only terminally ill children believe in God.
D) Children have definite perceptions of God.

Answer 3

Children have definite perceptions of God.

Question 4

What spiritual need is believed to underlie all religious traditions and is common to all people?

A) Love and relatedness
B) Physical hygiene
C) Religious education
D) Church services

Question 5

How can religious, life-affirming influences be compared with basic human needs?

A) Life-affirming influences encourage self-actualization.
B) Life-affirming influences enhance life.
C) Life-affirming influences meet basic physiologic needs.
D) Life-affirming influences cultivate wisdom.

Question 6

What factor is necessary to express and experience spirituality?

A) Quiet time in isolation from others
B) Membership in an organized religion
C) Long-term suffering and pain
D) Connectedness with other people

Question 7

A nurse fills the following roles in the community: health educator, personal health counselor, referral agent, trainer of volunteers, developer of support groups, integrator of faith and health, and health advocate. What is the term for this type of nurse?

A) Parish nurse
B) Religious nurse
C) Visiting nurse
D) Home health nurse

Question 8

A nurse is caring for a hospitalized client. What intervention can the nurse use to help the client continue normal spiritual practices?

A) Discuss the nurse's own religious beliefs with the client.
B) Tell the client that spiritual practices can be resumed later.
C) Request dietary consultation for the client's dietary restrictions.
D) Request medication from the physician to calm the client.

Question 9

A client states that his life has meaning and purpose, he feels loved, and has experienced forgiveness in his life. What is the term that describes this state of spirituality?

A) Spiritual belief
B) Spiritual alienation
C) Spiritual health
D) Spiritual bliss

Question 10

The parents of an infant are members of a faith-healing group. They refuse to give the baby antibiotics for meningitis. What does the American Academy of Pediatrics recommend for cases such as this?

A) Respect for the parents' wishes, even if the baby dies
B) Exemption from child abuse charges
C) Application of child abuse and neglect statutes
D) Refusal to treat the child no matter how ill

Question 11

A nurse is using Anandarajah and Hight's (2001) HOPE acronym to assess a client's spirituality and religious beliefs. Which of the following is a component of this acronym?

A) H = heaven
B) O = openness
C) P = personal spirituality
D) E = eternity

Question 12

A client verbalizes to a mental health counselor that his life is meaningless since his wife divorced him and that he no longer wants to live. What nursing diagnosis, resulting from his spiritual distress, would be appropriate?

A) Sexual Dysfunction
B) Fear
C) Powerlessness
D) Risk for Self-Directed Violence

Question 13

Which of the following group of terms best defines spiritual distress?

A) Spirituality, religion
B) Alienation, despair
C) Faith, prayer
D) Forgiveness, purpose

Question 14

A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?

A) These behaviors are expected before major surgery.
B) These behaviors are signs of spiritual distress.
C) Family members live far away and the client is lonely.
D) The client is naturally emotional and reactive.

Question 15

Some religious beliefs may conflict with prevalent health care practices. For example, what type of treatment is prohibited by the doctrine of Jehovah's Witnesses?

A) Using narcotics to treat pain
B) Administering blood transfusions
C) Minor surgical procedures
D) Diagnostic x-ray examinations

Question 16

Each of the major religions has several characteristics in common. What is one of those characteristics?

A) Ministers are addressed as "Reverend."
B) An ethical code defines right and wrong.
C) Communion is delivered the same way.
D) Men and women are viewed as equals.

Question 17

Which of the following health care practices may be influenced by a young woman's religion?

A) Yearly mammograms
B) Annual physicals
C) Birth-control measures
D) Health assessments

Question 18

While reviewing the chart for an assigned client before beginning care, a student notes that the client does not belong to a specific religion. Based on this information, what should the student interpret about the client?

A) A person may be deeply spiritual but not profess a religion.
B) Belonging to an organized religion is essential to spirituality.
C) The student will not have to consider the spiritual dimension.
D) The client should be referred for spiritual counseling.

Question 19

A client tells the nurse, "I am an atheist. I do not believe in God." What would be an appropriate response by the nurse?

A) "Well, I believe in God and you should, too."
B) "I respect what you choose to believe in."
C) "How can you deny the existence of God?"
D) "What makes you think you are an atheist?"

Question 20

A client expresses confidence in his traditional healer to relieve symptoms of an illness. What is the client demonstrating?

A) Hope
B) Spirituality
C) Faith
D) Charity

Question 21

While admitting a clilent who is having elective surgery tomorrow, the nurse asks if he has a preferred religion or faith. The client indicates that he does not believe in a higher power and therefore has no preferred religion. The nurse knows that which of the following terms describes the client's feelings about religion?

A) Atheist
B) Jehovah's Witness
C) Agnostic
D) Spiritualist

Question 22

Then nurse is caring for a hospice client who tells the nurse that she is worried about how she has treated a younger sister. She asks the nurse how to make things right. The nurse recognizes this as which of the following spiritual needs?

A) Meaning
B) Forgiveness
C) Purpose
D) Love

Question 23

A client tells a nurse that he does not think he can have the recommended heart surgery because transfusions are against his religion. What is the best response of the nurse in this situation?

A) Tell the client that the surgery is necessary to keep him alive and is the only choice.
B) Obtain all the information needed for the client to make an informed decision.
C) Prepare the client for a visit from his spiritual advisor.
D) Have the client sign a form stating his refusal of the treatment.

Question 24

The nurse is caring for a client today who asks to have the coffee removed from his tray. The client informs the nurse that his religion precludes the intake of caffeine. The nurse is aware that religions often guide daily living habits in which of the following ways? Choose all that apply.

A) Diet
B) Medical treatments
C) Clothing
D) Education
E) Automobile makes

Question 25

A nurse is preparing a client's room to accommodate a visit from a spiritual counselor. Which of the following is a recommended practice?

A) Dim or turn off the lights.
B) Place a candle on the bedside table.
C) Remove any unnecessary equipment.
D) Place a cross on the bedside table.

Question 26

A client requests the nurse not touch his lips when administering his oral medications. Based on the nurse's understanding of the major religions, the nurse identifies this request as reflecting which of the following?

A) Judaism
B) Christianity
C) Islam
D) Hinduism

Question 27

A client informs the nurse that her physician has planned a procedure that may be in conflict with the client's personal spiritual belief. The client asks the nurse for assistance. The nurse is aware that her role should include assisting the client to do which of the following?

A) Confront the physician and refuse to undergo the procedure.
B) Explore and research alternative medicine therapies.
C) Poll other physicians about alternate treatment options.
D) Obtain accurate information in order to make a good decision.

Question 28

The nurse caring for a Native American client should inquire if the client utilizes which of the following?

A) Medicine man or woman
B) Priest
C) Rabbi
D) Preacher

Question 29

The nurse's client today informs her that he receives regular visits from a parish nurse, who helps him with his diet-controlled diabetes. The nurse is aware that parish nurses do which of the following? Choose all that apply.

A) Provide medicine at no charge
B) Refer clients to appropriate resources
C) Perform physical assessments
D) Promote personal responsibility for health
E) Provide health education

Question 30

Which of the following religious groups believe in divine healing through the "laying on of hands?"

A) Judaism
B) Mormons
C) Buddhism
D) Christian Scientist

Question 31

Then nurse is caring for a female client today. As the nurse is giving the client her morning medications, she begins a conversation about her belief in a higher power. The nurse knows that this can be interpreted as which of the following? Choose all that apply.

A) Faith
B) Spirituality
C) Religion
D) God
E) Atheism

Question 32

A nurse has developed a plan of care to meet the needs of a client with the nursing diagnosis of Spiritual Distress. What would be an expected outcome?

A) Identify factors in life that challenge spiritual beliefs.
B) Attend church services on a weekly basis.
C) Share feelings about religion with other health care providers.
D) Commit to reading passages from the Bible daily.

Question 33

What statement or question is useful for a nurse if a client asks the nurse to pray with him or her?

A) "I'm sorry, I am just too busy."
B) "How would you like us to pray?"
C) "You will have to talk to your minister."
D) "Why would you want me to do that?"

Question 34

This is the nurse's third day of caring for a client who recently underwent a colectomy that resulted in a colostomy. As the nurse goes about the physical assessment, a discussion about spirituality develops. The client tells the nurse that his religion believes in a basic harmony between religion and science. You interpret this as which of the following groups?

A) Buddhism
B) Baha'i International Community
C) Mormon
D) Jehovah's Witness