Question 1

What should nurses be concerned about if they observe secretiveness, suppression of criticism, and inappropriate obedience?&#10;A) spiritual distress&#10;B) spiritual abuse&#10;C) grief&#10;D) depression

Accepted Answer

Secretiveness, suppression of criticism, and inappropriate obedience are all signs of potential spiritual abuse. It is important for nurses to be aware of this and take action to prevent or address any abuse that they observe.

Question 2

What explanation helps nurses understand a connection between religion and spirituality?&#10;A) Spirituality is always expressed through religion.&#10;B) Religion is one expression of spirituality.&#10;C) Religions discourage spirituality.&#10;D) The two are not often connected.

Accepted Answer

Religion is one of many ways that people express their spirituality, but it is not the only way. Many people have a spiritual connection that is not tied to a particular faith or belief system. Understanding that religion is just one aspect of spirituality can help nurses provide holistic care that addresses the spiritual needs of all patients, regardless of their religious background.

Question 3

Which of the following differentiates spirituality from religion?&#10;A) Religion is characterized by boundaries.&#10;B) Religion involves rituals.&#10;C) Spirituality is defined by boundaries.&#10;D) They involve different beliefs.

Accepted Answer

Religion is often characterized by specific boundaries, doctrines, and organized practices, whereas spirituality is more personal and less defined by strict boundaries.

Question 4

What is the name of an ancient Hawaiian method of stress reduction and problem-solving that is accomplished through prayer, discussion, confession, apology, and forgiveness?&#10;A) Aloaha'ono&#10;B) Ho'oponoqono&#10;C) Ho'oponopono&#10;D) Aloa-ha

Accepted Answer

The ancient Hawaiian method of stress reduction and problem-solving that is accomplished through prayer, discussion, confession, apology, and forgiveness is called Ho'oponopono.

Question 5

What are two simple spiritual care practices that every nurse can adopt?&#10;A) Learn the client's religion and notify pastoral care.&#10;B) Keep the client and family informed.&#10;C) Provide medications on time and chart accurately.&#10;D) Be present and develop trust.

Accepted Answer

Being present and developing trust with the patient are two simple spiritual care practices that every nurse can adopt. These practices involve actively listening to patients' concerns and needs, providing emotional support, and engaging in therapeutic communication to promote a sense of connection and trust between the nurse and the patient. While learning the client's religion and notifying pastoral care can be important for meeting spiritual needs, it may not always be feasible or necessary in every clinical setting. Keeping the client and family informed and providing medications on time and charting accurately are important aspects of nursing care, but they do not necessarily address the spiritual needs of the patient.

Question 6

Who is at the centre of the eight domains of palliative care?&#10;A) only the client&#10;B) only the family&#10;C) both the client and their family&#10;D) the pastoral staff

Accepted Answer

The eight domains of palliative care are physical, psychological, social, spiritual, cultural, practical, ethical, and the domain of loss and grief. All these domains should be considered in the care of both the client and their family. Palliative care is not just about the physical care of the patient, but also about providing support and comfort to the family as well.

Question 7

In the Canadian context, what does the term cultural care encompass?&#10;A) nursing in another country&#10;B) shared customs and traditions&#10;C) recognizing new immigrants&#10;D) understanding another language

Accepted Answer

Cultural care in the Canadian context encompasses understanding and respecting shared customs and traditions among different cultures. It involves recognizing and accommodating diverse beliefs, values, and practices that shape individuals' health and illness experiences. Nursing in another country, recognizing new immigrants, and understanding another language are all important aspects of cultural competence, but they do not fully encapsulate the concept of cultural care.

Question 8

How can nurses benefit from use of the ASSET model?&#10;A) It increases understanding about religion&#10;B) It promotes cultural sensitivity.&#10;C) It increases nurses' self-awareness about spirituality.&#10;D) It helps assess clients' spiritual needs.

Accepted Answer

The answer of How can nurses benefit from use of...

Question 9

You are caring for a terminally ill client. What are you proactively obtaining when you determine the client's wishes regarding care after death and who will speak for them when they are no longer able?

A) next of kin contact
B) a spiritual-cultural assessment
C) consent for treatment
D) nursing care plan

Accepted Answer

When caring for a terminally ill client, it is important to obtain a spiritual-cultural assessment to determine the client's wishes regarding care after death. This assessment can help identify any cultural or religious beliefs that may impact end-of-life care decisions. It is also important to identify a healthcare proxy or durable power of attorney for healthcare to speak on behalf of the client when they are no longer able. While obtaining next of kin contact information and consent for treatment are important aspects of care, they are not the most pertinent in this situation. A nursing care plan is developed based on the client's individualized needs and would not necessarily address end-of-life care decisions.

Question 10

What is the term for intentionally trying to convert others to your belief system?&#10;A) proselytizing&#10;B) conversion&#10;C) preaching&#10;D) praying

Accepted Answer

Proselytizing specifically means trying to convert others to your belief system, whereas the other choices (B, C, and D) refer to general activities or actions that may or may not involve trying to convert others.

Question 11

Which of these attitudes and behaviours can best help nurses to be culturally sensitive?&#10;A) awareness of their own spirituality&#10;B) knowledge of religion&#10;C) being open and enquiring&#10;D) understanding a second language

Accepted Answer

The answer of Which of these attitudes and behaviours can...

Question 12

According to the analysts in the text, what elements are encompassed in spirituality?&#10;A) creativity, rituals, wisdom&#10;B) consciousness, beliefs, peace&#10;C) happiness, wisdom, beliefs&#10;D) inspiration, creativity, wisdom

Accepted Answer

The answer of According to the analysts in the text,...

Question 13

Which category of issues related to spirituality includes privacy, the right to refuse treatment, and definitions of death?&#10;A) legal concerns&#10;B) ethical concerns&#10;C) treatment concerns&#10;D) religious concerns

Accepted Answer

The answer of Which category of issues related to spirituality...

Question 14

Nurses who have spiritual support from all sources have less stress and depression and more health-promoting behaviours.

Accepted Answer

The answer of Nurses who have spiritual support from all...

Question 15

Which organization has developed a complete model for palliative care in Canada?&#10;A) Canadian Nurses Association (CNA)&#10;B) Canadian Medical Association (CMA)&#10;C) Canadian Pastoral Association (CPA)&#10;D) Canadian Hospice Palliative Care Association (CHPCA)

Accepted Answer

The answer of Which organization has developed a complete model...

Question 16

What is the main lesson nurses can take away from Maslow's Hierarchy of Needs?&#10;A) Complex needs must be assessed first.&#10;B) Care can start at any level.&#10;C) Spiritual care is a first level need.&#10;D) Care must start with basic needs.

Accepted Answer

The answer of What is the main lesson nurses can...

Question 17

What are clients said to experience when feel they have lost their hopes and dreams following bad news, such as a terminal diagnosis?&#10;A) anticipatory grief&#10;B) sadness&#10;C) spiritual distress&#10;D) disappointment

Accepted Answer

The answer of What are clients said to experience when...

Question 18

Which of the following terms means &#34;to remember one's value&#34;?&#10;A) a memorial&#10;B) recall&#10;C) posthumous&#10;D) legacy

Accepted Answer

The answer of Which of the following terms means &#34;to...

Question 19

What is the relationship between nursing practice and spiritual care?&#10;A) All nurses have religious beliefs.&#10;B) Nurses must refer to nursing competencies.&#10;C) Nursing theory identifies humans as spiritual beings.&#10;D) Spiritual care requires licensure.

Accepted Answer

The answer of What is the relationship between nursing practice...

Question 20

What is the Canadian Nurses Association's (CNA) position on spirituality?&#10;A) It is a minor part of nursing care.&#10;B) It is best left to chaplains and priests.&#10;C) It is important to nursing practice.&#10;D) Nurses have no role.

Accepted Answer

The answer of What is the Canadian Nurses Association's (CNA)...

Question 21

The palliative care nurse who works with clients who are dying knows that clients often experience similar, yet very unique, feelings about this process, and may experience spiritual distress. Today, the nurse enters Mr. Singh's room and is quickly told to leave. Mr. Singh yells at the nurse, stating that it's God's fault and the doctor's fault that he is in this position, and he does not want to see anyone. The nurse knows that his client might be experiencing spiritual distress. Which type of spiritual distressor may the client be feeling?

A) loss
B) guilt
C) anger
D) loneliness

Accepted Answer

The answer of The palliative care nurse who works with...

Question 22

The palliative care nurse meets with his client, Mr. Singh, later on that evening. Mr. Singh tells the nurse that he has no family to visit and the nurses are his only family. He tells the nurse that he is going to die alone and that no one really cares for him. Based on this statement, what are the spiritual distressors that Mr. Singh is likely feeling?

A) loneliness and fear
B) guilt and pain
C) anger and loss
D) grief and anger

Accepted Answer

The answer of The palliative care nurse meets with his...

Question 23

The palliative care nurse has an important role in assisting Mr. Singh with his feelings. The palliative care nurse is aware that certain nursing interventions can help Mr. Singh. What nursing interventions would assist Mr. Singh with the spiritual pain and distressors he is feeling? (Select all that apply.)

A) Reassure him you know how he feels.
B) Offer your support.
C) Acknowledge Mr. Singh's suffering and prepare to be with him on his journey.
D) Allow Mr. Singh to talk, and express his feelings.

Accepted Answer

The answer of The palliative care nurse has an important...

Question 24

Why is there no one definition of spirituality?&#10;A) It is a multicultural concept.&#10;B) It means different things to different people.&#10;C) It is hard to identify.&#10;D) Religions do not agree on a definition.&#10;Indicate one or more answer choices that best complete the statement or answer the question.

Accepted Answer

The answer of Why is there no one definition of...

Question 25

What do nurses see a client expressing when they participate in rituals and ceremonies such as prayer?&#10;A) religious beliefs&#10;B) cultural customs&#10;C) personal habits&#10;D) spiritual expectation

Accepted Answer

The answer of What do nurses see a client expressing...

Deck 20: Spirituality and the Profession of Nursing