Question 1

The nurse is providing care to a client who has just received the diagnosis of cancer.Which findings would suggest that the client is experiencing spiritual distress? Select all that apply.

Accepted Answer

A) Characteristics of spiritual distress include refusing interaction with family and friends and taking no interest in interaction with the environment. Talking with a spouse or healthcare provider and crying with children are not characteristics of spiritual distress.
B) Characteristics of spiritual distress include refusing interaction with family and friends and taking no interest in interaction with the environment. Talking with a spouse or healthcare provider and crying with children are not characteristics of spiritual distress.
C) Characteristics of spiritual distress include refusing interaction with family and friends and taking no interest in interaction with the environment. Talking with a spouse or healthcare provider and crying with children are not characteristics of spiritual distress.
D) Characteristics of spiritual distress include refusing interaction with family and friends and taking no interest in interaction with the environment. Talking with a spouse or healthcare provider and crying with children are not characteristics of spiritual distress.
E) Characteristics of spiritual distress include refusing interaction with family and friends and taking no interest in interaction with the environment. Talking with a spouse or healthcare provider and crying with children are not characteristics of spiritual distress.

Question 2

The nurse caring for a Muslim client is developing the plan of care.Which intervention would the nurse anticipate to be a priority for this client?

Accepted Answer

A) Nurses working with Muslim clients should be aware that Muslims pray five times a day, and when developing the plan of care they should take prayer times into consideration. Muslims do not typically recognize Sabbath, pray with a rosary, or meditate.
B) Nurses working with Muslim clients should be aware that Muslims pray five times a day, and when developing the plan of care they should take prayer times into consideration. Muslims do not typically recognize Sabbath, pray with a rosary, or meditate.
C) Nurses working with Muslim clients should be aware that Muslims pray five times a day, and when developing the plan of care they should take prayer times into consideration. Muslims do not typically recognize Sabbath, pray with a rosary, or meditate.
D) Nurses working with Muslim clients should be aware that Muslims pray five times a day, and when developing the plan of care they should take prayer times into consideration. Muslims do not typically recognize Sabbath, pray with a rosary, or meditate.

Question 3

The nurse is preparing to discharge a client from a medical-surgical unit.Which actions by the client indicate that religious needs were met during the hospitalization? Select all that apply.

Accepted Answer

A) Evidence that a client's religious needs were met while hospitalized would be the client thanking the nurse for contacting her priest. The client requesting and attending religious services in the hospital chapel is also evidence that the client's religious needs were met while hospitalized. The client who asked for additional supplies to change dressings at home exhibits no evidence of religious needs being met. The client who asks the nurse whom to call if she has any problems at home is not exhibiting evidence of religious needs being met. The client who tells the nurse that she will not need home care is not exhibiting evidence that religious needs have been met.
B) Evidence that a client's religious needs were met while hospitalized would be the client thanking the nurse for contacting her priest. The client requesting and attending religious services in the hospital chapel is also evidence that the client's religious needs were met while hospitalized. The client who asked for additional supplies to change dressings at home exhibits no evidence of religious needs being met. The client who asks the nurse whom to call if she has any problems at home is not exhibiting evidence of religious needs being met. The client who tells the nurse that she will not need home care is not exhibiting evidence that religious needs have been met.
C) Evidence that a client's religious needs were met while hospitalized would be the client thanking the nurse for contacting her priest. The client requesting and attending religious services in the hospital chapel is also evidence that the client's religious needs were met while hospitalized. The client who asked for additional supplies to change dressings at home exhibits no evidence of religious needs being met. The client who asks the nurse whom to call if she has any problems at home is not exhibiting evidence of religious needs being met. The client who tells the nurse that she will not need home care is not exhibiting evidence that religious needs have been met.
D) Evidence that a client's religious needs were met while hospitalized would be the client thanking the nurse for contacting her priest. The client requesting and attending religious services in the hospital chapel is also evidence that the client's religious needs were met while hospitalized. The client who asked for additional supplies to change dressings at home exhibits no evidence of religious needs being met. The client who asks the nurse whom to call if she has any problems at home is not exhibiting evidence of religious needs being met. The client who tells the nurse that she will not need home care is not exhibiting evidence that religious needs have been met.
E) Evidence that a client's religious needs were met while hospitalized would be the client thanking the nurse for contacting her priest. The client requesting and attending religious services in the hospital chapel is also evidence that the client's religious needs were met while hospitalized. The client who asked for additional supplies to change dressings at home exhibits no evidence of religious needs being met. The client who asks the nurse whom to call if she has any problems at home is not exhibiting evidence of religious needs being met. The client who tells the nurse that she will not need home care is not exhibiting evidence that religious needs have been met.

Question 4

Prior to being discharged,a client tells the nurse,"I think the prescribed treatment is going to work and I am looking forward to celebrating another holiday season in a few months." Which is the client demonstrating with the current behavior?

Accepted Answer

A) The client is expressing hopefulness about the future, which is evidence of spiritual strength. The client is not demonstrating denial, apprehension, or conflict about the future.
B) The client is expressing hopefulness about the future, which is evidence of spiritual strength. The client is not demonstrating denial, apprehension, or conflict about the future.
C) The client is expressing hopefulness about the future, which is evidence of spiritual strength. The client is not demonstrating denial, apprehension, or conflict about the future.
D) The client is expressing hopefulness about the future, which is evidence of spiritual strength. The client is not demonstrating denial, apprehension, or conflict about the future.

Question 5

A nurse enters a client's room to assess an intravenous (IV)infusion because of an alarm on the pump that required the nurse's attention.While assessing the IV infusion,the client is asking the nurse questions regarding religion and the client indicates that he would like to have someone to pray with.Which action taken by the nurse while in the room is an example of transcendent presence?

Accepted Answer

A) While taking care of the IV, the nurse who listens to the client and offers to pray with the client is demonstrating transcendent presence. The nurse is physically, mentally, emotionally, and spiritually present for the client. The other answers demonstrate presence, partial presence, or full presence, but not transcendent presence.
B) While taking care of the IV, the nurse who listens to the client and offers to pray with the client is demonstrating transcendent presence. The nurse is physically, mentally, emotionally, and spiritually present for the client. The other answers demonstrate presence, partial presence, or full presence, but not transcendent presence.
C) While taking care of the IV, the nurse who listens to the client and offers to pray with the client is demonstrating transcendent presence. The nurse is physically, mentally, emotionally, and spiritually present for the client. The other answers demonstrate presence, partial presence, or full presence, but not transcendent presence.
D) While taking care of the IV, the nurse who listens to the client and offers to pray with the client is demonstrating transcendent presence. The nurse is physically, mentally, emotionally, and spiritually present for the client. The other answers demonstrate presence, partial presence, or full presence, but not transcendent presence.

Question 6

The family members of a critically ill client tells the nurse,"We believe in the power of prayer.We will continue to pray that our loved on recovers." Based on this data,which does the nurse realize that the family is demonstrating?

Accepted Answer

A) The family and client believe the client will recover and that their faith and divine intervention will sustain them. This is evidence of spiritual health. The family may or may not be denying the client's health status. The family is not demonstrating conflict. The family may be a good support system to the client.
B) The family and client believe the client will recover and that their faith and divine intervention will sustain them. This is evidence of spiritual health. The family may or may not be denying the client's health status. The family is not demonstrating conflict. The family may be a good support system to the client.
C) The family and client believe the client will recover and that their faith and divine intervention will sustain them. This is evidence of spiritual health. The family may or may not be denying the client's health status. The family is not demonstrating conflict. The family may be a good support system to the client.
D) The family and client believe the client will recover and that their faith and divine intervention will sustain them. This is evidence of spiritual health. The family may or may not be denying the client's health status. The family is not demonstrating conflict. The family may be a good support system to the client.

Question 7

The nurse is providing care to several clients on a medical-surgical unit.Which clients would necessitate a vegetarian diet due to religious beliefs? Select all that apply.

Accepted Answer

A) Hindus and Seventh-Day Adventists are likely to be vegetarian. The Anglican, Episcopalian, and Catholic religions may involve some degree of abstention from food, but such clients are not likely to be vegetarian because of their religious beliefs.
B) Hindus and Seventh-Day Adventists are likely to be vegetarian. The Anglican, Episcopalian, and Catholic religions may involve some degree of abstention from food, but such clients are not likely to be vegetarian because of their religious beliefs.
C) Hindus and Seventh-Day Adventists are likely to be vegetarian. The Anglican, Episcopalian, and Catholic religions may involve some degree of abstention from food, but such clients are not likely to be vegetarian because of their religious beliefs.
D) Hindus and Seventh-Day Adventists are likely to be vegetarian. The Anglican, Episcopalian, and Catholic religions may involve some degree of abstention from food, but such clients are not likely to be vegetarian because of their religious beliefs.
E) Hindus and Seventh-Day Adventists are likely to be vegetarian. The Anglican, Episcopalian, and Catholic religions may involve some degree of abstention from food, but such clients are not likely to be vegetarian because of their religious beliefs.

Question 8

The nurse is providing care to a client on a medical-surgical unit.Which activities will the nurse perform to support this client's spirituality through the use of prescence? Select all that apply.

Accepted Answer

A) Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sitting quietly while the client cries are not characteristics of presencing.
B) Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sitting quietly while the client cries are not characteristics of presencing.
C) Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sitting quietly while the client cries are not characteristics of presencing.
D) Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sitting quietly while the client cries are not characteristics of presencing.
E) Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sitting quietly while the client cries are not characteristics of presencing.

Question 9

A client is abstaining from meat and dairy products during Lent and refuses to select these items when making meal choices.Which actions by the nurse support the client's nutritional and religious needs? Select all that apply.

Accepted Answer

A) The best interventions would be for the nurse to consult with a dietitian for food choices to meet the client's health and religious needs and ask the client what foods are typically consumed during this period of time. The nurse should not provide soy milk products as supplements because the client may not like them. The nurse should not ask the physician to talk about the restricted diet with the client. The nurse should also not provide protein powder supplements in the client's water pitcher.
B) The best interventions would be for the nurse to consult with a dietitian for food choices to meet the client's health and religious needs and ask the client what foods are typically consumed during this period of time. The nurse should not provide soy milk products as supplements because the client may not like them. The nurse should not ask the physician to talk about the restricted diet with the client. The nurse should also not provide protein powder supplements in the client's water pitcher.
C) The best interventions would be for the nurse to consult with a dietitian for food choices to meet the client's health and religious needs and ask the client what foods are typically consumed during this period of time. The nurse should not provide soy milk products as supplements because the client may not like them. The nurse should not ask the physician to talk about the restricted diet with the client. The nurse should also not provide protein powder supplements in the client's water pitcher.
D) The best interventions would be for the nurse to consult with a dietitian for food choices to meet the client's health and religious needs and ask the client what foods are typically consumed during this period of time. The nurse should not provide soy milk products as supplements because the client may not like them. The nurse should not ask the physician to talk about the restricted diet with the client. The nurse should also not provide protein powder supplements in the client's water pitcher.
E) The best interventions would be for the nurse to consult with a dietitian for food choices to meet the client's health and religious needs and ask the client what foods are typically consumed during this period of time. The nurse should not provide soy milk products as supplements because the client may not like them. The nurse should not ask the physician to talk about the restricted diet with the client. The nurse should also not provide protein powder supplements in the client's water pitcher.

Question 10

A nurse is caring for a client who was recently diagnosed with pancreatic cancer.Which statement made by the client would indicate to the nurse that the client is in spiritual distress?

Accepted Answer

A) The statement "but why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
B) The statement "but why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
C) The statement "but why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
D) The statement "but why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.

Quiz 30: Spirituality