Deck 46: Spirituality

Question 1

During assessment,the client says that it has been "a long time" since she has thought very much about religion.The nurse caring for this client has a strong belief in God and the healing power of prayer.What action should be taken by the nurse?

A)Mention the nurse's belief and offer to pray with the client for forgiveness
B)Tell the client that the nurse will pray for her often
C)Ask the client if there are any spiritual needs with which the staff can assist
D)Refer the client for spiritual counselling

Answer 1

Ask the client if there are any spiritual needs with which the staff can assist

Question 2

Which of the following are considered defining characteristics of spiritual distress? (Select all that apply)

A) Feeling a sense of spiritual emptiness
B) Focusing on the development of inner self
C) Questioning the meaning of life
D) Choosing not to practice usual religious rituals
E) A state of mental uneasiness,apprehension,or dread

Answer 2

Feeling a sense of spiritual emptiness
Questioning the meaning of life
Choosing not to practice usual religious rituals

Question 3

The nurse has identified that many of the clients in the long-term care facility have spiritual concerns and distress.What is the nurse's first step in becoming a competent provider for these clients?

A)The nurse must possess a healthy spiritual self-awareness.
B)The nurse must learn about diverse spiritual beliefs and practices.
C)The nurse should start going to church more often.
D)The nurse should establish regular religious services in the facility.

Answer 3

The nurse must possess a healthy spiritual self-awareness.

Question 4

What is the rationale for considering a client's spiritual needs when developing a plan of care?

A)Nurses are the only health professionals that provide this type of holistic care.
B)Meeting the client's spiritual needs can decrease suffering.
C)Until spiritual needs are met,physical needs cannot be met.
D)It is important that the nurse's idea of spirituality matches the client's ideas.

Question 5

The client being prepared for an elective outpatient colonoscopy asks to be allowed to wear a religious medal during the procedure.The client states,"I have worn this medal and have not removed it since I was a teenager." What action should be taken by the nurse?

A)Tell the client that it is policy that all jewellery must be removed
B)Tell the client that the medal can be worn
C)Advise staff in the colonoscopy department about the significance of the medal
D)Remove the medal and place it on the head of the bed

Question 6

Which of the following is considered spiritual wellness?

A)A lifestyle that views and lives life as purposeful and pleasurable
B)The ability to experience meaning and purpose in life
C)A challenge to the core value system that provides strength
D)A feeling of being generally alive and purposeful

Question 7

The nurse caring for wheelchair-dependent residents of a long-term care environment is developing a care plan and wants to include interventions that will meet their spiritual needs.Which of the following interventions would be appropriate?

A)Planning outings to the local shopping mall on a regular basis
B)Taking the clients outdoors to enjoy the gardens when weather permits
C)Allowing opportunities for clients to receive sacraments when requested
D)Allowing for opportunities for the client and family to pray together

Question 8

The client tells the nurse,"I don't know what to do.The treatment plan my physician has suggested is against some of my religious beliefs." What nursing diagnosis problem statement should the nurse assign to this client?

A)Ineffective coping
B)Decisional conflict
C)Impaired religiosity
D)Anxiety

Question 9

The nurse has obtained supplies to change a complex abdominal dressing on a post-operative client.When the nurse arrives at the room,the client is praying with family.What action should be taken by the nurse?

A)Stand quietly just inside the room door until the prayer is completed
B)Come to the bedside and join in with the prayer
C)Politely ask the client to allow the dressing change to proceed
D)Quietly shut the door and wait in the hall until asked to enter

Question 10

Mrs.Cruz is in the delivery room in the last stages of labour.She has found out earlier that her son has died in utero.Since this baby's parents are Catholic,what planning should the nurse consider?

A)Arrange to have the baby circumcised immediately after birth
B)Ask the hospital chaplain to be present in the delivery room
C)Ask the nursing supervisor to find a Catholic nurse to attend the birth
D)Consider emergency transport of the mother to a Catholic hospital

Question 11

A client who is devoutly Jewish is hospitalized during Yom Kippur,a time when many of the Jewish faith fast.The client expresses a desire to follow this religious pattern.How should the nurse respond to this wish?

A)Support the client's desires to the extent possible
B)Let the client know that nutrition can be provided parenterally
C)Attempt to convince the client to ignore the tradition due to illness
D)Tell the client that the physician must make this decision

Question 12

Mrs.El Kadri is a member of a religious group that expects women to dress conservatively,covering her arms and legs.She expresses concern to the nurse that her body will be exposed during her cardiac catheterization.How should the nurse respond to Mrs.El Kadri's concerns?

A)Tell the client that she will be sedated and will be unaware of her body being exposed
B)Make a note in the client's chart that she is particularly modest
C)Explain to the client that in order to perform the study,her body must be exposed
D)Ask the cath lab charge nurse to come to the client's room to talk with her about the concerns

Question 13

Mr.Baber is required to have blood transfused for a very low Hgb.He has a religious objection to the transfusion.In a multidisciplinary approach to this situation,what is the nurse's role?

A)Provide information required for informed consent
B)Speak with the family to encourage him to change his mind
C)Inform the spiritual advisor that Mr.Baber will die without the transfusion
D)Help prepare the client and family for death

Question 14

The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a practicing Muslim.How can the nurse best prepare to meet the client's prayer needs on the unit?

A)Try to find a private room for the client
B)Coordinate care to allow for five prayer sessions daily
C)Prayers should be accommodated on Fridays and Sundays
D)Should share a room with only other Muslims

Question 15

What should be the nurse's primary intervention for a client experiencing spiritual distress?

A)Establish a trusting nurse-client relationship
B)Have the client describe the basic problem
C)Ask the client what religion is practiced in the home
D)Identify the client's belief in a supreme being

Question 16

The nurse is caring for a client requiring transfusion of multiple units of blood.The client has a religious objection to this treatment even though it is necessary to sustain life.What action should be taken by the nurse?

A)Use established rapport to influence the client to accept the blood transfusions
B)Explain why the blood transfusions are necessary and why refusal is dangerous
C)Encourage the client,his spiritual adviser,and the physician to discuss this conflict and any possible alternative therapies
D)Suggest to the client that,as the illness progresses,the blood will be transfused despite religious objections

Question 17

How can the nurse best support the spiritual development of a hospitalized 5-year-old?

A)Ask the child who God is to them
B)Listen to the child's routine bedtime prayer
C)Encourage the child to pray before each meal
D)Bring a Bible storybook in to read to the child at bedtime

Question 18

During assessment,the client tells the nurse,"I don't believe that the existence of God has been proven.I don't see the scientific evidence I need to be certain." How does the nurse document this finding?

A)The client demonstrates polytheism.
B)The client is an atheist.
C)The client has beliefs that support monotheism.
D)The client is agnostic.

Question 19

The family of a dying client has informed the nurse that their religion requires a ritual bath be given by members of the faith after death.The unit is busy,at full census,and there is another client waiting in the ER for the bed.How should the nurse respond to this request?

A)Notify the mortuary of the family's request
B)Arrange for supplies and privacy for the family
C)Arrange for the bath after the body is removed from the hospital
D)Give the family a 1-hour time period to complete the bath

Question 20

Buddhism is considered to be a theistic religion.

Question 21

Which of the following is characteristic of spiritual distress?

A)A client prays five times a day.
B)A middle-aged adult abruptly stops going to church.
C)A young woman admits to being agnostic.
D)A Christian teenager attends a Jewish synagogue service.

Question 22

Mr.Khan was diagnosed with diabetes mellitus 6 months ago.He is hospitalized in diabetic ketoacidosis after a religious fast.Once stabilized,Mr.Khan tells the nurse,"I have fasted during this season every year since I became an adult.I am not going to stop now." The nurse is not knowledgeable about this particular religion.What is the best action for this nurse?

A)Tell the client that it is different now because of the diabetes
B)Do some research into the meaning of fasting in this religion
C)Ask family members of the same religion to discuss fasting with the client
D)Request a consult from a diabetes educator

Question 23

The client states,"I don't know what all this fuss is about religion.God died years ago." The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.What is the best question for the nurse to consider before responding to the client's remark?

A)"Will I get into trouble if I say anything?"
B)"How much longer will I be caring for this client?"
C)"Am I meeting my needs or the client's?"
D)"How can I best make this client understand?"

Question 24

Which dietary adjustment would support a hospitalized Muslim's spiritual wellness during Ramadan?

A)Arranging for only one large meal to be served in the middle of the day
B)Including whole grain foods and fresh fruit with each meal
C)Providing herbal teas and unleavened bread before each meal
D)Requesting that meals be served before dawn and after sunset

Question 25

During the morning bath,the client asks if the nurse is religious and believes in God.What guideline would be most helpful to the nurse in formulating a response to this question?

A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite society.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?

Question 26

The nurse and client have spent several minutes praying together that the client's upcoming surgery will be successful.What action should the nurse take at this point?

A)Gently tell the client that the nurse must take care of other duties
B)Smile and pat the client and silently leave the room
C)Stay with the client until the emotion evoked by the prayer dissipates
D)Ask the client if there is anything else the nurse can do

Question 27

A client with terminal cancer expresses extreme anger about an unsolicited visit by the hospital chaplain.He furiously states that he wants nothing to do with a god who has allowed him to suffer.In planning interventions to help this client cope effectively with spiritual distress,what would be an appropriate outcome criterion?

A)Verbalize relief of anger toward the transcendent being,self,and others
B)Stop complaining about the hospital chaplain's visits
C)Get involved in diversional activities that prevent him from dwelling on his problem
D)Experience conversion and a sense of forgiveness

Question 28

A 22-year-old client who is in the advanced stages of AIDS says to his primary nurse,"I know that I am not going to get better.I think I would like to pray,but I do not know how.I don't even know to whom." What is the most supportive response the nurse could make at this time?

A)"It is frightening to be facing the end of your life.I will pray for you."
B)"I will call the chaplain to speak with you about this."
C)"What do you want to say in your prayer?"
D)"Many people your age have been alienated by religion."