Question 1

A 76-year-old patient has just been admitted to the nursing unit with terminal cancer of the liver.Which of the following is the best response for the nurse who is assessing the patient's spiritual needs?

A) "I notice you have a Bible. Is that a source of spiritual strength to you?"
B) "What do you believe happens to your spirit when you die?"
C) "We would allow members of your church to visit you whenever you desire."
D) "Has your terminal condition made you lose your faith or beliefs?"

A

Accepted Answer

Asking if the patient's Bible is a source of spiritual strength shows respect for their spiritual beliefs and may lead to a discussion about their beliefs and values. This question is less confrontational than asking about their beliefs or asking whether they have lost their faith. Option C assumes that the patient has a church and members who want to visit, which may not be the case. Option B may be a valid inquiry, but it could also be seen as an invasion of privacy or as insensitive, depending on the patient's beliefs. Option D could be seen as judgmental or insensitive and might close the door to exploration of the patient's spiritual needs.

Question 2

Hope may be used effectively with patients who have terminal diseases.Hope is a common theme with which of the following?&#10;A) A relationship with a divinity&#10;B) A system of organized beliefs&#10;C) Cultural connectedness&#10;D) Meaning and purpose

Accepted Answer

Hope is often associated with finding meaning and purpose, especially in challenging situations like terminal illness, as it helps patients cope and find peace.

Question 3

The nurse anticipates the gender-related needs of the patients and tries to accommodate those needs whenever possible.A female nurse is arranged for the female patient who practises which of the following?

A) The Sikh religion
B) Judaism
C) Ojibway (Anishinabe)
D) Buddhism

A

Accepted Answer

The Sikh religion requires modesty and avoidance of physical contact with members of the opposite sex. Therefore, arranging a female nurse for a female Sikh patient would accommodate their gender-related needs.

Question 4

When asked about his religious affiliation,a patient responds,&#34;That's personal; why do you want to know?&#34; Which of the following is the most appropriate nursing response?&#10;A) &#34;You need not answer my question if you prefer not to share that information.&#34;&#10;B) &#34;By knowing your religious preferences, I can best meet your spiritual needs.&#34;&#10;C) &#34;All information that you provide will be kept in strict confidence.&#34;&#10;D) &#34;I did not mean to offend you; we ask that question of all of our new admissions.&#34;

Accepted Answer

Information about religious and spiritual beliefs and practices should be obtained from patients when they enter health care facilities.Nursing care should take into account the biological,psychological,social,cultural,and spiritual needs of patients.Applying knowledge of spiritual concepts and using therapeutic communication skills will help the nurse recognize and understand the patient's spiritual beliefs,so "You need not answer my question if you prefer not to share that information" is not an appropriate response.Although it is true that patient information is kept confidential,it is important to understand the patient's belief system to treat the patient with dignity and respect.In the assessment of spiritual caregiving,it is important for the nurse to inform the patient that he or she is obtaining information to ensure sensitivity to the patient's needs and give the patient the opportunity to communicate his or her spiritual needs.

Question 5

Which of the following should the nurse do first while working with a patient to assess and support the patient's spirituality?&#10;A) Refer the patient to the agency chaplain.&#10;B) Assist the patient to use faith to get well.&#10;C) Provide a variety of religious literature.&#10;D) Determine the patient's perceptions and belief system.

Accepted Answer

It is important for the nurse to first determine the patient's perceptions and belief system in order to understand how to provide appropriate spiritual support. This will also help the nurse to avoid imposing their own beliefs onto the patient. Referring the patient to the agency chaplain or providing religious literature may be appropriate interventions after the nurse has determined the patient's individual needs and preferences. Assisting the patient to use faith to get well is not appropriate as it goes beyond the nurse's role and may not align with the patient's beliefs.

Question 6

When discussing spirituality with adolescent patients,the nurse is aware that which of the following is true regarding patients in this age group?&#10;A) They often have a good concept of a supreme being.&#10;B) They question religious practices and values.&#10;C) They fully accept the higher meaning of their faith.&#10;D) They give of themselves to others as spiritual tasks.

Accepted Answer

During adolescence, individuals often begin to question and explore their beliefs and values, including religious and spiritual practices. This may lead to a reexamination of concepts such as the existence of a supreme being, the meaning and purpose of life, and the role of religion in their lives. However, not all adolescents fully accept the higher meaning of their faith, and giving of oneself to others may not be seen as a spiritual task for all individuals in this age group.

Question 7

Which of the following is an intervention that will facilitate connectedness?&#10;A) Restrict visits from pets.&#10;B) Place memorabilia in the patient's view.&#10;C) Avoid physical touch and massage.&#10;D) Implement relevant rituals and traditions.

Accepted Answer

The answer of Which of the following is an intervention...

Question 8

A patient feels alone,abandoned.He questions his spiritual values and the purpose of life.Which of the following might he be experiencing?&#10;A) Spiritual challenges&#10;B) Transcendence&#10;C) An atheist state&#10;D) Spiritual well-being

Accepted Answer

The patient is experiencing spiritual challenges which can be seen through feeling alone, abandoned and questioning spiritual values and the purpose of life.

Question 9

Which of the following is an intervention to facilitate hope?&#10;A) Life-review therapy&#10;B) Providing access to nature&#10;C) Engaging in small talk as safe entry&#10;D) Talking about things that are meaningful

Accepted Answer

The answer of Which of the following is an intervention...

Question 10

Recent research related to the relationship between spirituality or religion and mental health has been reported.Which of the following statements accurately reflects the current findings?&#10;A) Spirituality does not aid in the healing process.&#10;B) Religion has a protective effect on mental health.&#10;C) Spirituality and mental health are inversely related.&#10;D) There is no relationship between spirituality-religion and mental health.

Accepted Answer

Current research suggests that religion can have a protective effect on mental health, such as reducing symptoms of depression and anxiety. However, the relationship between spirituality and mental health is more complex and may depend on individual beliefs and practices. Therefore, statement A, C, and D are inaccurate.

Question 11

Which of the following statements made by the nurse regarding spiritual support displays an inappropriate intervention or attitude?&#10;A) &#34;I offer to pray with my patients as I prepare them for transport to surgery.&#34;&#10;B) &#34;When patients ask where the chapel is, I tell them where it is.&#34;&#10;C) &#34;When caring for a patient for the first time, I always check to see their religious affiliation.&#34;&#10;D) &#34;I'm not very comfortable interviewing a patient concerning their religious beliefs or practices.&#34;

Accepted Answer

The answer of Which of the following statements made by...

Question 12

Who created a nursing model that was derived from Western Christian religious perspectives?&#10;A) Parse&#10;B) Rogers&#10;C) Newman&#10;D) Bradshaw

Accepted Answer

The answer of Who created a nursing model that was...

Question 13

Which of the following actions shows the beginning of the nurse's knowledge about spirituality?&#10;A) Researching all popular religions&#10;B) Looking at his or her own beliefs&#10;C) Sharing his or her faith with patients&#10;D) Providing prayers and religious articles for patients

Accepted Answer

The answer of Which of the following actions shows the...

Question 14

Which of the following is an approved NANDA nursing diagnosis for spirituality?&#10;A) Risk for spiritual loss&#10;B) Spiritual actualization&#10;C) Readiness for spiritual well-being&#10;D) Realization of need for a belief in God

Accepted Answer

The answer of Which of the following is an approved...

Question 15

If a patient is identified as following the traditional health care beliefs of Judaism,the nurse should prepare to incorporate which of the following into the patient's care?&#10;A) Observance of the Sabbath&#10;B) Faith healing&#10;C) Religious symbols should not be removed&#10;D) Sacraments of Holy Communion

Accepted Answer

The answer of If a patient is identified as following...

Deck 27: Spiritual Health