Deck 36: Spiritual Health

Question 1

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

A) Intrapersonal
B) Interpersonal
C) Transpersonal
D) Multipersonal

Answer 1

Interpersonal

Question 2

Spiritual distress has been identified in a patient who has been diagnosed with a chronic illness. Which interventions will the nurse add to the care plan? (Select all that apply.)

A) Offer to pray with the patient.
B) Avoid time with the support group.
C) Have the patient avoid church attendance.
D) Develop activities to heal body, mind, and spirit.
E) Teach relaxation, guided imagery, and meditation.

Answer 2

Offer to pray with the patient.
Develop activities to heal body, mind, and spirit.
Teach relaxation, guided imagery, and meditation.

Question 3

The nurse is caring for a patient with a chronic illness who is having conflicts with beliefs. Which health care team member will the nurse ask to see this patient?

A) The clergy
B) A psychiatrist
C) A social worker
D) An occupational therapist

Answer 3

The clergy

Question 4

A nurse hears the following comments from different patients. Which patient comment does the nurse identify as faith?

A) I go to church every Sunday.
B) I believe there is life after death.
C) I have something to look forward to each day.
D) I get a feeling of awe when looking at the sunset.

Question 5

The patient is having a difficult time dealing with an AIDS diagnosis. The patient states, "It's not fair. I'm totally isolated from God and my family because of this. Even my father hates me for this. He won't even speak to me." What should the nurse do?

A) Tell the patient to move on and focus on getting better.
B) Use therapeutic communication to establish trust and caring.
C) Assure the patient that the father will accept this situation soon.
D) Point out that the patient has no control and that he or she must face the consequences.

Question 6

The nurse and the patient have the same religious affiliation. Which action will the nurse take?

A) Must use a formal assessment tool to determine patient's beliefs.
B) Assume that both have the same spiritual beliefs.
C) Do not impose personal values on the patient.
D) Skip the spiritual belief assessment.

Question 7

The nurse is admitting a patient to the hospital. The patient is a very spiritual person but does not practice any specific religion. How will the nurse interpret this finding?

A) This indicates a strong religious affiliation.
B) This statement is contradictory.
C) This statement is reasonable.
D) This indicates a lack of hope.

Question 8

The nurse is caring for an Islam patient who wants a snack. Which action by the nurse is most appropriate?

A) Offers a ham sandwich
B) Offers a beef sandwich
C) Offers a kosher sandwich
D) Offers a bacon sandwich

Question 9

A male patient in stable condition is in the intensive care unit (ICU) and is asking to see his spouse and two daughters. What should the nurse do?

A) Allow only 5 to 10 minutes with the family.
B) Allow the wife and daughters to visit at the patient's request.
C) Allow the two daughters to visit, and let the wife visit when they leave.
D) Allow the wife and one daughter to enter the ICU but not the other daughter.

Question 10

A nurse is evaluating a patient's spiritual care. Which areas will the nurse include in the evaluation process? (Select all that apply.)

A) Review the patient's view of the purpose in life.
B) Ask whether the patient's expectations were met.
C) Discuss with family and friends the patient's connectedness.
D) Review the patient's self-perception regarding spiritual health.
E) Impress on the patient that spiritual health is permanent once obtained.

Question 11

A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?

A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.

Question 12

A co-worker asks the nurse to explain spirituality. What is the nurse's best response?

A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
D) It refers to fire or giving of life to a person.

Question 13

A nurse is teaching a patient how to meditate. Which information from the patient indicates effective learning?

A) I will lie on the floor.
B) I will breathe quickly.
C) I will focus on an image.
D) I will do this for 10 minutes every day.

Question 14

The nurse is caring for a patient who is an agnostic. Which information should the nurse consider when planning care for this patient?

A) The patient is devoid of spirituality.
B) The patient does not believe in God.
C) The patient believes there is no known ultimate reality.
D) The patient finds no meaning through relationship with others.

Question 15

The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient states, "I just don't feel like going to work. I have no energy, and I can't eat or sleep." The patient shows no interest in taking part in the care by saying, "What's the use?" Which response by the nurse is best?

A) It sounds like you have lost hope.
B) It sounds like you have lost energy.
C) It sounds like you have lost your appetite.
D) It sounds like you have lost the ability to sleep.

Question 16

The nurse is caring for a group of patients. Which patient will the nurse see first?

A) A patient saying that God has left and there is no reason for living.
B) A patient refusing treatment on the Sabbath.
C) A patient having a folk healer in the room.
D) A patient praying to Allah.

Question 17

In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

A) The spiritual well-being scale
B) The FICA assessment tool
C) Belief tool
D) Hope scale

Question 18

The nurse is caring for a patient with a terminal disease. The nurse sits down and lightly touches the patient's hand. Which technique is the nurse using?

A) "Doing for"
B) Establishing presence
C) Offering transcendence
D) Providing health promotion

Question 19

The patient is admitted with chronic anxiety. Which action is most appropriate for the nurse to take?

A) Focus on finding quick remedies for the anxiety.
B) Realize that the patient's only goal is relief of the anxiety.
C) Look at how anxiety influences the patient's ability to function.
D) Help the patient realize that there is little hope of relief from anxiety.

Question 20

A nurse is caring for a Hindu patient. Which action will the nurse take?

A) Allow time to practice the Five Pillars.
B) Allow time to practice Blessingway.
C) Allow time for Holy Communion.
D) Allow time for purity rituals.

Question 21

A nurse is providing spiritual care to a group of patients. Match the group to their belief.

Judaism

A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.

Question 22

A nurse is providing spiritual care to a group of patients. Match the group to their belief.

Hinduism

A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.

Question 23

A nurse is providing spiritual care to a group of patients. Match the group to their belief.

Appalachians

A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.

Question 24

A nurse is providing spiritual care to a group of patients. Match the group to their belief.

Buddhism

A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.

Question 25

A nurse is providing spiritual care to a group of patients. Match the group to their belief.

Islam

A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.