Deck 22: Spiritual Health

Question 1

A patient refuses to remove a religious headscarf when being bathed.Which is appropriate action of the nurse?

A) Remove the headscarf because its presence hinders hygiene.
B) Respect the patient's wishes and work around the headscarf.
C) Explain to the patient that the headscarf has no real spiritual value.
D) Identify the refusal to remove the headscarf as a sign of spiritual distress.

Answer 1

Respect the patient's wishes and work around the headscarf.

Question 2

Which nursing interventions are appropriate for a terminally ill patient who is a devout Jew?

A) Arrange for a minister to provide the sacrament of anointing of the sick.
B) Facilitate bedside Sabbath services for the patient and the family members.
C) Allow the patient's family to maintain a vigil throughout the day and night.
D) Provide snacks and meals for the patient and family only from sunset until dawn.
E) Respect the decision of the patient and family not to put the patient on life support.

Answer 2

Facilitate bedside Sabbath services for the patient and the family members.
Allow the patient's family to maintain a vigil throughout the day and night.
Respect the decision of the patient and family not to put the patient on life support.

Question 3

The patient is distressed because hospitalization has prevented participation in church services and adherence to important prayer rituals.Which nursing diagnosis is most appropriate for this patient?

A) Impaired religiosity related to inability to participate in religious services
B) Noncompliance related to failure to adhere to prescribed treatment regimens
C) Disturbed thought processes related to delirium and altered level of consciousness
D) Ineffective role performance related to discrimination and inadequate coping

Answer 3

Impaired religiosity related to inability to participate in religious services

Question 4

The nurse is caring for a patient with the nursing diagnosis impaired religiosity related to inability to participate in religious services while hospitalized.Which nursing intervention is most appropriate for this patient?

A) Call the patient's religious leader to coordinate bedside services for the patient.
B) Help the patient to make a list of important values and ideals in the patient's life.
C) Use therapeutic touch and authentic presence to support the patient spiritually.
D) Encourage the patient to focus on physical healing before meeting spiritual needs.

Question 5

A nurse is caring for a patient who survived cardiopulmonary resuscitation after almost drowning.How can the nurse best help the patient to deal with the aftereffects of the experience?

A) Recommend that the patient avoid discussing the experience with family.
B) Assume that the near-death experience was a positive experience for the patient.
C) Be nonjudgmental and help the patient to work through the near-death experience.
D) Explain that people who have not had a near-death experience will not understand.

Question 6

Which assessment finding leads the nurse to include hopelessness as a nursing diagnosis in the patient's plan of care?

A) The patient does not wish to attend any type of religious services.
B) The patient does not believe in a higher power,spirit guide,or God.
C) The patient has a source of structure and guidance for difficult times.
D) The patient has no motivation or resources to achieve any life goals.

Question 7

A patient who survived a near-death experience tells the nurse about feeling a deep sense of peace,light,and unconditional love while watching the health care providers perform resuscitation procedures.Which is the best response of the nurse?

A) "Your experiences were probably due to side effects of the medications."
B) "I will ask the doctor for a psychiatric evaluation since you are hallucinating."
C) "It sounds like you are fearful of suffering associated with the dying process."
D) "Your experience is similar to others who have survived near-death experiences."

Question 8

Which action by the nurse is appropriate for a family with a terminally ill newborn?

A) Call the rabbi to come to the bedside.
B) Arrange for the infant to be baptized immediately.
C) Call the hospital chaplain to pray with the family.
D) Ask the family how their spiritual needs can be supported.

Question 9

The nurse is caring for a patient who expresses anger about being abandoned and unloved by God since becoming ill.Which nursing diagnosis is appropriate for this patient?

A) Spiritual distress related to perceived alienation from God
B) Risk for loneliness related to social and physical isolation
C) Acute confusion related to hallucinations and misperceptions
D) Impaired memory related to inability to remember familiar prayers

Question 10

The nurse feels a deep sense of altruism and wonderment after successfully resuscitating a young athlete who suddenly collapsed in cardiac arrest.Which term best describes the sensation experienced by the nurse?

A) Holy conviction
B) Spiritual distress
C) Divine expectation
D) Self-transcendence

Question 11

Which term is used to describe a person who does not believe in the existence of a higher power but has had a meaningful life by contributing to the lives of others?

A) Deist
B) Atheist
C) Fatalist
D) Humanist