Question 1

While completing the history,the nurse learns that a patient fasts during Lent.What should the nurse understand about fasting?&#10;A)Religious fasting requirements require only no food intake.Water and other beverages are acceptable.&#10;B)Religious fasting requirements must be maintained at all times or the patient will experience spiritual distress.&#10;C)Religious fasting requirements are observed only during daylight hours.&#10;D)Religious fasting requirements are usually exempted for patients who are ill or are hospitalized.&#10;

Accepted Answer

Religious fasting requirements are often relaxed or exempted for individuals who are ill or hospitalized, as health and well-being are prioritized in many religious practices.

Question 2

During the admission process,the nurse assesses the patient's spiritual belief system and what other aspect related to that system?&#10;A)Christianity&#10;B)Godly assumptions&#10;C)Religious preference&#10;D)Religious knowledge&#10;

Accepted Answer

The nurse assesses the patient's religious preference as it provides valuable information about the patient's values, beliefs, and healthcare decisions. Assessing religious preference can also assist in providing spiritual care and support. Christianity, Godly assumptions and religious knowledge may be components of a patient's spiritual belief system, but they are not the only aspects that should be assessed.

Question 3

The nurse notices a twisted cloth bracelet tied around the wrist of a pediatric patient who is Hmong.The child's father explains that the bracelet is to protect the child's soul.What should the nurse recognize that the bracelet represents?

A)Child abuse,because the bracelets could cut off circulation to the child's hands
B)An antiquated practice
C)A religious practice carrying spiritual significance to the family
D)A need for patient and family education

Accepted Answer

The nurse should recognize that the twisted cloth bracelet represents a religious practice carrying spiritual significance to the Hmong family. It is important for the nurse to respect cultural practices and beliefs and to provide culturally sensitive care.

Question 4

What is considered the state in which a person experiences a disturbance in the belief or value system that provides strength,hope,and meaning to life?&#10;A)Spiritual awakening&#10;B)Impaired religiosity&#10;C)Spiritual distress&#10;D)Impaired belief&#10;

Accepted Answer

Spiritual distress is a state in which a person experiences a disturbance in their belief or value system and it can lead to a sense of alienation, despair, and loss of hope. This can happen in times of crisis or change, such as a serious illness, death, or a significant life event that challenges a person's belief system. Impaired religiosity refers specifically to a disruption in religious practices or rituals, while impaired belief refers to a loss of confidence in a particular belief system. Spiritual awakening, on the other hand, is a positive experience of heightened awareness or connection to the divine or a higher power.

Question 5

What should the nurse include when assessing a patient's spirituality? (Select all that apply. )&#10;A)Relationship with self&#10;B)Relationship with other cultural groups&#10;C)Relationship with deity&#10;D)Relationship with others&#10;E)Relationship with nature&#10;

Accepted Answer

When assessing a patient's spirituality, the nurse should include their relationship with self, deity, others, and nature. The relationship with other cultural groups is not necessarily related to spirituality and might be more appropriate to include when assessing cultural beliefs and practices.

Question 6

What is faith?&#10;A)The core of a person's being,involving one's relationship with God or a higher power&#10;B)The belief in something that cannot be directly observed&#10;C)An organized belief system shared by a group of people and the practices related to that system&#10;D)Unique to Christianity&#10;

Accepted Answer

Faith is generally understood as belief in something that cannot be directly observed or proven, often involving trust or confidence in a higher power or spiritual truth.

Question 7

What should a nurse consider when planning holistic care for a patient?&#10;A)Spiritual and religious beliefs&#10;B)Only physical needs&#10;C)Patients who are too sick to be spiritual&#10;D)The job of the hospital chaplain to identify any spiritual needs of the patient&#10;

Accepted Answer

Holistic care involves addressing not only physical needs, but also emotional, social, and spiritual aspects of the patient. Therefore, it is important for the nurse to consider the patient's spiritual and religious beliefs when planning care.

Answer: D
 While a hospital chaplain may be able to provide additional support for patients' spiritual needs, it is ultimately the responsibility of the nurse to identify and address all aspects of the patient's holistic care.

Question 8

Which phrase describes spirituality?&#10;A)The belief in something that cannot be directly observed&#10;B)An organized belief system that requires religious worship of a Supreme Being&#10;C)The core of a person's being,involving one's relationship with God or a higher power&#10;D)A belief system unique to a specific religion&#10;

Accepted Answer

Spirituality is often described as the core of a person's being, involving their relationship with God or a higher power. It is a personal and subjective experience that goes beyond organized religion and may or may not involve worship practices. It is based on a belief in something that cannot be directly observed, but is felt or experienced on a deeper, more intuitive level. While spirituality may be a component of specific religions, it is not necessarily unique to any one faith.

Question 9

When using the SPIRIT model for assessing spirituality,what does the 'R' represent?&#10;A)Religious beliefs&#10;B)Relationships&#10;C)Requests&#10;D)Ritualized practices and restrictions&#10;

Accepted Answer

The 'R' in the SPIRIT model stands for Ritualized practices and restrictions, which refers to the specific rituals, practices, and dietary or behavioral restrictions that a person's spiritual or religious beliefs may prescribe.

Question 10

A critically ill newborn is the child of two parents who are Catholic.What action should the nurse take regarding the baptism of this infant?&#10;A)Baptize the baby.&#10;B)Ask the parents for direction in whom they want to baptize the baby.&#10;C)Ask the hospital chaplain to baptize the baby.&#10;D)Ask the doctor to baptize the baby.&#10;

Accepted Answer

As a nurse, it is not our place to make decisions regarding religious practices of our patients. It is appropriate to ask the parents for direction in whom they want to baptize the baby. This respects their beliefs and allows them to make their own decision.

Question 11

The nurse using Westerhoff's stages of faith should place a 13-year-old patient in which stage?&#10;A)Experienced faith&#10;B)New faith&#10;C)Owned faith&#10;D)Affiliative faith&#10;

Accepted Answer

The answer of The nurse using Westerhoff's stages of faith...

Question 12

Which are included in Spector's four types of healing that involve spiritual and/or religious belief? (Select all that apply. )&#10;A)Spiritual healing&#10;B)Exorcism&#10;C)Meditation&#10;D)Inner healing&#10;E)Physical healing&#10;

Accepted Answer

The answer of Which are included in Spector's four types...

Question 13

A hospitalized patient requests privacy to say the Kaddish.The nurse realizes this is keeping which spiritual ritual?&#10;A)A daily prayer that Jews say at bedtime&#10;B)A daily prayer that Jews say for one year in remembrance of one who has died&#10;C)A daily prayer that Jews say at meals&#10;D)A daily prayer that Jews say in the morning&#10;

Accepted Answer

The answer of A hospitalized patient requests privacy to say...

Question 14

In Westerhoff's stage of affiliative faith,what does an individual do?&#10;A)Participates in activities that characterize a particular faith tradition&#10;B)Puts faith into personal and social action&#10;C)Acquires a cognitive as well as an affective faith&#10;D)Experiences faith through interaction with others who are living a particular faith tradition&#10;

Accepted Answer

The answer of In Westerhoff's stage of affiliative faith,what does...

Question 15

On what is the holistic health belief view based?&#10;A)The belief that supernatural forces control illness&#10;B)The belief that human life is one aspect of nature&#10;C)The belief that when one's natural balance or harmony is disturbed,illness results&#10;D)The belief that illness results from being bad&#10;E)The belief that forces of nature must be maintained in balance or harmony&#10;

Accepted Answer

The answer of On what is the holistic health belief...

Question 16

While taking care of a devout Muslim,the nurse might expect which daily ritual?&#10;A)A Muslim prayer that is said at bedtime&#10;B)Muslim prayers said five times a day;at dawn,noon,mid-afternoon,sunset,and evening&#10;C)A Muslim prayer that is said in the morning on awakening&#10;D)A Muslim prayer that is said at meals&#10;

Accepted Answer

The answer of While taking care of a devout Muslim,the...

Question 17

A dying patient requests privacy to pray.Which are the forms of prayer? (Select all that apply. )&#10;A)Contemplation&#10;B)Communication to God or other deity&#10;C)A spiritual communion&#10;D)Internal reflection&#10;E)A petition or request&#10;

Accepted Answer

The answer of A dying patient requests privacy to pray.Which...

Question 18

In Westerhoff's stage of searching faith,what action does the individual take?&#10;A)Participates in activities that characterize a particular faith tradition&#10;B)Puts faith into personal and social action&#10;C)Acquires a cognitive as well as an affective faith&#10;D)Experiences faith through interaction with others who are living a particular faith tradition&#10;

Accepted Answer

The answer of In Westerhoff's stage of searching faith,what action...

Question 19

Which action is performed in Westerhoff's stage of owned faith?&#10;A)Participates in activities that characterize a particular faith tradition&#10;B)Puts faith into personal and social action&#10;C)Acquires a cognitive as well as an affective faith&#10;D)Experiences faith through interaction with others who are living a particular faith tradition&#10;

Accepted Answer

The answer of Which action is performed in Westerhoff's stage...

Question 20

A patient who is Orthodox Jewish is terminally ill.The family and rabbi spend a great deal of time at the patient's bedside.At the time of death,what should the nurse expect to occur?&#10;A)The family will approve organ donation.&#10;B)The rabbi will say Shiva.&#10;C)The family will approve an autopsy.&#10;D)The patient may want to say the Shema or have it said for him.&#10;

Accepted Answer

The answer of A patient who is Orthodox Jewish is...

Question 21

To provide spiritually competent care,what should the nurse do first?&#10;A)Perform a physical assessment.&#10;B)Perform personal values-clarification activities.&#10;C)Read the patient's nursing history.&#10;D)Research information on the patient's cultural group.&#10;

Accepted Answer

The answer of To provide spiritually competent care,what should the...

Question 22

What should the nurse do when obtaining spiritual-assessment data?&#10;A)Wait until the patient brings up the topic.&#10;B)Read the physician's history and physical.&#10;C)Perform an assessment using open-ended questions concerning spirituality.&#10;D)Perform an assessment asking direct questions to gain full knowledge of the patient's spiritual status.&#10;

Accepted Answer

The answer of What should the nurse do when obtaining...

Question 23

The nurse is using the HOPE tool when assessing a patient's spiritual needs.In which order should the nurse ask the patient the following questions?&#10;A)Identify sources of strength&#10;B)What specific actions conducted?&#10;C)Does religion influence health care?&#10;D)What is the role of religion in your life?&#10;

Accepted Answer

The answer of The nurse is using the HOPE tool...

Question 24

The nurse preparing a patient care plan utilizes the nursing diagnosis Enhanced Spiritual Well-Being to address which aspects of the patient? (Select all that apply. )&#10;A)Sense of inner peace&#10;B)Sense of meaning&#10;C)Sense of world unity&#10;D)Sense of purpose in life&#10;E)Sense of relationship with others&#10;

Accepted Answer

The answer of The nurse preparing a patient care plan...

Question 25

Which nursing action exemplifies presence?&#10;A)Calling the patient's spiritual counselor&#10;B)Praying with the patient&#10;C)Ensuring that family can visit at any time&#10;D)Communicating a willingness to care,to listen,and to be available to the patient&#10;

Accepted Answer

The answer of Which nursing action exemplifies presence?&#10;A)Calling the patient's...

Question 26

Which interventions are appropriate for a patient experiencing impaired religiosity? (Select all that apply. )&#10;A)Provide privacy for religious practices.&#10;B)Assure the patient that they do not need religion while hospitalized.&#10;C)Provide presence of self.&#10;D)Contact the patient's preferred religious leader.&#10;E)Pray with the patient.&#10;

Accepted Answer

The answer of Which interventions are appropriate for a patient...

Deck 22: Nursing in a Spiritually Diverse World