Question 1

Which of the following realities would cause difficult ethical conflicts for a faith community nurse?&#10;A) Best clinical practice may suggest behaviors contrary to the faith community's values and beliefs.&#10;B) Individuals might pressure the nurse to make medical decisions for them.&#10;C) Persons do not always follow the nurse's advice as to appropriate actions.&#10;D) Some political maneuvers within the faith community have implications for the nurse's practice.

Accepted Answer

The nurse must understand the policies and beliefs of the congregation related to specific health issues. Church doctrine may guide members to adopt values and beliefs that are in conflict with current health care recommendations, such as issues of homosexuality, infertility, birth control, or sex education for youth. The parish nurse must understand that the politics of working within the faith system require acceptance of individual and system values and beliefs.

Question 2

A nurse was a volunteer in a faith community when a police officer asked for specific information related to a member's behavior and mental health. The faith community nurse (FCN) told the police officer, "I'm a part-time volunteer; I'm not paid. Besides, I have client-professional privileges so I can't share information with you." Which of the following will most likely be the outcome of this encounter?

A) The Health Insurance Portability and Accountability Act (HIPAA) will require the nurse to maintain confidentiality.
B) The matter will be referred to the faith community leader for resolution.
C) The nurse is still accountable and has no legal right not to disclose information requested by a legal authority.
D) The police officer will have to accept the nurse's refusal to share information.

The nurse is still accountable and has no legal right not to disclose information requested by a legal authority.

Accepted Answer

Volunteers in a church are held to the same degree of accountability as are paid employees. Ministers, both ordained and nonordained, may be required to disclose confidential information in court. FCNs, as nonordained ministers, do not have client-professional privilege. Thus, HIPAA does not apply as the information has been requested by a police officer and there is not client-professional privilege involved. The faith community leader is not able to offer a resolution to this problem as client-professional privilege does not exist in this situation. Because there is not client-professional privilege, the police officer does not need to accept the nurse's refusal to share information.

Question 3

Which of the following best describes how the practice of faith community nurses is different from the practice of other nurse specialists?&#10;A) Advanced education is required before attempting such a challenging role.&#10;B) Practice setting is in a building dedicated to a purpose other than health care.&#10;C) The nurse is a member of the same community where the nurse practices.&#10;D) The central focus of the practice is the spiritual dimension.

Accepted Answer

A key element of the philosophical basis of parish nursing is the spiritual dimension, which is central to the practice. All specialties require advanced education and are often practiced in non-health-oriented settings, such as workplaces, schools, or client homes.

Question 4

The faith community nurse (FCN) finds the faith community's needs overwhelming. Which of the following best describes how the nurse can best meet the community's many needs?&#10;A) Discover appropriate resources already existing in the community&#10;B) Help the community members meet their own needs independently of the nurse or other assistance&#10;C) Recruit, train, and direct volunteers to implement needed programs&#10;D) Suggest the faith community recruit more parish nurses to help

Accepted Answer

It would be fantastic if existing resources already in the community could meet the needs of the faith community within which the FCN is working, but that would be extremely unlikely. The role of coordinator of volunteers includes recruiting, training, and directing volunteers to work with the FCN program or health ministry. The nurse may work with other nurses and lay people within the congregation. The FCN program may encompass all programs related to the health of the church community.

Question 5

Which of the following has been confirmed by research regarding the relationship between religion, spirituality, and health?&#10;A) Essentially, religion gives persons a sense of hope.&#10;B) Faith communities help by praying for ill persons during services.&#10;C) Healthy persons have a tendency to be active within their faith communities.&#10;D) Persons who attend services have decreased anxiety, depression, and stress.

Accepted Answer

Individuals who reported intrinsic religion (internalized or regularly practiced) and regular attendance at a religious service reported decreased stress. In 147 studies, it was found that there was an inverse relationship between religiosity and depression. The authors found evidence in another 49 studies that indicated people who practiced religious coping had lower levels of anxiety, depression, and stress and coped more positively with many chronic diseases.

Question 6

As a health advocate, which of the following does the faith community nurse (FCN) need to know?&#10;A) Community resources available in the community&#10;B) Educational needs of the community&#10;C) Recruitment strategies&#10;D) Understanding of spirituality

Accepted Answer

In the role of health advocate, the FCN facilitates clients' efforts in obtaining needed health services. The FCN uses referral skills and knowledge of community resources to guide individuals as they access available resources. The nurse may, with the client's approval, provide referrals to resources. The FCN recognizes the difficulties encountered by vulnerable populations within the faith community and helps them maneuver the health care maze to access needed resources. Knowing the educational needs of the community is necessary for the FCN to fulfill the role of health educator. As the coordinator of volunteers, the FCN should be aware of how to recruit, train, and direct volunteers to work with the FCN program or health ministry. It is necessary for the FCN to understand spirituality in order to effectively fulfill the role of integrator of health and healing.

Question 7

Which of the following best describes how the faith community nurse, as a health educator, decides which educational programs to offer the faith community?&#10;A) Based on feedback from the local public health department nursing professionals&#10;B) Based on what will help implement the Healthy People 2020 goals&#10;C) Based on what is consistent with the health laws of scripture or holy books&#10;D) Based on the health status and needs of faith community members

Accepted Answer

Although any response could be the basis of a program, the program should address the needs of the local faith community. Educational efforts are planned on the basis of the church community's priorities consistent with Healthy People 2020 objectives. Because the faith community membership includes people across the life span, church-based educational programs can address all 10 major health indicators. Early in the development of a parish nurse program, and periodically thereafter, the parish nurse should assess the health status and needs of the congregation members to determine educational priorities.

Question 8

Which of the following symptoms would the faith community nurse (FCN) expect to see when caring for a client with the diagnosis of spiritual distress?&#10;A) Hopelessness, isolation, and loneliness&#10;B) Intense need for prayer and support&#10;C) Loss of faith&#10;D) Withdrawal from stress and the environment

Accepted Answer

FCNs provide nursing interventions related to the nursing diagnosis as connected to spiritual distress (e.g., loneliness, isolation, and hopelessness).

Question 9

Which of the following best describes why it is crucial that the faith community nurse (FCN) have at least a baccalaureate degree, as well as several years of experience in clinical practice, in addition to formal education in the role?

A) To ensure continued prestige and relatively high salary for the role
B) To be autonomous with self-direction and independent decision making
C) To enable the FCN to assess the faith community and prioritize its needs
D) To function in varied settings from the religious building to the clients' homes

Accepted Answer

Incredible diversity and autonomy are found in faith community nursing. The self-direction and independent decision making required by the autonomous roles of the FCN require a highly educated nurse experienced in clinical nursing and community-based nursing practice. Typically, there is not a high salary associated with the role of FCN. The autonomy and independent decision making required in this role allow the nurse to be able to effectively assess the community and function in a variety of settings.

Question 10

A new faith community nurse (FCN) met with a client who was dying. The client asked the FCN to pray for her out loud. The FCN had an active prayer life, but privately-not out loud relating to someone else. Which of the following would be the best response by the nurse?

A) Deliberately misunderstand the request and promise to pray for the client when you are at home each evening
B) Look for a religious book nearby, open it, and hope there is something there the nurse can use
C) Offer to share the client's request with the faith community's leader, as well as ask the faith community to pray for the client
D) Share a traditional prayer that the nurse had previously memorized for personal use

Accepted Answer

It is good to offer to pray for the client and to ask the faith community's leader and the faith community to pray for the client. But the request was immediate, so the best response is to use the faith's traditional prayers, which the parish nurse has memorized. If nothing comes to mind, the FCN can use a book of the faith to find a prayer that is suitable. A guideline to follow is to keep the prayer simple and offer the request to the client's higher power.

Question 11

Which of the following best explains why the name of parish nursing was changed to faith community nursing by the American Nurses Association (ANA)?&#10;A) To allow nurses to use the title &#34;congregational nurse&#34; or &#34;church nurse&#34; rather than &#34;parish nurse&#34;&#10;B) To allow nurses who were not religious to accept practice positions&#10;C) To decrease the emphasis on the church&#10;D) To emphasize the community setting of the specialty&#10;E) To reflect the diversity now found in the specialty

Accepted Answer

The answer of Which of the following best explains why...

Question 12

Which of the following ethical issues is often a concern to a faith community nurse (FCN)?&#10;A) The client's right to confidentiality if a client repents and confesses sin to the nurse&#10;B) Following the Health Insurance Portability and Accountability Act (HIPAA) requirements&#10;C) The nurse's legal responsibility to the faith community leader&#10;D) Setting up appropriate medical records of care given in case of a later legal suit

Accepted Answer

The answer of Which of the following ethical issues is...

Question 13

On the basis of what a faith community nurse (FCN) believed was best practice, she wanted to share various methods of dealing with infertility. However, the tradition of the church was that childbirth was in the hands of God and it was inappropriate to use artificial means of becoming pregnant. Which of the following actions should be taken by the nurse?

A) Ask to be excused from the situation if a couple wants to obtain information inconsistent with the church's teaching
B) Follow the teaching of the church and keep quiet; there are worse fates in life than infertility
C) Suggest that a client consider adoption and suggest an appropriate adoption agency
D) Tell the client all the various methods used in cases of infertility

Accepted Answer

The answer of On the basis of what a faith...

Question 14

On which of the following levels of care do most faith community nurses (FCNs) focus?&#10;A) Hospice care&#10;B) Primary&#10;C) Secondary&#10;D) Tertiary

Accepted Answer

The answer of On which of the following levels of...

Question 15

In which of the following areas would the faith community nurse (FCN) most desire more education to continue in the role?&#10;A) Basic community health nursing practice, especially in finding and accessing resources&#10;B) Spiritual assessment skills and acquiring theological knowledge&#10;C) Use of spirituality in faith healing&#10;D) Physical assessment, pathophysiology, and pharmacology

Accepted Answer

The answer of In which of the following areas would...

Question 16

Which of the following interventions would be appropriate for a faith community nurse who bases care on the CIRCLE Model of Spiritual Care? (Select all that apply.)&#10;A) Giving a mini sermon based on the specific client problem&#10;B) Listening and showing respect without any actual intervention&#10;C) Suggesting to the client what would be an appropriate response to the situation&#10;D) Showing love and empathy toward the client and the situation&#10;E) Calling the client by name during the conversation&#10;F) Allowing time for prayer during the client interaction

Accepted Answer

The answer of Which of the following interventions would be...

Question 17

Which of the following best describes why it is crucial that the faith community nurse (FCN) have at least a baccalaureate degree, as well as several years of experience in clinical practice, in addition to formal education in the role?

A) To ensure continued prestige and relatively high salary for the role
B) To be autonomous with self-direction and independent decision making
C) To enable the FCN to assess the faith community and prioritize its needs
D) To function in varied settings from the religious building to the clients' homes

Accepted Answer

The answer of Which of the following best describes when...

Question 18

A nurse established a new parent support group where new parents meet to share problems and solutions. After about 3 months, fewer people were attending. Which of the following actions should the nurse take next?

A) Accept that the new parents may now be comfortable in their role and no longer need a support group
B) Bring in outside experts to give presentations on specific infancy development issues
C) Change the format of the group meetings to include more time for socialization
D) Suggest an ongoing educational program on infant and child development to renew interest in attending the group

Accepted Answer

The answer of A nurse established a new parent support...

Deck 32: Faith Community Nursing