Deck 22: Spiritual Health

Question 1

A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best?

A) Apply for a job transfer to another unit.
B) Consult with the hospital chaplain.
C) Make an appointment with Employee Assistance.
D) Ask other nurses how they deal with the stress.

Answer 1

Consult with the hospital chaplain.

Question 2

The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance? (Select all that apply.)

A) Catholicism
B) Native American
C) Hinduism
D) Greek Orthodox
E) Buddhism

Answer 2

Native American
Hinduism
Buddhism

Question 3

A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care?

A) Spiritual distress
B) Impaired religiosity
C) Moral distress
D) Decisional conflict

Answer 3

Moral distress

Question 4

A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient?

A) Spiritual distress
B) Impaired religiosity
C) Moral distress
D) Decisional conflict

Question 5

A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met?

A) Observed praying quietly
B) Indecisive about treatment
C) Asks nurse if God exists
D) Executes living will

Question 6

The nursing student learns which facts about religion and spirituality? (Select all that apply.)

A) Spirituality focuses on the meaning of life to people.
B) Religion and spirituality are mutually exclusive.
C) Religion implies an organized way of worship.
D) Religion provides the structure by which to understand spirituality.
E) Spirituality is an individual practice that does not include others.

Question 7

A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown, which can't go in the scanner. What action by the nurse is best?

A) Take the icon off the patient's gown until she returns.
B) Give the icon to the patient's family for safekeeping.
C) Pin the icon to the patient's pillow so it can go to radiology.
D) Explain the restriction and ask the patient's preference.

Question 8

A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting?

A) Praying five times a day
B) Having privacy
C) Personal cleanliness
D) Giving alms
E) Maintaining modesty

Question 9

A patient who claims to be very involved in church is near death. What action by the nurse is best?

A) Get permission to contact the religious leader.
B) Allow the family to stay at the patient's bedside.
C) Call the hospital chaplain to come to the bedside.
D) Ask if the patient and family want to pray.

Question 10

A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best?

A) Care for own spiritual needs
B) Begin a meditation practice
C) Consult the chaplain
D) Read books on the subject

Question 11

The student nurse asks why spirituality is important in health care. What response by the registered nurse is best?

A) "All people have a spiritual aspect to their beings."
B) "Spirituality affects behavior, which also affects health."
C) "Knowledge of it is needed to understand a patient holistically."
D) "People who are less spiritual have worse outcomes."

Question 12

The student nurse asks why he needs to assess a patient's spirituality when he can call the chaplain. What response by the nurse is best?

A) "This way you learn what is involved in a spiritual assessment."
B) "Students need to perform all aspects of patient care."
C) "Regulatory organizations list this as a required BSN competence."
D) "All patients should have a spirituality assessment."

Question 13

A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best?

A) Deny the request because of atheistic beliefs.
B) Offer to call the chaplain instead.
C) Agree to sit with the patient while he prays.
D) Ask the patient if he will meditate instead.

Question 14

The nurse concerned about a patient's spiritual needs can best address this by which action?

A) Leaving a note on the chart for other professional
B) Calling the chaplain to come see the patient
C) Collaborating during interdisciplinary rounds
D) Informing the provider of the patient's needs

Question 15

The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best?

A) No action is necessary for the charge nurse to take.
B) Reinforce the nurse's teaching on proper diet.
C) Offer to call the dietitian to work with the patient.
D) Privately speak to the nurse about this conversation.

Question 16

A home health care nurse has been working with a patient who has the nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met?

A) Ask the patient to what extent he/she feels goals have been met.
B) Ask the patient to rate the distress on a scale of 1-10.
C) Assess for objective data to support goal attainment.
D) Determine if the patient thinks the interventions are helpful.

Question 17

A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?

A) Offering the family written information on grief support groups.
B) Asking the family if there is someone the nurse can call for them.
C) Having the hospital social worker or chaplain sit with the family.
D) Offering to stay with the family during this difficult time.

Question 18

A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best?

A) Insert a feeding tube and provide enteral feedings.
B) Ask the provider about Total Peripheral Nutrition.
C) Call the patient's religious leader for advice.
D) Tell the patient he has to eat to get better.

Question 19

The student nurse learns that spirituality consists of practices that lead to connection to which items? (Select all that apply.)

A) Other people
B) Nature
C) Religious institutions
D) Oneself
E) Higher power

Question 20

The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?

A) New mother, older child at home
B) Faces terminal diagnosis
C) Needs to change medications
D) Pleasant but quiet

Question 21

The student using the FICA Spiritual Health Assessment will consider which factors? (Select all that apply.)

A) Faith and belief
B) Focused practices
C) Importance of faith
D) Faith community involvement
E) Address spirituality in care

Question 22

Which actions by a nurse constitute spiritual care? (Select all that apply.)

A) Baptizing a critically ill child per the parent's request.
B) Leaving the room, giving the patient and family privacy for prayer.
C) Considering developmental stage when planning care.
D) Notifying the hospital chaplain of a patient's request.
E) Praying with patients and families when requested.

Question 23

The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.)

A) Desire for shaman to be present
B) Personal use of herbs and prayers
C) Desire to create a living will
D) Power of storytelling for healing
E) Involvement in church activities

Question 24

When does the nurse assess patients' spirituality? (Select all that apply.)

A) Upon admission
B) New diagnosis
C) Life-changing diagnosis
D) When the chaplain makes rounds
E) When facing treatment decisions

Question 25

The nurse assessing a patient using the SPIRIT framework would ask which questions? (Select all that apply.)

A) "Do you follow a particular religion?"
B) "How involved in your church are you?"
C) "Are there any practices I can help you with?"
D) "How will your religion affect your care?"
E) "What gives you hope in bad situations?"