Deck 16: Spirituality

Question 1

Which statement best describes theology?

A) Discussions and theories related to God and His relation to the world
B) Doctrines about the human soul and its relation to eternal life
C) A lifelong journey involving accumulation of experience and understanding
D) Codes of conduct that integrate beliefs and values

Answer 1

Discussions and theories related to God and His relation to the world

Question 2

Because of religious beliefs,a patient with which affiliation will most likely refuse a blood transfusion?

A) Islam
B) Baha'i
C) Hinduism
D) Jehovah's Witness

Answer 2

Jehovah's Witness

Question 3

A client who is experiencing ongoing grief after the unexpected death of a spouse several years ago questions the existence of God.Which nursing diagnosis would be the most appropriate for this client?

A) Death Anxiety
B) Chronic Sorrow
C) Spiritual Distress
D) Risk for Spiritual Distress

Answer 3

Chronic Sorrow

Question 4

A patient of Orthodox Jewish faith is admitted to the hospital with heart failure on Yom Kippur.The physician prescribes digoxin 0.25 mg to be given orally for this patient.Based on the patient's religious affiliation,which action should the nurse take?

A) Administer the medication as prescribed.
B) Hold the medication until after Yom Kippur.
C) Explain the importance of taking the medication despite the holiday.
D) Ask the physician to change the route of administration.

Question 5

A patient tells the nurse,"I feel that God has abandoned me.I am so angry that I can't even pray." The patient refuses to see his clergyman when he calls.Which is the most appropriate nursing diagnosis for this patient?

A) Spiritual Distress
B) Risk for Spiritual Distress
C) Impaired Religiosity
D) Moral Distress

Question 6

Which special consideration may the nurse need to make when caring for a female Rastafarian patient?

A) Allow the patient to wear her own clothing.
B) Provide a diet that is caffeine-free.
C) Allow the patient to wear jewelry with religious symbols.
D) Provide free-flowing water for bathing.

Question 7

Which factor is held in common by many of the world religions?

A) Strict health code,including dietary laws
B) Belief that one must submit to a god or gods
C) Rules prohibiting alcohol consumption
D) Sacred writings that reveal the nature of the Supreme Being

Question 8

The nurse,a Roman Catholic,notes that a client with a terminal illness identifies as being an atheist.What should the nurse do to support this client's spiritual needs?

A) Suggest the chaplain visit with the client.
B) Offer to read Bible passages with the client.
C) Assess the client's value system and beliefs.
D) Explain the importance of religion at end of life.

Question 9

A client with a gynecological problem believes she is being punished for having had an abortion as a teenager.What should the nurse do to assist with this client's spiritual needs?

A) Refer her to the hospital chaplain.
B) Provide teaching material about the health problem.
C) Explain that it is unlikely that the abortion caused the health problem.
D) Suggest that the client forgive herself for an action that occurred when she was a teenager.

Question 10

Which is considered a religious denomination within the tradition of Christianity?

A) Buddhism
B) Jehovah's Witnesses
C) Sikhism
D) Islam

Question 11

The nurse is admitting a Roman Catholic adult patient who is critically ill.Based on her knowledge of the patient's religion,for which religious rite should she expect to notify the hospital chaplain?

A) Anointing of the Sick
B) Baptism
C) Eucharist
D) Sacrament of Reconciliation

Question 12

When performing a spiritual assessment,who is the preferred source of information?

A) Durable power of attorney
B) Next of kin
C) Patient
D) Patient's clergyman

Question 13

The nurse spends time listening to a client explain the course of an illness.Which spirituality intervention is the nurse implementing?

A) Touch
B) Presence
C) Reminiscence
D) Exploring meaning

Question 14

A female patient refuses to have a male nurse provide care.Which intervention by the charge nurse is best?

A) Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.
B) Explore with the patient her beliefs and determine which might have caused her to make this statement.
C) Assure the patient that each nurse is capable of providing professional nursing care,regardless of gender.
D) Comply with the patient's request and assign a female nurse to care for the patient.

Question 15

A patient has a nursing diagnosis of "Noncompliance with medication regimen related to a belief that God will heal her and that it would show a lack of faith to take the medications." The nurse and a clergyman have spent some time discussing spiritual and treatment issues with the patient.Which patient statement indicates that progress is being made toward achieving compliance with healthcare therapy? Select all that apply.

A) "I will try to pray more often for stronger faith that God will heal me."
B) "Let me think about it until tomorrow; I may see my way to taking those pills then."
C) "You know,I've known some very holy people who were not cured by God."
D) "There is no confusion in my mind about the right thing for me to do."
E) "I'm not sure if this treatment is God's will for me."

Question 16

The nurse is a Christian.She is caring for a Jewish patient who has asked her to offer a prayer at the bedside.The nurse feels comfortable doing so.Which action by the nurse is appropriate?

A) Offer a prayer for healing using the nurse's usual words and format.
B) Begin the prayer with "Jehovah God" as she always does while avoiding the name of Jesus.
C) Avoid saying any name for the Supreme Being while praying and quote an Old Testament Bible scripture as the prayer.
D) Ask whether the expectation is to pray for the patient or with the patient.

Question 17

What is the most effective action by the nurse when delivering spiritual care to a patient of the same religion as the nurse?

A) Understanding that the patient shares the same beliefs
B) Striving to meet the patient's spiritual needs independently
C) Explaining her own religious beliefs to the patient
D) Developing a greater awareness of her own spirituality

Question 18

Which type of medicine do those of Hindu faith typically practice?

A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Qigong

Question 19

The nurse is asking the patient reflective,clarifying questions to help the patient identify purpose in life.Which nursing intervention does this action implement?

A) Spiritual Support
B) Self-Esteem Enhancement
C) Exploring Meaning
D) Hope Inspiration

Question 20

A Muslim client has asked the nurse to pray with her.Which item should the nurse anticipate that the patient could request before praying?

A) Bathing water
B) Rosary beads
C) Mala beads
D) Prayer cloth

Question 21

The nurse notes that a client selected Christian Scientist as the primary religion.What should the nurse consider as possible beliefs for this client? Select all that apply.

A) Tobacco and alcohol are avoided.
B) Illness is caused by faulty thinking.
C) Medical care is approved for children.
D) Blood transfusions are not accepted by adults.
E) The Sacrament of Reconciliation is an important facet of the religion.

Question 22

The nurse prepares a teaching session on spirituality for the families of clients receiving hospice care.What core issues should the nurse include in this teaching? Select all that apply.

A) Faith
B) Hope
C) Prayer
D) Forgiveness
E) Compassionate love

Question 23

A client asks the nurse to explain what is meant by "being spiritual." What should the nurse respond? Select all that apply.

A) It provides insight into the meaning of life.
B) It provides an opportunity to transcend the physical world.
C) It involves personal subjective experiences that take place over time.
D) It provides codes of conduct that integrate values into a way of living.
E) It results from life events that cause internal upheaval,struggle,and challenge.

Question 24

The nurse plans to assess a client's spiritual needs with the JAREL tool.What dimensions will the nurse assess through this tool? Select all that apply.

A) Hope/love
B) Faith/belief
C) Transcendence/peace
D) Life/self-responsibility
E) Life-satisfaction/self-actualization

Question 25

The nurse manager notes that a staff nurse rarely addresses a client's spiritual needs.When talking with the nurse,what should the manager identify as barriers to spiritual care? Select all that apply.

A) Trying to be all things to all people
B) Fear of an insufficient knowledge base
C) Lack of general awareness of spirituality
D) Difference in religion between the client and the nurse
E) Differences in spirituality between the client and the nurse