Deck 43: Spiritual Health

Question 1

When a client informs the nurse of being a Jehovah's Witness, the nurse must recognize and validate that the client will not accept:

A) blood transfusions.
B) traditional health practices.
C) pain medication.
D) disease causation from germs.

Answer 1

blood transfusions.

Question 2

When a nurse asks oneself questions such as "Why am I here?," the nurse is attempting to:

A) develop the concepts of holism and integration.
B) become a more spiritual being for other people.
C) develop a philosophical base for clearer thinking.
D) strive toward unity with the higher power.

Answer 2

develop a philosophical base for clearer thinking.

Question 3

The best definition of a spiritual need is:

A) universal belief in truth, justice, and compassion.
B) expression of a person's inner being and meaning.
C) a quest to discover life's meaning.
D) an affirmation of life, peace, and harmony.

Answer 3

expression of a person's inner being and meaning.

Question 4

When the client who practices Christianity tells the nurse that the client believes God's reality is personal, and that God is the creator of all beings, the nurse determines the client is expressing:

A) deism.
B) agnosticism.
C) atheism.
D) theism.

Question 5

The nurse is providing care to a Native American/First Nations client. The nurse should ask the client whether to elicit help from the:

A) spiritual healer.
B) priestess.
C) rabbi.
D) preacher.

Question 6

When discussing spirituality with the parent of an 8-year-old child, the nurse instructs the parent that children of this age:

A) enjoy lore and legends of religious groups.
B) are influenced by their peer groups.
C) are moved deeply by spirituality.
D) may question religious authority.

Question 7

An 80-year-old client's spiritual development is focused on integrating and resolving many of the apparently contradictory extremes in the human experience. This client is exhibiting:

A) moral dilemma.
B) conjunctive faith.
C) value clarification.
D) unethical behavior.

Question 8

When caring for a client who is a practicing Christian Scientist, the nurse should ask if the client approves of:

A) expensive treatments.
B) circumcisions.
C) contraception.
D) immunizations.

Question 9

A hospitalized client who is bedridden tells the nurse, "I have not missed a Methodist church service in 50 years and now I am," Which would be an appropriate nursing diagnosis?

A) Spiritual distress related to inability to attend church services evidenced by verbal states of guilt
B) Spiritual need as evidenced by verbalizations and distress at missing Methodist church services
C) Dysfunctional grieving related to inability to attend church services as a result of his medical condition
D) Potential for enhanced spiritual well-being related to distress at missing Methodist church services

Question 10

To obtain subjective data related to a 16-year-old client's spirituality, the nurse should:

A) ask the client's parents if the client attends services.
B) observe whether the client reads religious material.
C) ask the client if religion or a higher being is significant.
D) document the number of times a spiritual leader visits.

Question 11

An appropriate goal for the client with a nursing diagnosis of spiritual distress related to intense pain and suffering as verbalized by the client would be that the client will:

A) express feelings of anger and despair to a divinity.
B) meet with a spiritual leader daily.
C) reflect on past accomplishments in life.
D) participate in supportive spiritual practices.

Question 12

Which food group would be appropriate to suggest to a client who practices tenets of the Islamic faith?

A) Salad with crumbled bacon and cheese, with a cup of tea
B) Barbecued pork sandwich with a milkshake
C) Sliced ham and cheese sandwich and 2% milk
D) Broiled chicken sandwich with skimmed milk

Question 13

Children who are hospitalized may view hospitalization as:

A) the work of an evil spirit or divinity.
B) punishment for wrongdoing.
C) a lack of faith in the family's chosen divinity.
D) poor parental bonding.

Question 14

When a 76-year-old client diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should:

A) notify the healthcare provider.
B) contact the client's religious leader.
C) encourage the client to think positively.
D) listen empathetically and attentively.

Question 15

The nurse is caring for a client who is recovering from a suicide attempt. Which nursing intervention would be inappropriate for this client?

A) Utilize active listening techniques.
B) Allow for expression of negative feelings.
C) Implement all-new coping mechanisms.
D) Include the client's family and friends.

Question 16

A question that would be appropriate for the E in the HOPE spiritual assessment tool would be:

A) "Do you have a living will?"
B) "Do you want to experience a Catholic mass?"
C) "Do you expect to go to heaven when you die?"
D) "Do you want to end your drug addiction?"

Question 17

The nurse is caring for a client who states, "Why are you asking me all these questions about religion? There is no divine beings." The nurse would document this belief as:

A) atheism.
B) agnosticism.
C) theism.
D) faith.

Question 18

The nurse manager has been discussing spirituality with a group of nurses. Which statement by one of the nurses would indicate a need for further education?

A) "Spiritual beliefs and practices do not give strength when a person is in crisis."
B) "Spiritual beliefs and practices give healing strength and support."
C) "A person's daily living habits can be guided by their spiritual beliefs."
D) "Spiritual beliefs can help give a person meaning in their life."

Question 19

The nurse is caring for a client with a nursing diagnosis of spiritual distress. Which assessment finding would support this nursing diagnosis?

A) Views illness as punishment
B) Offers to forgive others
C) Is nonjudgmental of others
D) Accepts help from others

Question 20

The nurse is preparing to complete a spiritual assessment of a client. What step should the nurse complete first?

A) Perform a self-assessment of own spiritual beliefs.
B) Provide for privacy during the assessment.
C) Determine if the client would like any family members present during the assessment.
D) Gather the needed paperwork for the assessment.

Question 21

Which question would be appropriate for the F in the FICA spiritual assessment tool?

A) "Do you consider yourself a spiritual person?"
B) "Are you actively involved with a faith community?"
C) "Do you use your faith family for support?"
D) "How would you like me to address this issue in your healthcare?"

Question 22

Using the FICA spiritual assessment tool, which would be an appropriate question for the C?

A) "Do you consider yourself a spiritual person?"
B) "Do you attend a specific place of worship?"
C) "How do these concerns affect your health?"
D) "Can I discuss your concerns with your family?"

Question 23

The nurse is caring for a client who practices Roman Catholicism. The client is dying. What would be an appropriate action for the nurse?

A) Contact a local priest to complete the anointing of the sick ritual.
B) Contact a local priest to provide special care to the body after death.
C) After death, place the client's body on the floor to facilitate the soul's journey.
D) Ensure that a person of the same sex as the deceased clean the body.

Question 24

The nurse is caring for a dying male client who practices Islam. What is the most appropriate action for the nurse after the client's death?

A) Ensure that a male washes the client's body.
B) Place the body on the floor to facilitate the soul's journey.
C) Ensure that no one is in the room when the client dies.
D) Ensure that someone performs the anointing of the sick sacrament prior to the client's death.

Question 25

The nurse is assisting a client with meal selection for the next day. The client states, "I cannot have meat tomorrow, it is a holy day." The nurse recognizes that the client may be a member of which religious organization?

A) Orthodox Jewish
B) Reform Jewish
C) Roman Catholic
D) Islamic

Question 26

The nurse is caring for a client diagnosed with HIV 10 years ago. The client states that "my relationship with the divine has helped me survive this long." The nurse understands that spiritual well-being is a condition in which a person is at peace with which? Select all that apply.

A) The divine
B) Self
C) Community
D) Environment
E) Mind

Question 27

The nurse is caring for a client who states, "No one can understand a divine being." The nurse would document the client's spiritual belief as:

A) atheist.
B) agnostic.
C) theist.
D) holistic.