Deck 35: Spiritual Health

Question 1

The patient is in the intensive care unit (ICU),which has strict posted visiting hours and limits the number of visitors to two per patient at any one time.The patient is asking to see his wife and two daughters.The nurse should

A) Tell the patient that they will be allowed to visit at the appropriate time.
B) Allow the wife and one daughter to enter the ICU, but not the other daughter.
C) Allow the two daughters to visit, and let the wife visit when they leave.
D) Allow the wife and daughters to visit at the patient's request.

Answer 1

Allow the wife and daughters to visit at the patient's request.

Question 2

In assessing the spiritual health of her patients,the nurse understands that

A) Spiritual beliefs change as patients grow and develop.
B) Spiritual health in older adults leads to peace and acceptance of others.
C) Older adults often express spirituality by focusing on themselves.
D) The basis of beliefs among older people is focused on one or two factors.

Answer 2

Spiritual beliefs change as patients grow and develop.

Question 3

The nurse is caring for a patient who is terminally ill with very little time left to live.The patient states,"I always believed that there was life after death.Now,I'm not so sure.Do you think there is?" The nurse states,"I believe there is." The nurse has attempted to

A) Strengthen the patient's religion.
B) Provide hope.
C) Support the patient's agnostic beliefs.
D) Support the horizontal dimension of spiritual well-being.

Answer 3

Provide hope.

Question 4

When caring for a terminally ill patient,the nurse should focus on the fact that

A) Spiritual care is possibly the least important nursing intervention.
B) Spiritual needs often need to be sacrificed for physical care priorities.
C) The nurse's relationship with the patient allows for an understanding of patient priorities.
D) Members of the church or synagogue play no part in the patient's plan of care.

Question 5

In caring for the patient's spiritual needs,the nurse understands that

A) Establishing presence is part of the art of nursing.
B) Presence involves "doing for" the patient.
C) A caring presence involves listening to the patient's wishes only.
D) The nurse must use her expertise to make decisions for the patient.

Question 6

In discussing spiritual well-being,the nurse identifies that the vertical dimension involves

A) The positive relationships and connections people have with others.
B) The transcendent relationship between a person and God.
C) Confidence in something for which there is no proof.
D) Providing an attitude of something to live for and look forward to.

Question 7

The nurse is admitting a patient to the hospital.The patient states that he is a very spiritual person but does not practice any specific religion.The nurse understands that these statements

A) Are contradictory.
B) Indicate a strong religious affiliation.
C) Indicate a lack of faith.
D) Are reasonable.

Question 8

The patient is having a difficult time dealing with his AIDS diagnosis.He states,"It's not fair.I'm totally isolated from my family because of this.Even my father hates me for this.He won't even speak to me." The nurse needs to

A) Assure the patient that his father will accept his situation soon.
B) Use therapeutic communication to establish trust and caring.
C) Point out that the patient has no control and that he has to face the consequences.
D) Tell the patient, "If your father can't get over it, forget it. You have to move on."

Question 9

The nurse is admitting a patient who is a member of the Seventh Day Adventist religion.The physician has written an order for specific tests to be done the next day,which is Saturday.The nurse should

A) Discuss the patient's beliefs about the Sabbath.
B) Order the tests without questioning.
C) Inform the physician that the tests cannot be performed.
D) Reorder the tests for Sunday.

Question 10

Spiritual distress has been identified in a patient who has been diagnosed with AIDS.Upon evaluating the following interventions,which are appropriate for the diagnosis of Spiritual distress?

A) Develop activities to heal body, mind, and spirit.
B) Assess for potential suicide.
C) Offer to pray with the patient.
D) Teach relaxation, guided imagery, and meditation.
E) Have patient avoid church attendance.

Question 11

A complex concept that is unique to each individual; is dependent upon a person's culture,development,life experiences,beliefs,and ideas about life; and is a unifying theme in peoples' lives is called

A) Spirituality.
B) Religion.
C) Self-transcendence.
D) Faith.

Question 12

The nurse is caring for a patient who claims that he does not believe in God,nor does he believe in an "ultimate reality." The nurse realizes that this patient

A) Is devoid of spirituality.
B) Is an atheist/agnostic.
C) Finds no meaning through relationships with others.
D) Believes that what he does is meaningless.

Question 13

The nurse and the patient have the same religious affiliation.Because of this,the nurse

A) Can assume that they have the same spiritual beliefs.
B) Should not impose her personal values on the patient.
C) Must use an assessment tool to assess the patient's beliefs.
D) Can skip the spiritual belief assessment.

Question 14

Which of the following statement about religion and spirituality is true?

A) Religion is a unifying theme in people's lives.
B) Spirituality is unique to the individual.
C) Spirituality encompasses religion.
D) Religion and spirituality are synonymous.

Question 15

The nurse is caring for a patient who has been diagnosed with a terminal illness.The patient states,"I just don't feel like going to work.I have no energy,and I can't eat or sleep." The patient shows no interest in taking part in his care.The nurse should

A) Not be concerned about self-harm because the patient has not indicated any desire toward suicide.
B) Ignore individual patient goals until the current crisis is over.
C) Encourage the patient to purchase over-the-counter sleep aids to help him sleep.
D) Assess the potential for suicide and make appropriate referrals.

Question 16

When evaluating a patient's risk for spiritual crises,which of the following are part of the evaluation process?

A) Review the patient's self-perception regarding spiritual health.
B) Review the patient's view of his/her purpose in life.
C) Discuss with family and associates the patient's connectedness.
D) Ask whether the patient's expectations are being met.
E) Impress on the patient that spiritual health is permanent once obtained.

Question 17

The patient is admitted with chronic back pain.The nurse who is caring for this patient should

A) Focus on finding quick remedies for the back pain.
B) Look at how pain influences the patient's ability to function.
C) Realize that the patient's only goal is relief of the back pain.
D) Help the patient realize that there is little hope of relief from chronic pain.

Question 18

The word spirituality derives from the Latin word spiritus,which refers to breath or wind.Today,spirituality is

A) Awareness of one's inner self and a sense of connection to a higher being.
B) Less important than coping with the patient's illness.
C) Patient centered and has no bearing on the nurse's belief patterns.
D) Equated to formal religious practice and has a minor effect on health care.

Question 19

The nurse creates a referral to pastoral care when he/she realizes that the patient is in need of

A) Psychiatric care.
B) Return to religious affiliation.
C) Spiritual care.
D) Transfer to the psychiatric unit.

Question 20

The nurse is caring for a patient who is in the final stages of his terminal disease.The patient is very weak but refuses to use a bedpan,and wants to get up to use the bedside commode.What should the nurse do?

A) Explain to the patient that he is too weak and needs to use the bedpan.
B) Insert a rectal tube so that the patient no longer needs to actively defecate.
C) Enlist assistance from family members if possible and assist the patient to get up.
D) Put the patient on a bedpan and stay with him until he is finished.