Deck 30: Spirituality

Question 1

A client scheduled for surgery wants to continue to wear a religious medal.Which actions by the nurse support the client's religious needs? Select all that apply.

A) Keep the medal on the client but remove it once anesthesia is provided.
B) Ask the client if wearing a medal is going to ensure a successful surgery.
C) Document that the medal is being worn by the client.
D) Suggest the client not wear the medal because it will most likely be lost.
E) Explain that the medal can be safety pinned to the client's gown.

Answer 1

Document that the medal is being worn by the client.
Explain that the medal can be safety pinned to the client's gown.

Question 2

A client who was raped tells the nurse that she is planning to have an abortion because she cannot raise a child who was conceived this way; however,abortion is against her religion.Which action by the nurse is the most appropriate?

A) Remind the client that abortion is killing and that's why it is against her religion
B) Ask the client what she needs to support her decision.
C) Provide information on giving up children for adoption.
D) Suggest she talk with her clergy.

Answer 2

Ask the client what she needs to support her decision.

Question 3

While hospitalized,a client learns that a dear friend has died as a result of an accident.The client is crying and asking God,"Why?" The nurse realizes the client is demonstrating which type of spiritual distress?

A) Physiological
B) Psychological
C) Treatment-related
D) Situational

Answer 3

Situational

Question 4

A client says that even though a diagnosis of hypertension is disappointing,with medication and lifestyle changes,it can be controlled and the client will become a better person.Based on this data,which aspect of spirituality is the client demonstrating?

A) Connecting
B) Meaning
C) Value
D) Becoming

Question 5

A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?

A) Remind the client that one's health is more important than following Holy Days.
B) Provide the client with alternative forms of treatment to replace having surgery.
C) Suggest the client think about whether having the surgery is the right decision, as the client is willing to delay it now.
D) Communicate the client's request to the surgeon.

Question 6

The nurse is providing care to a Catholic client.Which treatment option may cause this client spiritual distress?

A) Blood transfusion for anemia
B) Specialized cardiac diet
C) Elective termination of pregnancy
D) A below the knee amputation

Question 7

While helping a client with the evening meal,the nurse observes the client close his eyes,bow his head,and murmur words of thanks and praise.What does this behavior indicate to the nurse?

A) The client did not want the nurse to leave.
B) The client was asking that the meal be better than the last.
C) The client is confused.
D) The client was praying before eating.

Question 8

A nurse is admitting a client to the oncology unit.During the admission assessment,when the nurse asks the client about religious preference,the client states,"I am an atheist." The nurse is aware that the client holds which belief?

A) The client believes that there is one God.
B) The client believes that there is more than one god.
C) The client believes that the existence of God has not been proven.
D) The client does not believe in any god.

Question 9

A client,learning that her baby has died in utero,is planning to carry the baby until natural delivery because abortion is against her religion.Which is the client demonstrating based on this data?

A) Fear of retribution
B) Morals
C) A healthy decision
D) Sound judgement

Question 10

A nursing instructor is discussing moral principles with a group of students.Which comment made by a student nurse indicates the need for further instruction?

A) "A client choosing not to have a needed blood transfusion is an example of autonomy."
B) "An example of veracity would be if a client asks her nurse if she is going to die and the nurse feels obligated to explain to the client that she is dying."
C) "If a client asks the nurse to please come right back, and the nurse tells the client he will be back in just a couple of minutes, then that would be an example of fidelity."
D) "A home health nurse carefully planning his or her day to assure each client gets an adequate amount of time is an example of beneficence."

Question 11

The nurse is assessing a client for spiritual distress.Which observations indicate that a client is experiencing spiritual distress? Select all that apply.

A) The client is sitting in a chair before breakfast reading the Bible.
B) The client states he has lost his faith in God since he's gotten ill.
C) The client is watching a religious program on the television.
D) The client is crying, pacing, and moving his head from left to right.
E) The client is overheard arguing with clergy about the existence of God.

Question 12

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus.The client wishes to take Communion but must fast for one hour prior to receiving it.Which action by the nurse is most appropriate?

A) Contact the healthcare provider to suggest an alternative form of nutrition because the client is refusing to eat or drink.
B) Provide the client with breakfast and morning medication and encourage the client to eat and take Communion some other time.
C) Find out when the hospital clergy will be distributing Communion and adjust the client's medications and breakfast accordingly.
D) Suggest that because the client is hospitalized, eating and drinking will not affect the Communion.

Question 13

When providing nursing care the client states,"I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body." Which action by the nurse is appropriate when providing care to this client?

A) Tell the client that cold water is better metabolized by the body.
B) Instruct the client that lemon juice is really a dose of vitamin C that helps with healing.
C) Provide the warm water and juice of a lemon.
D) Suggest the client delay the water and lemon until after morning medications.

Question 14

The nurse is assessing a client's spirituality.Which findings indicate the client is experiencing spiritual strength? Select all that apply.

A) Telling her family over the telephone that the diagnosis is bad
B) Reading spiritual material
C) Watching a religious service on the television
D) Wringing hands and softy repeating "I am not ready to die"
E) Crying while sitting in a chair, alone

Question 15

While assessing a client's spiritual needs,the nurse asks,"What spiritual beliefs are important to you?" This question represents which step of the FICA assessment model?

A) Community
B) Address
C) Implication
D) Faith

Question 16

A client,who received a kidney from a young victim of a car accident,states,"Life is so unfair.Why did this young person have to die so that I could receive a kidney to live!" Which observations demonstrate the client has resolved the moral dilemma? Select all that apply.

A) The client is watching television and reading the paper.
B) The client is overheard asking the organ transplant coordinator for information on how to volunteer to help other clients.
C) The client asked the healthcare provider how many years the new kidney added to his life.
D) The client is overheard phoning a travel agent and making plans for a trip in 2 months.
E) The client is seen talking with the parents of the young victim and thanking them for their son's gift of life.

Question 17

The nursing student is reviewing communication techniques with the instructor.The nursing student is practicing assessment questions regarding spiritual or religious beliefs.Which questions would the nursing instructor identify as appropriate for the nursing student to ask when assessing spiritual beliefs? Select all that apply.

A) "How will being sick interfere with your religious practices?"
B) "Would you like a visit from your spiritual counselor or the hospital chaplain?"
C) "Are any particular religious practices important to you?"
D) "How is your faith helpful to you?"
E) "Because you indicated you are Catholic, I suppose you fast every Friday."

Question 18

The family of a terminally ill client requests that the client not be informed of the diagnosis.Which moral principle does the request violate?

A) Justice
B) Veracity
C) Beneficence
D) Nonmaleficence

Question 19

The nurse is admitting a client to the medical unit who was brought to the emergency department by a neighbor.The client states,"I ran out of my medication last week.I don't have any family or close friends to help me." Upon assessment,the nurse notes the following findings: oxygen saturation of 93% on room air,breath sounds reveal crackles bilateral bases,P 110 bpm,R 22 breaths per min,BP 110/60 mmHg.Which is the priority psychosocial nursing diagnosis for this client?

A) Social Isolation
B) Impaired Gas Exchange
C) Noncompliance
D) Interrupted Family Process

Question 20

Which situation indicates a conflict in morality?

A) The nurse provides a terminally ill client a meal that includes foods that should be avoided but were requested.
B) The nurse provides the mother of a dying neonate a cup of coffee in the intensive care unit.
C) The nurse provides over-the-counter pain relievers to the daughter of a client because of a headache.
D) The nurse purchases the daily newspaper for a client who does not have any money but will when his wife comes to visit.

Question 21

The nurse is providing care to a client who has just received the diagnosis of cancer.Which findings would suggest that the client is experiencing spiritual distress? Select all that apply.

A) Client is observed crying with children.
B) Client refuses to talk with family.
C) Client discusses possible outcomes with healthcare provider.
D) Client turns off the television and stares out the window.
E) Client is talking quietly with spouse.

Question 22

The nurse caring for a Muslim client is developing the plan of care.Which intervention would the nurse anticipate to be a priority for this client?

A) The client will be able to participate in observing Sabbath.
B) The client will be able to participate in daily prayer with a rosary.
C) The client will be able to participate in daily meditation.
D) The client will be able to participate in prayer at specific times without interruption.

Question 23

The nurse is preparing to discharge a client from a medical-surgical unit.Which actions by the client indicate that religious needs were met during the hospitalization? Select all that apply.

A) Requesting and attending religious services in the hospital chapel
B) Thanking the nurse for contacting a priest to visit while hospitalized
C) Asking nurse for additional supplies to change dressings while at home
D) Refusing home care services because the client's daughter is a nurse and a Sunday school teacher
E) Asking the nurse whom to call if problems occur after surgery

Question 24

Prior to being discharged,a client tells the nurse,"I think the prescribed treatment is going to work and I am looking forward to celebrating another holiday season in a few months." Which is the client demonstrating with the current behavior?

A) Spiritual strength
B) Denial
C) Conflict
D) Apprehension

Question 25

A nurse enters a client's room to assess an intravenous (IV)infusion because of an alarm on the pump that required the nurse's attention.While assessing the IV infusion,the client is asking the nurse questions regarding religion and the client indicates that he would like to have someone to pray with.Which action taken by the nurse while in the room is an example of transcendent presence?

A) After entering the room, the nurse focuses her attention on the intravenous infusion and does not acknowledge the client.
B) The nurse enters the room and answers the client's questions by nodding while taking care of the intravenous infusion.
C) After entering the room and while taking care of the intravenous infusion, the nurse stops and listens to the client's questions and then offers to call a clergy member.
D) After entering the room and while taking care of the intravenous infusion, the nurse stops and listens to the client's questions and then offers to pray with the client.

Question 26

The family members of a critically ill client tells the nurse,"We believe in the power of prayer.We will continue to pray that our loved on recovers." Based on this data,which does the nurse realize that the family is demonstrating?

A) Good family support system
B) Spiritual health
C) Conflict
D) Denial

Question 27

The nurse is providing care to several clients on a medical-surgical unit.Which clients would necessitate a vegetarian diet due to religious beliefs? Select all that apply.

A) A catholic client.
B) An Anglican client.
C) A Hindu client.
D) An Episcopalian client.
E) A Seventh-Day Adventist client.

Question 28

The nurse is providing care to a client on a medical-surgical unit.Which activities will the nurse perform to support this client's spirituality through the use of prescence? Select all that apply.

A) Being available to the client
B) Sitting quietly while the client cries
C) Reading a newspaper at the nurse's station
D) Stating personal religious beliefs
E) Listening to the client

Question 29

A client is abstaining from meat and dairy products during Lent and refuses to select these items when making meal choices.Which actions by the nurse support the client's nutritional and religious needs? Select all that apply.

A) Ask the healthcare provider to discuss the impact of the restricted diet on the client's health.
B) Provide soy milk products as supplements.
C) Add powder protein supplements to the client's water pitcher.
D) Ask the client what foods are typically consumed during this period of time.
E) Consult with a dietitian for food choices to meet the client's needs.

Question 30

A nurse is caring for a client who was recently diagnosed with pancreatic cancer.Which statement made by the client would indicate to the nurse that the client is in spiritual distress?

A) "I am not sure why this is happening but I believe God has a plan for me."
B) "I wish I did not have cancer but I believe that it is happening for a reason."
C) "I wonder if my children will visit today. They won't even go to church with me anymore and they are having a difficult time dealing with my diagnosis."
D) "People tell me things happen for a reason, but why is God doing this to me?"