Deck 29: Spiritual Health

Question 1

The nurse is conferring with the nutritionist about the needs of a Native American.The nurse anticipates that the client will:
1) Follow a strict vegetarian diet
2) Avoid the use of alcohol and tobacco
3) Expect to avoid pork-related products
4) Follow a diet according to individual tribal beliefs

Answer 1

4
Food practices of Native Americans are influenced by individual tribal beliefs.Some Hindus and Buddhists are vegetarians.Buddhists,Mormons,and some Baptists,Evangelicals,and Pentecostals avoid the use of alcohol and tobacco.Members of Hinduism,Islam,and Judaism may avoid pork products.

Question 2

The wife of a client diagnosed with Alzheimer's disease shares with the home health nurse that,"We always went to church on Wednesday evenings.I miss that a lot." Which of the following statements made by the nurse has the greatest therapeutic value at this time?
1) "Was religion as important to your husband as well?"
2) "Please tell me more about the role religion plays in your lives."
3) "May I help arrange for a sitter so you can attend church services again?'
4) "Attending church services has always been very important to me as well."

Answer 2

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Encourage caregivers to participate in spiritual behaviors or practices (e.g. ,prayer,attending religious services)to enhance spiritual well-being when appropriate.Since the client has introduced the wish to attend services,it is appropriate for the nurse to make a suggestion to help that happen.Some of the remaining options do encourage the caregiver to discuss the couple's spiritual needs but do not directly deal with the verbalized need.The final option is merely the nurse's statement of religious practice.

Question 3

A nurse's knowledge about spirituality begins with him or her:
1) Researching all popular religions
2) Looking at his or her own beliefs
3) Sharing his or her faith with the clients
4) Providing prayers and religious articles for clients

Answer 3

2
Knowledge about spirituality begins with nurses' insight about their own spirituality.This self-exploration may occur through reading,religious involvement,or activities such as meditation to understand their own beliefs and values.Researching popular religions may add to the nurse's knowledge,but knowledge of spirituality begins with the nurse examining his or her own beliefs.It is essential for the nurse to be aware of his or her own beliefs so as to not impose them on others,and to be able to recognize and understand a client's spiritual needs.The nurse's knowledge about spirituality does not begin with the nurse sharing his or her faith with clients.Providing prayers and religious articles for clients may be an intervention to meet a client's spiritual needs;however,it is not how the nurse's knowledge about spirituality begins.

Question 4

The nurse may incorporate similarities of nutritional needs into the plan of care for clients who are Mormon and Buddhist.Members of these religions both:
1) Fast on Fridays
2) Follow vegetarian diets
3) Avoid alcohol and tobacco
4) Avoid mixing dairy and meat products

Question 5

When asked about his or her religious affiliation,a client responds,"That's personal;why do you want to know?" The most appropriate nursing response is:
1) "You need not answer my question if you prefer not to share that information."
2) "All information you provide will be kept in strict confidence."
3) "By knowing your religious preferences,I can best meet your spiritual needs."
4) "I did not mean to offend you;we ask that question of all our new admissions."

Question 6

A tool that may be used effectively with clients who have terminal diseases is hope.Hope provides a:
1) Relationship with a divinity
2) System of organized beliefs
3) Cultural connectedness
4) Meaning and purpose

Question 7

The nurse has identified the following nursing diagnoses for his assigned clients.Of the following diagnoses,which one indicates the greatest potential need to plan for the client's spiritual needs?
1) Altered health maintenance
2) Ineffective individual coping
3) Impaired long-term memory
4) Decreased adaptive capacity

Question 8

The client experienced a near-death experience and was successfully resuscitated.The nurse wants to provide the opportunity for the client to discuss the near-death experience.The most appropriate response by the nurse is:
1) "This is a common experience that is easily explained."
2) "That must have been a very awful experience for you."
3) "Have you ever heard of other persons having a near-death experience?"
4) "What was your experience like,and how did it make you feel?"

Question 9

The nurse,while working with a client to support and assess spirituality should first:
1) Refer the client to the agency chaplain
2) Assist the client to use faith to get well
3) Provide a variety of religious literature
4) Determine the client's personal belief system

Question 10

A nurse should be aware that adolescent clients who are discussing spirituality often:
1) Have a good concept of a supreme being
2) Question religious practices and/or values
3) Fully accept the higher meaning of their faith
4) Often give themselves over to spiritual tasks

Question 11

A client with diabetes is being cared for in the home,with the assistance of a home health nurse and a family member.The client asks you if eating a vegetarian diet will conflict with the disease.The nurse anticipates that the client will follow a vegetarian diet because he is a member of which of the following religions?
1) Hinduism
2) Judaism
3) Islam
4) Sikhism

Question 12

Which of the following statements made by a nurse regarding spiritual support provided displays an inappropriate intervention or attitude?
1) "I offer to pray with my clients as I prepare them for transport to surgery."
2) "I always try to tell my Catholic clients when Mass is being held in the chapel."
3) "When caring for a client for the first time,I always check to see their religious affiliation."
4) "I'm not very comfortable interviewing a client concerning their religious beliefs or practices."

Question 13

Which of the following statements made by a client diagnosed with terminal renal failure best expresses the client's sense of hope?
1) "My father lived for years with this disease."
2) "I've had a good life,and I'll live each day as it comes."
3) "Research is always coming up with new treatments and cures."
4) "My daughter is getting married in 4 months,and I'm going to walk her down the aisle."

Question 14

If a client is identified as following the traditional health care beliefs of Judaism,the nurse should prepare to incorporate the following into care:
1) Faith healing
2) Regular fasting
3) Ongoing group prayer
4) Observance of the Sabbath

Question 15

The nurse working in the labor and delivery area is aware that special care is provided for the umbilical cord after the child's birth for the clients who are:
1) Catholic
2) Navajo
3) Shinto
4) Hindu

Question 16

A 76-year-old client has just been admitted to the nursing unit with terminal cancer of the liver.The nurse is assessing the client's spiritual needs and responds best by saying:
1) "I notice you have a Bible;is that a source of spiritual strength to you?"
2) "What do you believe will happen to your personal spirit when you die?"
3) "We would allow members of your church to visit you whenever you desire."
4) "Has hearing about your terminal condition made you lose your faith or beliefs?"

Question 17

The nurse is working in the labor and delivery area with parents who are members of the Shinto and Buddhist religions.The nurse expects that after the birth of the child:
1) Baptism will be performed immediately
2) Special prayers will be said over the child
3) Special preparations will be made for the umbilical cord and placenta
4) No particular rituals will usually be performed in the postpartum period

Question 18

A client diagnosed with an autoimmune disorder uses guided imagery to help control anxiety.Which of the following assessment data supports the effectiveness of the intervention on the actual management of the disease?
1) A noticeable increase in the client's appetite
2) A decrease in the client's HDL cholesterol level
3) A white blood cell count at the low-normal range
4) A blood glucose level at the low end of the normal range

Question 19

A client who recently required advanced cardiac life support after experiencing a myocardial infarction shares with the nurse that,"I could hear voices talking about me dying and then there was this brightly lighted tunnel." Which of the following statements made by the nurse shows the best understanding of therapeutic communication regarding a client's near-death experience?
1) "Tell me more about what you saw and heard."
2) "What you are describing is called a near-death experience."
3) "Many clients who have been clinically dead have those types of memories."
4) "What you are describing is most likely a result of the drugs you were given."

Question 20

The nurse anticipates the gender-related needs of the clients and tries to accommodate those needs whenever possible.A female nurse is arranged for the female client who practices:
1) Sikhism
2) Judaism
3) Hinduism
4) Buddhism

Question 21

The nurse is caring for a terminally ill client who frequently engages in prayer with her family.The most therapeutic nursing intervention for this client regarding this practice would be to:
1) Move the family into the unit's sunroom for the ritual
2) Ask the client and her family to be allowed to pray with the group
3) Offer to arrange for the facility's chaplain to attend the prayer session
4) Schedule the client's physical therapy treatments to avoid being an interruption

Question 22

A client who has been severely burned has been taught meditation techniques to help manage the stress of his recovery period.The nurse recognizes which of the following assessment findings as most conclusive of the effectiveness of the intervention?
1) The client stating,"I like to meditate"
2) Observing the client in a meditative pose
3) The client heard telling his son that he has learned to meditate
4) A 10-point drop in the client's systolic blood pressure after meditation

Question 23

Which of the following interview questions will best determine a client's readiness for enhanced spiritual well-being?
1) "Are you a religious person?"
2) "Are you satisfied with your life?"
3) "To whom do you turn when you have a problem to deal with?"
4) "Do you tend to rely on prayer during times of personal stress?"