Question 1

Prior to being discharged, a client tells the nurse, "I trust you and the rest of the medical team, and I think the prescribed treatment is going to work. I'm ready to embrace life, and I'm looking forward to celebrating the holiday season in a few months." This statement suggests that the client is experiencing which of the following?

Accepted Answer

A)The client speaks of trusting relationships, hope, and a feeling of being alive and ready to embrace what the future brings. This suggests the client is in a state of spiritual well-being. The client's statement is not suggestive of denial, apprehension, or conflict about the future.
B)The client speaks of trusting relationships, hope, and a feeling of being alive and ready to embrace what the future brings. This suggests the client is in a state of spiritual well-being. The client's statement is not suggestive of denial, apprehension, or conflict about the future.
C)The client speaks of trusting relationships, hope, and a feeling of being alive and ready to embrace what the future brings. This suggests the client is in a state of spiritual well-being. The client's statement is not suggestive of denial, apprehension, or conflict about the future.
D)The client speaks of trusting relationships, hope, and a feeling of being alive and ready to embrace what the future brings. This suggests the client is in a state of spiritual well-being. The client's statement is not suggestive of denial, apprehension, or conflict about the future.

Question 2

The nurse recognizes that a client is experiencing spiritual distress due to the need to receive a blood transfusion. The nurse should also identify the need to provide interventions for what other nursing diagnosis?

Accepted Answer

A)Some clients have religious beliefs that prevent them from receiving any blood products. If a client has a life-threatening condition that requires a blood transfusion, the client may have spiritual distress related to the conflict between religious beliefs and lifesaving medical treatments. This causes Decisional Conflict for the client. This conflict between beliefs and treatments would not likely cause Chronic Confusion, Acute Pain, or Self Neglect.
B)Some clients have religious beliefs that prevent them from receiving any blood products. If a client has a life-threatening condition that requires a blood transfusion, the client may have spiritual distress related to the conflict between religious beliefs and lifesaving medical treatments. This causes Decisional Conflict for the client. This conflict between beliefs and treatments would not likely cause Chronic Confusion, Acute Pain, or Self Neglect.
C)Some clients have religious beliefs that prevent them from receiving any blood products. If a client has a life-threatening condition that requires a blood transfusion, the client may have spiritual distress related to the conflict between religious beliefs and lifesaving medical treatments. This causes Decisional Conflict for the client. This conflict between beliefs and treatments would not likely cause Chronic Confusion, Acute Pain, or Self Neglect.
D)Some clients have religious beliefs that prevent them from receiving any blood products. If a client has a life-threatening condition that requires a blood transfusion, the client may have spiritual distress related to the conflict between religious beliefs and lifesaving medical treatments. This causes Decisional Conflict for the client. This conflict between beliefs and treatments would not likely cause Chronic Confusion, Acute Pain, or Self Neglect.

Question 3

A client was recently diagnosed with alcoholic liver cirrhosis. During a regular checkup, the client tells the nurse, "This is God's punishment for all those parties I went to when I was younger." The nurse should recognize that this religious view could have a negative effect on what other nursing concept?

Accepted Answer

A)Clients can use religion as either a positive or a negative coping strategy. Negative expressions of religious coping include statements like "God is punishing me." If the client is addicted to alcohol, the diagnosis and religious belief may stimulate the client to give up alcohol, which would not be a negative effect. There are no legal issues present due to this client's statement. This religious view is unlikely to affect the client's digestive processes, although the disease itself may reduce metabolism associated with digestion.
B)Clients can use religion as either a positive or a negative coping strategy. Negative expressions of religious coping include statements like "God is punishing me." If the client is addicted to alcohol, the diagnosis and religious belief may stimulate the client to give up alcohol, which would not be a negative effect. There are no legal issues present due to this client's statement. This religious view is unlikely to affect the client's digestive processes, although the disease itself may reduce metabolism associated with digestion.
C)Clients can use religion as either a positive or a negative coping strategy. Negative expressions of religious coping include statements like "God is punishing me." If the client is addicted to alcohol, the diagnosis and religious belief may stimulate the client to give up alcohol, which would not be a negative effect. There are no legal issues present due to this client's statement. This religious view is unlikely to affect the client's digestive processes, although the disease itself may reduce metabolism associated with digestion.
D)Clients can use religion as either a positive or a negative coping strategy. Negative expressions of religious coping include statements like "God is punishing me." If the client is addicted to alcohol, the diagnosis and religious belief may stimulate the client to give up alcohol, which would not be a negative effect. There are no legal issues present due to this client's statement. This religious view is unlikely to affect the client's digestive processes, although the disease itself may reduce metabolism associated with digestion.

Question 4

A nurse enters a client's room to assess why the alarm on an IV infusion has sounded. As the nurse checks the IV equipment, the client says he would like someone to pray with. How should the nurse address the client's spiritual needs while providing necessary IV care?

Accepted Answer

A)The nurse can best address this client's spiritual needs by being fully present with the patient and not being distracted by other tasks such as assessing the IV infusion. Although the nurse's first priority is to assess that the alarm is not an emergency, she can then stop and be fully present by listening to the client's request and offering to pray with the client. The other options do not indicate that the nurse is fully present with the client.
B)The nurse can best address this client's spiritual needs by being fully present with the patient and not being distracted by other tasks such as assessing the IV infusion. Although the nurse's first priority is to assess that the alarm is not an emergency, she can then stop and be fully present by listening to the client's request and offering to pray with the client. The other options do not indicate that the nurse is fully present with the client.
C)The nurse can best address this client's spiritual needs by being fully present with the patient and not being distracted by other tasks such as assessing the IV infusion. Although the nurse's first priority is to assess that the alarm is not an emergency, she can then stop and be fully present by listening to the client's request and offering to pray with the client. The other options do not indicate that the nurse is fully present with the client.
D)The nurse can best address this client's spiritual needs by being fully present with the patient and not being distracted by other tasks such as assessing the IV infusion. Although the nurse's first priority is to assess that the alarm is not an emergency, she can then stop and be fully present by listening to the client's request and offering to pray with the client. The other options do not indicate that the nurse is fully present with the client.

Question 5

When receiving 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?

Accepted Answer

A)The nurse should follow the client's expressed wishes regarding spiritual care. To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
B)The nurse should follow the client's expressed wishes regarding spiritual care. To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
C)The nurse should follow the client's expressed wishes regarding spiritual care. To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.
D)The nurse should follow the client's expressed wishes regarding spiritual care. To support the client's beliefs about healing, the nurse should provide the client with the warm water and lemon juice. The nurse should not instruct the client about the benefits of lemon juice being vitamin C. The nurse should also not suggest that cold water be used instead. Asking the client to delay drinking the water and lemon juice will not support the client's spiritual needs.

Question 6

Which questions are appropriate for the nurse to ask when assessing the spiritual beliefs of a client? Select all that apply.

Accepted Answer

A)The question related to fasting on Friday is inappropriate because it assumes that a client follows all the practices of the client's stated religion. All other questions are appropriate for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
B)The question related to fasting on Friday is inappropriate because it assumes that a client follows all the practices of the client's stated religion. All other questions are appropriate for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
C)The question related to fasting on Friday is inappropriate because it assumes that a client follows all the practices of the client's stated religion. All other questions are appropriate for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
D)The question related to fasting on Friday is inappropriate because it assumes that a client follows all the practices of the client's stated religion. All other questions are appropriate for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.
E)The question related to fasting on Friday is inappropriate because it assumes that a client follows all the practices of the client's stated religion. All other questions are appropriate for the nursing student to ask a client during an admission assessment while assessing spiritual and religious beliefs.

Question 7

The nurse is assessing a client's spirituality. Which of the following findings would suggest that the client experiences spirituality as a source of strength? Select all that apply.

Accepted Answer

A)Regularly reading spiritual material and asking to watch a religious service on television are actions that suggest the client views spirituality as a source of strength. In contrast, focusing on possible punishment in the afterlife would suggest that the client is experiencing spiritual distress. Lack of interest in meeting with a chaplain might indicate spiritual distress, or it might indicate that the client either places little emphasis on spirituality or feels that his or her spirituality is a private matter. Discussing an unwanted diagnosis on the phone is unrelated to spirituality.
B)Regularly reading spiritual material and asking to watch a religious service on television are actions that suggest the client views spirituality as a source of strength. In contrast, focusing on possible punishment in the afterlife would suggest that the client is experiencing spiritual distress. Lack of interest in meeting with a chaplain might indicate spiritual distress, or it might indicate that the client either places little emphasis on spirituality or feels that his or her spirituality is a private matter. Discussing an unwanted diagnosis on the phone is unrelated to spirituality.
C)Regularly reading spiritual material and asking to watch a religious service on television are actions that suggest the client views spirituality as a source of strength. In contrast, focusing on possible punishment in the afterlife would suggest that the client is experiencing spiritual distress. Lack of interest in meeting with a chaplain might indicate spiritual distress, or it might indicate that the client either places little emphasis on spirituality or feels that his or her spirituality is a private matter. Discussing an unwanted diagnosis on the phone is unrelated to spirituality.
D)Regularly reading spiritual material and asking to watch a religious service on television are actions that suggest the client views spirituality as a source of strength. In contrast, focusing on possible punishment in the afterlife would suggest that the client is experiencing spiritual distress. Lack of interest in meeting with a chaplain might indicate spiritual distress, or it might indicate that the client either places little emphasis on spirituality or feels that his or her spirituality is a private matter. Discussing an unwanted diagnosis on the phone is unrelated to spirituality.
E)Regularly reading spiritual material and asking to watch a religious service on television are actions that suggest the client views spirituality as a source of strength. In contrast, focusing on possible punishment in the afterlife would suggest that the client is experiencing spiritual distress. Lack of interest in meeting with a chaplain might indicate spiritual distress, or it might indicate that the client either places little emphasis on spirituality or feels that his or her spirituality is a private matter. Discussing an unwanted diagnosis on the phone is unrelated to spirituality.

Question 8

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?

Accepted Answer

A)Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
B)Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
C)Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"
D)Within the FICA assessment model for spirituality, faith is assessed by asking the question "What spiritual beliefs are important to you?" Implication is assessed by asking the client, "How is your faith affecting the way you cope?" Community is assessed by asking, "Is there is a community of like-minded believers with which you routinely meet?" Address is assessed by asking the client, "How can the healthcare team support your spiritual needs?"

Question 9

While hospitalized, a client learns that a close friend has died suddenly. The client is crying and asking, "Why, God?" The nurse should correctly identify that the client is demonstrating which type of spiritual distress?

Accepted Answer

A)Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychologic is not a factor that contributes to spiritual distress.
B)Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychologic is not a factor that contributes to spiritual distress.
C)Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychologic is not a factor that contributes to spiritual distress.
D)Factors that may be associated with or contribute to an individual's spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one's spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychologic is not a factor that contributes to spiritual distress.

Question 10

The nurse is caring for a devout Muslim client who is near death. The nurse should be prepared for which request from the client related to religious beliefs?

Accepted Answer

A)Muslims who are dying often want their body or head turned toward Mecca, and they are encouraged to say the prayer recognizing their loyalty to Allah. Roman Catholics may request having a spiritual leader perform the sacrament of Anointing of the Sick. Tibetan Buddhists may read the Tibetan Book of the Dead within 7 days after death, but not before death. Ritualistic bathing of the body is usually performed by some religions, including Muslims, after death, not before death.
B)Muslims who are dying often want their body or head turned toward Mecca, and they are encouraged to say the prayer recognizing their loyalty to Allah. Roman Catholics may request having a spiritual leader perform the sacrament of Anointing of the Sick. Tibetan Buddhists may read the Tibetan Book of the Dead within 7 days after death, but not before death. Ritualistic bathing of the body is usually performed by some religions, including Muslims, after death, not before death.
C)Muslims who are dying often want their body or head turned toward Mecca, and they are encouraged to say the prayer recognizing their loyalty to Allah. Roman Catholics may request having a spiritual leader perform the sacrament of Anointing of the Sick. Tibetan Buddhists may read the Tibetan Book of the Dead within 7 days after death, but not before death. Ritualistic bathing of the body is usually performed by some religions, including Muslims, after death, not before death.
D)Muslims who are dying often want their body or head turned toward Mecca, and they are encouraged to say the prayer recognizing their loyalty to Allah. Roman Catholics may request having a spiritual leader perform the sacrament of Anointing of the Sick. Tibetan Buddhists may read the Tibetan Book of the Dead within 7 days after death, but not before death. Ritualistic bathing of the body is usually performed by some religions, including Muslims, after death, not before death.

Question 11

The nurse is planning care for a hospitalized client. Which activities should the nurse identify as appropriate to support the client's spiritual needs through presencing? Select all that apply.

Accepted Answer

A)Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sharing about a time when the nurse overcame a similar situation are not characteristics of presencing.
B)Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sharing about a time when the nurse overcame a similar situation are not characteristics of presencing.
C)Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sharing about a time when the nurse overcame a similar situation are not characteristics of presencing.
D)Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sharing about a time when the nurse overcame a similar situation are not characteristics of presencing.
E)Features of presencing include being available to the client and listening. Stating personal religious beliefs, reading a newspaper, and sharing about a time when the nurse overcame a similar situation are not characteristics of presencing.

Question 12

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

Accepted Answer

A)The statement "But why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
B)The statement "But why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
C)The statement "But why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.
D)The statement "But why is God doing this to me?" is reflective of spiritual distress. The client is not demonstrating being able to find a purpose and is also demonstrating a disconnect between herself and her higher spirit. The other answers do not indicate spiritual distress of the client.

Question 13

The family members of a critically ill client tell the nurse, "We believe in the power of prayer. Prayer connects us all and makes us stronger. We will continue to pray that our loved one recovers." This statement suggests that the family is demonstrating which of the following characteristics?

Accepted Answer

A)Through their statement, the family members express the belief that they are connected by a higher power. They also say they draw strength from this belief. This is evidence of spiritual well-being, not spiritual distress. The family may or may not be denying the client's health status. Although this statement indicates that the family turns to a higher power for support, it does not reveal anything about the family's overall support system.
B)Through their statement, the family members express the belief that they are connected by a higher power. They also say they draw strength from this belief. This is evidence of spiritual well-being, not spiritual distress. The family may or may not be denying the client's health status. Although this statement indicates that the family turns to a higher power for support, it does not reveal anything about the family's overall support system.
C)Through their statement, the family members express the belief that they are connected by a higher power. They also say they draw strength from this belief. This is evidence of spiritual well-being, not spiritual distress. The family may or may not be denying the client's health status. Although this statement indicates that the family turns to a higher power for support, it does not reveal anything about the family's overall support system.
D)Through their statement, the family members express the belief that they are connected by a higher power. They also say they draw strength from this belief. This is evidence of spiritual well-being, not spiritual distress. The family may or may not be denying the client's health status. Although this statement indicates that the family turns to a higher power for support, it does not reveal anything about the family's overall support system.

Question 14

The nurse is caring for a client in spiritual distress. The client has met with the hospital chaplain but did not find it beneficial. The nurse recognizes that outside assistance from the client's own spiritual advisor may be helpful. What should the nurse do before making an appointment with the advisor?

Accepted Answer

A)The client's permission is needed before seeking an outside counselor in order to protect the client's right to confidentiality. Therefore, the nurse should ask the client's permission before contacting the counselor. The nurse does not need to consult with the primary care provider to find an available counselor, nor should the nurse ask the primary care provider to offer spiritual care to the client. Although the nurse could call the hospital chaplain to come speak with the client, this is not required before scheduling an appointment with an outside counselor.
B)The client's permission is needed before seeking an outside counselor in order to protect the client's right to confidentiality. Therefore, the nurse should ask the client's permission before contacting the counselor. The nurse does not need to consult with the primary care provider to find an available counselor, nor should the nurse ask the primary care provider to offer spiritual care to the client. Although the nurse could call the hospital chaplain to come speak with the client, this is not required before scheduling an appointment with an outside counselor.
C)The client's permission is needed before seeking an outside counselor in order to protect the client's right to confidentiality. Therefore, the nurse should ask the client's permission before contacting the counselor. The nurse does not need to consult with the primary care provider to find an available counselor, nor should the nurse ask the primary care provider to offer spiritual care to the client. Although the nurse could call the hospital chaplain to come speak with the client, this is not required before scheduling an appointment with an outside counselor.
D)The client's permission is needed before seeking an outside counselor in order to protect the client's right to confidentiality. Therefore, the nurse should ask the client's permission before contacting the counselor. The nurse does not need to consult with the primary care provider to find an available counselor, nor should the nurse ask the primary care provider to offer spiritual care to the client. Although the nurse could call the hospital chaplain to come speak with the client, this is not required before scheduling an appointment with an outside counselor.

Question 15

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus. The client wishes to take Communion but must fast for 1 hour prior to receiving it. Which action by the nurse is most appropriate?

Accepted Answer

A)The nurse should follow the client's expressed wishes regarding spiritual care and should not pressure them to relinquish any of their beliefs or practices. To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
B)The nurse should follow the client's expressed wishes regarding spiritual care and should not pressure them to relinquish any of their beliefs or practices. To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
C)The nurse should follow the client's expressed wishes regarding spiritual care and should not pressure them to relinquish any of their beliefs or practices. To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
D)The nurse should follow the client's expressed wishes regarding spiritual care and should not pressure them to relinquish any of their beliefs or practices. To support the client's spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client's needs by providing medication and breakfast. The nurse should also not contact the healthcare provider to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.

Question 16

The nurse is caring for an 8-year-old client who has been in the hospital repeatedly due to complications from leukemia. The nurse understands that the family is very religious, and the client often speaks about God's care for her. Which age-appropriate nursing intervention should the nurse implement that can help the child express her spirituality?

Accepted Answer

A)Nurses can support the spiritual well-being of the child by age-appropriate activities that allow nonverbal expression of faith, including drawing, coloring, painting, play, or music, depending on the child's interests or energy level. Producing a music video is more appropriate for adolescent clients. Supporting parent-child bonding is more appropriate for infants. Reminiscing about the past is more appropriate for older adults.
B)Nurses can support the spiritual well-being of the child by age-appropriate activities that allow nonverbal expression of faith, including drawing, coloring, painting, play, or music, depending on the child's interests or energy level. Producing a music video is more appropriate for adolescent clients. Supporting parent-child bonding is more appropriate for infants. Reminiscing about the past is more appropriate for older adults.
C)Nurses can support the spiritual well-being of the child by age-appropriate activities that allow nonverbal expression of faith, including drawing, coloring, painting, play, or music, depending on the child's interests or energy level. Producing a music video is more appropriate for adolescent clients. Supporting parent-child bonding is more appropriate for infants. Reminiscing about the past is more appropriate for older adults.
D)Nurses can support the spiritual well-being of the child by age-appropriate activities that allow nonverbal expression of faith, including drawing, coloring, painting, play, or music, depending on the child's interests or energy level. Producing a music video is more appropriate for adolescent clients. Supporting parent-child bonding is more appropriate for infants. Reminiscing about the past is more appropriate for older adults.

Question 17

The nurse is caring for an older adult client with advanced dementia. The family often mentions that the client was very spiritual earlier in life and loved to sing. What could the nurse suggest to the family to help support the client's religious needs?

Accepted Answer

A)One way that clients with dementia can worship is through various art forms, including music. This is an especially appropriate option for this client, given his history of spirituality and a love of singing. Letting the client listen to some favorite of his spiritual songs will give him an opportunity to enjoy an enriching spiritual experience without being pressured to participate, generate new ideas, or remember events from the past.
B)One way that clients with dementia can worship is through various art forms, including music. This is an especially appropriate option for this client, given his history of spirituality and a love of singing. Letting the client listen to some favorite of his spiritual songs will give him an opportunity to enjoy an enriching spiritual experience without being pressured to participate, generate new ideas, or remember events from the past.
C)One way that clients with dementia can worship is through various art forms, including music. This is an especially appropriate option for this client, given his history of spirituality and a love of singing. Letting the client listen to some favorite of his spiritual songs will give him an opportunity to enjoy an enriching spiritual experience without being pressured to participate, generate new ideas, or remember events from the past.
D)One way that clients with dementia can worship is through various art forms, including music. This is an especially appropriate option for this client, given his history of spirituality and a love of singing. Letting the client listen to some favorite of his spiritual songs will give him an opportunity to enjoy an enriching spiritual experience without being pressured to participate, generate new ideas, or remember events from the past.

Question 18

The nurse is performing a holistic assessment of a client. Which observations indicate that the client is experiencing spiritual distress? Select all that apply.

Accepted Answer

A)The client who states a loss of faith in God after getting ill, the client who is crying, pacing and mumbling about God being angry with him, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
B)The client who states a loss of faith in God after getting ill, the client who is crying, pacing and mumbling about God being angry with him, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
C)The client who states a loss of faith in God after getting ill, the client who is crying, pacing and mumbling about God being angry with him, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
D)The client who states a loss of faith in God after getting ill, the client who is crying, pacing and mumbling about God being angry with him, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.
E)The client who states a loss of faith in God after getting ill, the client who is crying, pacing and mumbling about God being angry with him, and the client who is overheard arguing with clergy about the existence of God may all be experiencing spiritual distress. The client who is observed sitting in a chair before breakfast reading the Bible or who is watching a religious program on the television is demonstrating a behavior of spiritual health.

Question 19

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 should recognize that the client holds which belief?

Accepted Answer

A)An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
B)An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
C)An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.
D)An atheist is an individual who does not believe in any god. Monotheism is the belief in the existence of one God. Polytheism is the belief in more than one god. An agnostic is an individual who doubts the existence of God or a supreme being or who believes that the existence of God has not been proven.

Question 20

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

Accepted Answer

A)Spiritual distress may be characterized by expressions of a deficit in meaning, purpose, hope, forgiveness, or intimacy with the divine, or by anger or a lack of interest about previously spiritually nurturing persons or resources. Telling the nurse he feels hopeless and turning off a religious TV show indicates spiritual distress. The other actions are normal responses to a cancer diagnosis.
B)Spiritual distress may be characterized by expressions of a deficit in meaning, purpose, hope, forgiveness, or intimacy with the divine, or by anger or a lack of interest about previously spiritually nurturing persons or resources. Telling the nurse he feels hopeless and turning off a religious TV show indicates spiritual distress. The other actions are normal responses to a cancer diagnosis.
C)Spiritual distress may be characterized by expressions of a deficit in meaning, purpose, hope, forgiveness, or intimacy with the divine, or by anger or a lack of interest about previously spiritually nurturing persons or resources. Telling the nurse he feels hopeless and turning off a religious TV show indicates spiritual distress. The other actions are normal responses to a cancer diagnosis.
D)Spiritual distress may be characterized by expressions of a deficit in meaning, purpose, hope, forgiveness, or intimacy with the divine, or by anger or a lack of interest about previously spiritually nurturing persons or resources. Telling the nurse he feels hopeless and turning off a religious TV show indicates spiritual distress. The other actions are normal responses to a cancer diagnosis.
E)Spiritual distress may be characterized by expressions of a deficit in meaning, purpose, hope, forgiveness, or intimacy with the divine, or by anger or a lack of interest about previously spiritually nurturing persons or resources. Telling the nurse he feels hopeless and turning off a religious TV show indicates spiritual distress. The other actions are normal responses to a cancer diagnosis.

Quiz 30: Spirituality