Fundamentals Nursing Prep U Chapter 45 Spirituality

The nurse enters a client's room as the client and family are praying. Which is the most appropriate action of the nurse?

Step outside the door until the prayer is finished.

The nurse is differentiating beliefs of atheists from agnostics. Which statement is accurate?

Both are guided by a philosophy of living that does not include a religious faith.

An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse?

Read a passage from the Bible to the client

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

"Do you consider yourself a spiritual person?"

A nurse determining the effects of religion on the lifestyle of clients considers that which religions prohibit the use of alcohol? Select all that apply.

*Christian Science *Church of Jesus Christ of Latter-Day Saints *American Muslim Mission

The home care nurse observes several lighted candles by the client's bedside. What should the nurse do next?

Discuss about the risk of fire with candles in the bedroom.

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?

Ensure that a male washes the client's body.

A nurse who provides care on the palliative unit of a hospital is aware of the importance of spiritual assessment and the integration of spirituality into clients' care. What assessment question should the nurse use in an effort to determine clients' spiritual beliefs?

"Are there any spiritual or religious beliefs or practices that are important to you?"

A nurse is reviewing the history of a client admitted to the health care facility. The nurse notes that the client reports that he is an atheist. The nurse interprets this information as indicating that the client believes that:

God does not exist.

A nursing instructor, after teaching about the importance of spirituality, identifies a need for further teaching when overhearing a student make which of the following statements?

"You can nurse clients well even though you ignore the spiritual dimension of health."

A nurse is conducting a spiritual assessment on a client recently admitted to the hospital unit. Which questions would be appropriate to ask the client about his religious and spiritual practices? Select all that apply.

* "Is religion a significant part of your life?" * "Are there any spiritual practices that you would like to continue while hospitalized?" * "Does the present situation interfere with any spiritual or religious practice?"

When conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. Which questions should the nurse ask? Select all that apply.

* "Is religion or God significant to you?" * "Do You feel your faith is helpful to you?" * "Is there anyone from your church you would like to talk to?"

The nurse's client states that his pastor is coming in a few hours to pray with him and offer sacrament. The nurse plans to do the following things in preparation for this. Choose all that apply.

*Clear the bedside table; cover with clean towel *Have a chair available near the bed *Clear the room of unnecessary items

The nurse is caring for a 6-year-old child who was in a motor vehicle accident and has lost a lot of blood through an open leg wound. The parents tell inform the nurse that the child cannot have blood transfusions due to their religious beliefs. What decision does the nurse determine that the court will support regarding the child's blood transfusion?

Did not support the parents' right to refuse treatment for the child

A nurse overhears a client telling a family member that a belief in God is the only thing helping in the fight against a terminal illness. What is this client demonstrating?

Faith

Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation?

Separation from spiritual ties

A new nurse observes a priest visiting the clients every Saturday afternoon and praying with them. This activity supports which of the nursing outcomes?

The client uses a type of spiritual experience that provides her comfort.

Mr. J. is a 78-year-old man, who is actively dying of unknown causes. Mr. J. is a practicing Muslim. His wife, children, and grandchildren are present. The physician in charge of Mr. J.'s care plans to discuss Mr. J.'s impending death with the family. Based on the nurse's knowledge of the Muslim faith, which of the following is not true?

The family will likely want an autopsy.

A client recently diagnosed with cancer informs the nurse that she values faith and finds comfort in her faith. The nurse is aware that faith is best defined as:

a belief in something for which there is no proof or material evidence.

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

develop a philosophical base for clearer thinking.

The client states "I have lifted my cancer to God and am accepting of God's plan for me." This is an example of an adaptive expression of spiritual needs labeled:

faith

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

listen empathetically and attentively.

A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of:

spiritual crisis

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:

participate in supportive spiritual practices.

A client who is scheduled to begin chemotherapy for cancer is overheard telling a family member that everything will eventually be okay and the cancer will be in remission. This client is demonstrating which of the following?

Hope

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

Implement all-new coping mechanisms.

A nurse working in a facility that cares for clients with Alzheimer's includes spirituality in client care. A family caregiver tells the nurse that faith has been broken and asks about help in getting through the day. What approaches can the nurse use to help the family member? Select all that apply.

*Help the family member get relief so church services can be attended *Contact the family church group members for assistance *Give the family member some spiritual reading materials

A nurse is caring for a client who is spiritually distressed. Which of the following are the factors that affect the spiritual distress of a client? Select all that apply.

*Inability to reconcile a current life situation with spiritual beliefs *Separation from the religious community or supports

The nurse, while assessing the spirituality of a client, recognizes that different factors can influence a person's spirituality and outlook on life. What factors determine spirituation in this client? Select all that apply.

*Negative life experiences *Positive life experiences

A nurse is educating staff members about the importance of meeting the spiritual needs of clients on the unit. What spiritual needs should be met in the delivery of care? Select all that apply.

*need for meaning and purpose *need for love and relatedness *need for forgiveness

The nurse is assisting a client with his meal selection for the next day. The client states, "I can't have meat tomorrow, it's a Holy Day." The nurse recognizes that the client is a member of which religious organization?

Roman Catholic

Mr. V. is recovering from pneumonia. You know that a well-balanced diet will help him to recover. However, Mr. V. informs you that it is Ramadan and he must fast from sunrise to sunset. What is your most appropriate nursing action?

Work with the nutrition staff to provide nutritious meals at off hours.

A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

*Diet *Support system *Endurance of extreme stress *Positive emotions

The nurse is caring for a critically ill client, who informs the nurse that there is a conflict between her spiritual beliefs and a proposed health option. What is the nurse's role in this situation?

Assist the client in obtaining information to make an informed decision.

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

Contact a local priest to complete the anointing of the sick ritual.

The son of a dying female client is surprised at his mother's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what she really wants. She's never been a religious person in the least." What is the nurse's best action in this situation?

Contact the chaplain to arrange a visit with the client.

While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements?

Religion is a collection of spiritual beliefs and practices.

A nurse caring for a client of the Jewish faith knows the importance of asking about any food preferences when discussing diet. This is important for which reason?

Religious practices and beliefs can directly influence a client's self-care practices.

The nurse caring for a bedridden hospitalized client who states that this will be the first time that he has missed a Methodists church service in 50 years plans care based on which of the following NANDA diagnosis?

Spiritual distress related to inability to attend church services evidenced by verbal states of guilt

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

theism