Spirituality Custom Adaptive Quizzes

Alternative therapy measures have become increasingly accepted within the past decade, especially in the relief of pain. Which methods qualify as alternative therapies for pain? Select all that apply. 1 Prayer 2 Hypnosis 3 Medication 4 Aromatherapy 5 Guided imagery

1 Prayer 2 Hypnosis 4 Aromatherapy 5 Guided imagery

The mother of a preschool-age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, what does the school nurse include that preschool-age children view death as? 1 Universal 2 Irreversible 3 A form of sleep 4 A frightening ghost

3 A form of sleep

A nurse is caring for a client who believes that surgery contaminates the soul unless proper cleansing rituals are performed. Which nursing activity adheres to the Quality and Safety Education for Nurses (QSEN) competency patient-centered care? 1 Evaluating the effects of complying with a client's requests on his or her psychological health 2 Improving therapeutic communication skills in order to minimize the risk of emotional trauma 3 Coordinating with appropriate spiritual practitioners to help perform the cleansing ritual before the client's surgery 4 Conducting extensive research about the ritualistic practices of the client's community to formulate a care plan

3 Coordinating with appropriate spiritual practitioners to help perform the cleansing ritual before the client's surgery

A client has a "prayer cloth" pinned to the hospital gown. The cloth is soiled from being touched frequently. What should the nurse do when changing the client's gown? 1Make a new prayer cloth. 2Discard the soiled prayer cloth. 3Pin the prayer cloth to the clean gown. 4Wash the prayer cloth with a mild detergent

3Pin the prayer cloth to the clean gown.

A pregnant client states, "Abortion is banned in our community because it interferes with God's creative work." According to the nurse, which variable influences the client's health belief? 1 Emotional factors 2 Cultural background 3 Socioeconomic factors 4 Perception of functioning

2 Cultural background

A nurse is assessing the grief response of a family member whose relative has died. What must the nurse consider first about the family to conduct an effective assessment? 1 Personality traits 2 Educational level 3 Socioeconomic class 4 Cultural background

4 Cultural background

After determining that the nurses on the psychiatric unit are uncomfortable caring for clients who are from different cultures than their own, the nurse manager establishes a unit goal that by the next annual review the unit will have achieved what? 1Increased cultural sensitivity 2Decreased cultural imposition 3Decreased cultural dissonance 4Increased cultural competence

4 Increased cultural competence

Before effectively responding to a sexually abused victim on the phone, it is essential that the nurse in the rape crisis center do what? 1Get the client's full name and address. 2Call for assistance from the psychiatrist. 3Know some myths and facts about sexual assault. 4Be aware of any personal bias about sexual assault.

4Be aware of any personal bias about sexual assault.

When assessing the development of a school-age child, the nurse concludes that the child has normal development according to Fowler's spiritual development. Which behavior helped the nurse reach this conclusion? 1The child imitates the religious gestures of elders. 2The child does not differentiate between right and wrong actions. 3The child has spiritual disappointment and modifies religious practices. 4The child believes God will punish bad behavior and reward good behavior.

4The child believes God will punish bad behavior and reward good behavior.

What concept of death should a nurse expect a 4-year-old child to have? 1Cessation of life 2Reversible separation 3Only affects old people 4Force takes one away from family

2Reversible separation

A client says, "None of the medications will work on me because I am away from my holy land." What course of action should the nurse take to comply with teamwork and collaboration competency according to the Quality and Safety Education for Nurses (QSEN)? 1 Provide care to the client with respect to his or her diversity, values and beliefs 2 Approach the agency chaplain to discuss the spiritual needs of the client 3 Conduct thorough research on the effect of emotional distress on the client's health 4 Use the flow chart data to provide the best care and monitor the outcome of care processes

-2 Approach the agency chaplain to discuss the spiritual needs of the client

A recent immigrant from mainland China is critically ill and dying. What question should the nurse ask when collecting information to meet the emotional needs of this client? 1"Do you like living in this country?" 2"When did you come to this country?" 3"Is there a family member who can translate for you?" 4"Which family member do you prefer to receive information?"

-4"Which family member do you prefer to receive information?"

Which theory proposes that older adults experience a shift from a materialistic to cosmic view of the world? 1Activity theory 2Continuity theory 3Disengagement theory 4Gerotranscendence theory

-4Gerotranscendence theory Rationale: The gerotranscendence theory is a recent theory that proposes that the older adult experiences a shift in perspective with age. The person moves from a materialistic and national view of the world to a more cosmic and transcendent one. The activity theory considers the continuation of activities performed during middle age as necessary for successful aging. The continuity theory suggests that a person's personality remains stable and behavior becomes more predictable as people age. The disengagement theory states that aging individuals withdraw from customary roles and engage in more introspective, self-focused activities.

A newly immigrated older Chinese adult is brought to a mental health clinic when family members become concerned that their parent is depressed. In an attempt to conduct a culturally competent assessment interview, the nurse asks certain questions. Which questions does the nurse ask? Select all that apply. 1 "What brought you here for treatment today?" 2 "What do you believe is the cause of your depression?" 3 "Does religion have a role in your perception of health and wellness?" 4 "Do you have insurance that includes coverage of mental health issues?" 5 "Have you ever sought treatment for a mental health problem previously?"

1 "What brought you here for treatment today?" 2 "What do you believe is the cause of your depression?" 3 "Does religion have a role in your perception of health and wellness?" 5 "Have you ever sought treatment for a mental health problem previously?"

A public health nurse is working with a family with three school-aged children as the unit of service. What should the nurse consider when caring for this family? 1 Certain members of the family may be capable of giving more support than the nurse. 2 Assessing each family member is not necessary to plan care for the family as a whole. 3 Family values are not as important as other factors regarding how assistance is perceived. 4 Helping the family requires separating health problems from other aspects of the family's life.

1 Certain members of the family may be capable of giving more support than the nurse.

A mother brings her 9-month-old infant to the clinic. The nurse is familiar with the mother's culture and knows that belly binding to prevent extrusion of the umbilicus is a common practice. The nurse accepts the mother's cultural beliefs but is concerned for the infant's safety. What variation of belly binding does the nurse discourage? 1 Coin in the umbilicus 2 Tight diaper over the umbilicus 3 Binder that encircles the umbilicus 4 Adhesive tape across the umbilicus

1 Coin in the umbilicus Rationale: A coin may be dislodged, allowing the infant to put it in his or her the mouth, resulting in a safety issue.

Since giving birth 6 months ago, a new mother has breast-fed her infant. The woman becomes hysterical after learning that her husband has been seriously injured in an automobile accident. Culturally this woman believes that emotional stress while breast-feeding can "sour the milk," and she indicates that she must wean her infant immediately. What should the nurse do? 1 Instruct the mother about formula feeding. 2 Explain to the mother that these beliefs are wrong. 3 Provide the mother with books indicating that the milk does not sour. 4 Encourage the mother to take an anti-anxiety drug while continuing breast-feeding

1 Instruct the mother about formula feeding

Which behavior is seen in children at the undifferentiated stage of spiritual development, as propounded by Fowler? 1Children have no concept of right or wrong to guide their behaviors. 2Children imitate the religious behaviors without comprehending any meaning. 3Children reason and question some of the established parental religious standards. 4Children have a reverence for religious matters and are able to articulate their faith

1Children have no concept of right or wrong to guide their behaviors

The nurse is explaining behavior to a nursing assistant. Which characteristic of a behavior usually results in that behavior being viewed and accepted as normal? 1Fitting within standards accepted by one's society 2Helping the person reduce the need for coping skills 3Expressing the individual's feelings and thoughts accurately 4Allowing achievement of short-term and long-term goals by the individual

1Fitting within standards accepted by one's society

A client says "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario? 1Spiritual factors 2Emotional factors 3Developmental stage factors 4Intellectual background factor

1Spiritual factors

A nurse understands that the effects of different variables on a client's health beliefs and practices can help healthcare providers to plan and deliver individualized care. Which statement made by the client should the nurse consider as an influence of the client's intellectual background on his or her health beliefs? 1"Don't include seafood or ham in my diet because it is against my beliefs." 2 "Don't include eggs in my diet because eggs contribute to excess body heat." 3"I do not smoke or drink because these intoxicants are major sins." 4"I am not taking any of my prescribed medications because I recently lost my job."

2 "Don't include eggs in my diet because eggs contribute to excess body heat."

A nurse is helping a client who observes the traditional Jewish dietary laws to prepare a dietary menu. What considerations should the nurse make? 1Eating beef and veal is prohibited. 2Consumption of fish with scales is forbidden. 3Meat and milk at the same meal are forbidden. 4Consuming alcohol, coffee, and tea are prohibited.

3 Meat and milk at the same meal are forbidden.

A nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. What is the most professional response that this nurse could give to the requesting supervisor? 1"I will go, but it is against my beliefs and values." 2"I won't do it, because I do not believe in birth control at all." 3"I would prefer another assignment that is not contrary to my beliefs." 4"I will have to stress that the rhythm method is the method of choice."

3"I would prefer another assignment that is not contrary to my beliefs."

A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a circumcision. What is the medical priority? 1Obtaining a physician's prescription for a lidocaine injection 2Educating the new mother about the circumcision procedure 3Obtaining an informed consent signed by the mother of the baby 4Obtaining an informed consent signed by the grandmother of the baby

3Obtaining an informed consent signed by the mother of the baby

A nurse is with the parents of a 3-year-old child who has just died. What is the most therapeutic question for the nurse to ask the parents? 1 "Do you feel ready to consent to an autopsy?" 2 "Have you made a decision about organ donation?" 3 "Would you like to talk about how you'll tell your other children?" 4 "Can I be of any help with traditional practices that are important to you?"

4 "Can I be of any help with traditional practices that are important to you?"

What does a public health nurse expect to encounter when working with families raised in a culture of poverty? 1 Willingness to delay gratification 2 Optimism about improving their lifestyle 3 Shame because of their inadequacy as parents 4 Powerlessness relative to changing their situation

4 Powerlessness relative to changing their situation

Which carative factor is involved in creating a healing environment at all levels, physical and non-physical, according to Watson's Transpersonal Caring? 1Promoting transpersonal teaching-learning 2Promoting and expressing positive and negative feelings 3Developing a helping, trusting, human caring relationship 4Providing for a supportive, protective, and/or spiritual environment

4 Providing for a supportive, protective, and/or spiritual environment

A client has just been admitted to the psychiatric unit on involuntary admission status. During the admission assessment the client tells the nurse, "I am the second son of God and need to say a prayer." What is the best response by the nurse? 1 Interrupting the client and continuing the assessment 2 Joining the client in the prayer and then refocusing on the assessment 3 Quietly leaving the client and coming back later to complete the assessment 4 Waiting until the client finishes the prayer and then completing the assessment

4 Waiting until the client finishes the prayer and then completing the assessment

The parents of an autistic child begin family therapy with a nurse therapist. The father states that the family members wish to share their religious beliefs with the therapist. What should the nurse do? 1Limit the father's discussion of religion. 2Include the mutual discussion of religious beliefs. 3Invite the family's religious leader to a therapy session. 4Encourage family discussion of their religion in the sessions

4Encourage family discussion of their religion in the sessions

A nurse understands that the effects of different variables on a client's health beliefs and practices can help healthcare providers to plan and deliver individualized care. Which statements made by the client should the nurse consider as an influence of spirituality on health beliefs? Select all that apply. 1 "My faith prohibits the use of a donor's sperm." 2 "Don't administer nasal drops now because it will break my fast." 3 "I do not believe in surrogacy because this is not permitted in our community." 4 "I am not worried about my surgery because I have undergone several surgeries in the past." 5 "I am not able to meet my basic needs. How do you expect me to buy these costly medications?"

-1 "My faith prohibits the use of a donor's sperm." -2 "Don't administer nasal drops now because it will break my fast." -3 "I do not believe in surrogacy because this is not permitted in our community."

An elderly adult suffered an injury after falling down in the washroom. The primary healthcare provider performed a surgical procedure on the client and orders a blood transfusion. A family member of the client mentions that blood transfusions are not permitted in their community. What should the nurse do in order to handle the situation? 1 The nurse should wait for the court's order to give blood to the client. 2 The nurse should proceed with the transfusion in order to save the client's life. 3 The nurse should inform the primary healthcare provider and not give blood to the client. 4 The nurse should explain to the family member that the client needs this transfusion.

-3 The nurse should inform the primary healthcare provider and not give blood to the client.

An elderly client states, "Disease occurs when supernatural elements enter the body." Which variable influences the client's health beliefs in this scenario? 1Spiritual factors 2Emotional factors 3Intellectual background 4Perception of functioning

1Spiritual factors

A client proclaims that he is "the second son of God." What type of delusion does the nurse identify? 1 Influence 2 Religious 3 Reference 4 Persecutory

2 Religious

As the nurse is discussing psychiatric care with an older adult client, the client says, "When I was growing up I was taught to accept my lot in life and not complain. I'm proud of the fact that despite my issues I can still function independently. I don't want to be just put away." The nurse understands that the factors that influence the client's mental health are examples of what? 1Setting of care 2Anxiety disorder 3Attitudes and beliefs 4Cultural and ethnic disparities

3 Attitudes and beliefs

Which internal variable influences health beliefs and practices? 1 Family practices 2 Cultural background 3 Socioeconomic factors 4 Intellectual background

4 Intellectual background Rationale: Intellectual background is an internal factor that affects the client's health beliefs and practices. A client's knowledge, educational background, and past experiences influence how a client thinks about health. Family practices, cultural background, and socioeconomic factors are among the external factors that influence health beliefs and practices.

A nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. How should the nurse manager address this situation? 1Assign articles about various cultures so that they can become more knowledgeable. 2Relocate the nurses to units where they will not have to care for clients from a variety of cultures. 3Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures. 4Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work.

4Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work.

Which nursing interventions are examples of the nurse as a caregiver? Select all that apply. 1 Encouraging the client to exercise daily 2 Setting goals for the client to reduce weight 3 Arranging for the client to meet a spiritual adviser 4 Evaluating the client's understanding of prescribed diet 5 Demonstrating the procedure to self-administer insulin injection

-1 Encouraging the client to exercise daily -2 Setting goals for the client to reduce weight -3 Arranging for the client to meet a spiritual adviser

A resident in a nursing home recently immigrated to the United States from Italy. How does the nurse plan to provide emotional support? 1 By offering choices consistent with the client's heritage 2 By assisting the client in adjusting to American culture 3 By ensuring that the client understands American beliefs 4 By correcting the client's misconceptions about appropriate health practices

1 By offering choices consistent with the client's heritage

A nurse notices that a client is in spiritual distress. Which nursing action establishes the nurse as a caregiver? 1The nurse provides therapeutic treatment to the client. 2The nurse teaches the client about signs of spiritual distress. 3The nurse communicates the wishes of the client to family members. 4The nurse collaborates with the agency chaplain to pursue the best treatment plan.

1The nurse provides therapeutic treatment to the client.

How should nurses provide effective nursing care to clients from different cultural backgrounds? 1 By advising clients that some cultural practices may be harmful to health 2 By providing care that fits the clients' cultural beliefs 3 By strictly adhering to organization policies regarding nursing care 4 By ignoring the cultural aspect and focusing on the medical aspect of care

2 By providing care that fits the clients' cultural beliefs

One morning a client with the diagnosis of acute depression says, "God is punishing me for my past sins." What is the best response by the nurse? 1"Why do you think that?" 2"You sound very upset about this." 3"Do you believe that God is punishing you for your sins?" 4"If you feel this way, you should talk to your spiritual adviser."

2"You sound very upset about this."

An older client whose family has been visiting the client in the psychiatric unit is visibly angry and says to the nurse, "My daughter-in-law says they can't take me home until the doctor lets me go. She doesn't understand how important this is to me; she's not from our culture." What should the nurse do? 1Ignore the statement for the present. 2Say, "You feel she doesn't want you at home." 3Reflect on the client's feelings about the cultural differences. 4Respond, "The doctor is the one who makes decisions about discharge."

2Say, "You feel she doesn't want you at home."

A 15-year-old client is being assessed in the adolescent clinic. He has a history of drug abuse, stealing, refusing to comply with rules, and demonstrating an inability to get along with others in any setting. When obtaining the health history, the nurse may be prevented from accurately listening to what the client is saying because of what? 1The client's disease process 2The nurse's personal cultural beliefs 3The pressure of time to complete care 4The personal need to secure information

2The nurse's personal cultural beliefs

A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? Select all that apply. 1 "People may consider strong values as opinions." 2 "Evaluate a client's values and beliefs in terms of your own values." 3 "Values vary among clients and develop and change over time." 4 "The values that an individual holds reflect cultural and social influences." 5 "To discuss differences in opinions and values, the nurse should be clear about his or her own values."

3 "Values vary among clients and develop and change over time." 4 "The values that an individual holds reflect cultural and social influences." 5 "To discuss differences in opinions and values, the nurse should be clear about his or her own values."

A pregnant client whose first child has Down syndrome is about to undergo amniocentesis. The client tells the nurse that she does not know what she will do if this fetus has the same diagnosis. The client asks the nurse, "Do you think abortion is the same as killing?" How should the nurse respond? 1"Some people think that that's what an abortion is." 2"No, I don't think so, but it's your decision to make." 3"I really can't answer that question. Are you ambivalent about abortion?" 4"I don't want to answer that question at this time. How do you feel about it?"

3"I really can't answer that question. Are you ambivalent about abortion?"

The nurse is caring for an African American client with renal failure. The client states that the illness is a punishment for sins. Which cultural health belief does the client communicate? 1Yin/Yang balance 2Biomedical belief 3Determinism belief 4Magicoreligious belief

4 Magicoreligious belief