Chapter 7
A nursing instructor is teaching students about the power of prayer as a form of coping. What statement made by a student identifies a need for further instruction?
"All nurses should pray with their patients."
A nursing instructor is working with students caring for clients on a psychiatric unit. One of the students informs the instructor that a client wants to see a priest. What would be the best response by the instructor?
"Call the priest to try to coordinate a visit."
A patient tells a nurse that he does not think he can have the recommended heart surgery because transfusions are against his religion. What is the best response of the nurse in this situation?
Obtain all the information needed for the patient to make an informed decision.
A Jewish client admitted to the ICU following surgery is anxious when he will not be transferred to the surgical unit in time for him to observe a religious holiday. The nurse attempts to initially minimize the client's spiritual distress by
Offering to explore the possibility of having a rabbi visit the unit
A nurse has developed a plan of care to meet the needs of a patient with the nursing diagnosis of Spiritual Distress. What would be an expected outcome?
Identify factors in life that challenge spiritual beliefs.
A nurse who practices Orthodox Judaism is caring for a patient who is a devout Roman Catholic. While providing care, the nurse notices that the patient's dinner tray has pork and other non-kosher foods. Knowing that the nurse and patient practice different religions, the nurse says nothing. The nurse is portraying which of the following?
Self-awareness
Mrs. Clancy has been admitted with depression and has asked to speak with the hospital chaplain. What is your most therapeutic nursing intervention?
"Mrs. Clancy, I will try my best to have the chaplain visit you as soon as possible
A nursing instructor teaching about religion and its effects on health identifies a need for further instruction when a student states which of the following?
"Religion always has positive effects."
A nursing student asks the instructor how values are formed. What would be the best response by the instructor?
"Values are influenced by many factors, such as peers, family, and education."
To obtain subjective data related to a 16-year-old patient's spirituality, the nurse should
Ask the patient if religion or a higher being is significant
The nurse is caring for a critically ill patient, 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 patient in obtaining information to make an informed decision
A nurse enters a patient's room and observes the patient reading the Bible.T he patient appears relaxed and at peace. The nurse understands that the reading of the Bible is considered an example of which of the following?
Bibliotherapy
The son of a patient with depression 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 patient
To give competent spiritual care to patients, it is important that nurses do which of the following?
Know their own values.
A hospital client's family has approached the nurse and explained that the client would like a healer from his ethnic group to visit him. How should the nurse follow up this request?
Facilitate a visit by the healer
Which of the following statements about religion and spirituality is most accurate?
Religion is an organized system of spiritual beliefs and practices.
The nurse on a mental health floor is puzzled about why a patient has refused to eat dinner. When questioned, the patient informs the nurse that she is Catholic, it is Good Friday, and her religion forbids her from eating meat. The nurse identifies this patient's action as an example of which of the following?
Ritual
A client, Jonas, hints that he would like to discuss his spiritual and religious beliefs with someone. What is the best nursing intervention at this point?
Speak with Jonas further about his needs to assess how best to intervene.
The nurse is doing an assessment interview of a client. During the interview, the client comments, "Our people are connected with nature. Our world, our seasons, and our weather—they all have many lessons to teach us." The nurse interprets the client's statement as an expression of which of the following?
Spirituality
Spirituality and religion differ along the following lines:
Spirituality is a person's experience of, or belief in, a power apart from himself or herself, whereas religion is the outward practice of a spiritual system of beliefs.
The major difference between spirituality and religion encompasses which of the following?
Spirituality is a personality quality that strives for purpose in life.
Spiritual interventions are contraindicated in all except which of the following situations?
The client is taking high-dose phenothiazines, which create drowsiness and decreased concentration.
Which of the following factors should be the primary factor in a nurse's decision whether to pray with a patient?
The patient's openness to being prayed for
The most serious outcome of a nurse's ineffective management of a client's spiritual/religious needs is ...
To deny the client the opportunity to effectively cope with his illness
A nurse makes a habit of knowing what she believes and what her patients regard as important, as well as how both these things might influence a patient's behavior. What is the nurse practicing?
Values clarification
The difference between worship and rituals is that worship denotes
devotion that one gives to a higher power or deity.
What spiritual need is believed to underlie all religious traditions and is common to all people?
love and relatedness
The nurse is aware that spiritual interventions are contraindicated in which of the following patients? (Select all that apply.)
• Delusional patients • Psychotic patients
When describing the castes to which individuals of Hinduism belong, which of the following individuals would be included in the Vaisya? Select all that apply.
• Farmers • Skilled workers • Merchants
Which of the following would be associated with Confucianism? Select all that apply.
• People are born good. • Improvement is gained through self-responsibility. • Moral character is stressed through sincerity.
