NU270 Spirituality
A nurse is updating the care plan for a client to integrate spirituality into the client's care. What assessment question would the nurse use in an effort to update the care plan accordingly? "Are there any spiritual practices that are important to you?" "Do you prefer a health care provider who shares your beliefs?" "Why do you have these particular spiritual beliefs?" "What does the word 'spiritual' mean to you?"
"Are there any spiritual practices that are important to you?" Explanation: An open-ended yet clear question about a person's spiritual beliefs is most likely to elicit information about the client in a thoughtful manner. Asking the client about the meaning of the word 'spiritual' is not a direct way of assessing spirituality for a care plan. Asking if the client would like a health care provider who shares the same spiritual beliefs is unrealistic. Asking the client why the client has particular spiritual beliefs does not assess the client's spirituality in a practical way that can be used for a care plan.
The client has been hospitalized following an accident. Recovery has been slow with many complications. The client states, "I don't believe I am going to survive. God is punishing me." What is the best statement for the nurse to make? "I am sorry you feel that way." "Everyone here is working for your recovery." "Let's talk about your beliefs." "Don't think that way."
"Let's talk about your beliefs." Explanation: "Let's talk about your beliefs" is the only statement that is therapeutic and encourages the client to verbalize his spiritual distress. The statement "I am sorry you feel that way" acknowledges the client's feelings but does not encourage the client to open up or engage in conversation. The other two statements are negative and closes communication.
The nurse is admitting a 38-year-old client to the oncology unit whose religious background is different from the nurse's own. The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care? "Will your religion allow us to give you blood if you need it?" "I am a Christian and believe in Jesus. What does your religion believe?" "What can we do to help you meet any religious needs you may have?" "Do you have any dietary restrictions that we should know about?"
"What can we do to help you meet any religious needs you may have?" Explanation: The nurse should always respect the client's religious beliefs and ask whether the client has any religious needs that may affect health care. Comparing the client's beliefs with those of the nurse is inappropriate. Asking general questions about the client's religion would not identify other aspects of religion that might affect health care. A too-narrow focus on only dietary restrictions or specific medical treatments will not give the nurse enough information to develop an inclusive plan of care.
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 provide quality nursing care to clients even though you ignore the spiritual dimension of health." "Nurses can meet spiritual needs by offering a compassionate presence." "Nurses can better assist clients by meeting their spiritual needs." "You can help clients meet spiritual needs by assisting in their struggle to find meaning in suffering."
"You can provide quality nursing care to clients even though you ignore the spiritual dimension of health." Explanation: It is impossible to provide quality nursing care to clients while ignoring the spiritual dimensions of health. Nurses can assist clients to meet spiritual needs by offering a compassionate presence; assisting in the struggle to find meaning and purpose in the face of suffering, illness, and death; and fostering relationships with a higher being that nurture their spirit.
A nurse identifies a nursing diagnosis of spiritual distress for a patient based on assessment of which of the following? Select all that apply. Acceptance Despair Peacefulness Ambivalence Anger
Anger Ambivalence Despair Explanation: Spiritually distressed patients may show despair, discouragement, ambivalence, detachment, anger, resentment, or fear. They may question the meaning of suffering or life and express a sense of emptiness.
The nurse is caring for an adolescent client. What is the best way for the nurse to obtain data related to the client's spirituality? Observe whether the client reads religious material. Interview the client about influential spiritual leaders in their life. Ask the client if there are aspects of the client's life they consider spiritual. Ask the client's parents if the client attends religious services.
Ask the client if there are aspects of the client's life they consider spiritual. Explanation: In a spiritual assessment, the nurse may ask if there are any aspects of the client's life they feel are of a spiritual nature. Limiting the discussion to religion does not capture all person's definition of spirituality. This client is old enough to respond to such questions independently. Asking the client's parents if the client attends services does not give the client an opportunity to discuss the client's own spirituality. Observing whether the client reads religious material does not provide adequate information about the client's spirituality. Asking about spiritual leaders makes the assumption the client has these in their life, which may not be the case.
A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness? Push the overbed table toward the bed so that it will be within the patient's reach when the dinner tray arrives. Ask whether the patient would like to make any substitutions in the foods and fluids received. Ask a family member to assist the patient with the tray and the overbed table, then straighten the area in an attempt to provide a pleasant atmosphere for eating. Remove items from the overbed table to make room for the dinner tray.
Ask whether the patient would like to make any substitutions in the foods and fluids received. Explanation: Wellness involves being proactive and being involved in self-care activities aimed toward a state of physical, psychological, and spiritual well-being. With this in mind, health care providers must aim to promote positive changes that are directed toward health and well-being. The sense of wellness has a subjective aspect that addresses the importance of recognizing and responding to patient individuality and diversity in health care and nursing. Although all of the actions listed would promote the patient's comfort, addressing the patient's religious dietary needs is most representative of promoting wellness.
When comparing the theories of mental illness popular in ancient Greece with those popular in the Middle Ages, which is more applicable to the Middle Ages? Belief in demonic possession and exorcism was common. Emotional disorders were believed to be an organic dysfunction. Mental illness was considered a disturbance of the four body fluids, or "humors." Treatment included sedation, good nutrition and hygiene, and music and recreation.
Belief in demonic possession and exorcism was common. Explanation: While some of these answers are true of both ancient Greece and the Middle Ages, belief in demonic possession and exorcism was more common in the Middle Ages.
The adult child of a dying client is surprised at a parent's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what my parent really wants. My parent has never been a religious person in the least." What is the nurse's best action in this situation? Document the client's request and wait to see if the parent reiterates the request. Perform a detailed spiritual assessment of the client. Contact the chaplain to arrange a visit with the client. Organize a meeting between the chaplain, the adult child, and the client to achieve a resolution
Contact the chaplain to arrange a visit with the client. Explanation: The nurse's primary duty is to honor the client's request for a meeting with a spiritual adviser.
A nurse is caring for a client with end-stage heart failure who is awaiting a heart transplant. The client tells the nurse that they think they are going to die before a donor heart is found. The client also tells the nurse that they have not been attending a church but wants to talk with a priest. What action should the nurse take? Contact the clergy member who is assigned to the transplant team. Reassure the client that they have nothing to worry about because donors are usually found in time. Tell the client that it doesn't matter if they attend a church or not. Contact the nurse's priest to see if they will see the client.
Contact the clergy member who is assigned to the transplant team. Explanation: Each multidisciplinary transplant team has a clergy person assigned. The nurse should contact that person and request that the assigned clergy visit the client. It isn't appropriate for the nurse to ask their own priest to see the client. Telling the client that they have nothing to worry about because donors are typically found offers false reassurance. Telling the client that it doesn't matter if they attend a church invalidates the client's concern.
A client expresses a desire to discuss spiritual and religious beliefs with someone. What is the best nursing intervention at this point? Interview the client further to gather more details. Ask if the client would like to speak with the nurse daily. Tell the client to speak with family members or friends. Begin meeting as often as the client likes to discuss spirituality.
Interview the client further to gather more details. Explanation: A thorough assessment is the initial step in providing nursing care of any type. Asking if the client wants to speak to the nurse daily or discussing spirituality with the client are not forms of assessment. Telling the client to speak to family members or friends about spirituality shifts the focus and removes the nurse's responsibility to the client.
A nurse is caring for a client who suffered a fall while on vacation. He is from another state and has no visitors except his spouse, who seems lonely without any friends or family nearby. The nurse invites the spouse to attend services with her at the nurse's church, which is a denomination different from the spouse's. This could be construed as which of the following? Cultural taboo Cultural imposition Cultural blindness Acculturation
Cultural imposition Explanation: A cultural imposition is the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture.
The nurse is caring for a patient with Parkinson disease. The patient informs the nurse that the patient has been angry with God because of the worsening illness, but after talking to the hospital chaplain, the patient is ready to return to the church choir and become active again in the group at the church. What is an appropriate nursing diagnosis for this patient? Risk for Loneliness Readiness for Enhanced Spiritual Well-Being Impaired Religiosity Spiritual Distress
Readiness for Enhanced Spiritual Well-Being Explanation: The most appropriate diagnosis for this patient is Readiness for Enhanced Spiritual Well-Being. The patient desires to experience and integrate meaning and purpose in life through connection with self, others, art, music, literature, nature, or a power greater than themself.
In early Christian times, what was thought to cause mental illness? Demonic control Sin Personal failure Contaminated environments
Demonic control Explanation: During early Christian times (1-1000), primitive beliefs and superstitions were strong. All diseases were blamed on demons and the mentally ill were viewed as possessed, or under demonic control.
A client in pain believes that the pain is a punishment from God, and feels angry and resentful. Which is the most appropriate action by the nurse? Encourage visitors to pray for the client. Encourage the client to pray for oneself. Encourage client to confer with a spiritual advisor. Consult a psychiatric nurse practitioner.
Encourage client to confer with a spiritual advisor. Explanation: The most appropriate action by the nurse would be to encourage the client to confer with a spiritual advisor to work through feelings of anger and resentment as it relates to God and the pain experience. Consulting a psychiatric nurse practitioner may help the client work through feelings of anger and resentment, but may not address the underlying feelings/beliefs related to God and the client's experience of pain. Encouraging the client to pray or to have visitors pray for the client may not help the client work through feelings of anger and resentment related to God and the experience of pain.
A nurse is caring for an infant who is to be administered an enema. What spiritually oriented interventions could the nurse follow with newborns and infants? Provide the infant with soft toys or a feeding bottle. Ask a child specialist to be present during treatment. Encourage parents to be present during the treatment. Tell the infant that it will be over within a minute.
Encourage parents to be present during the treatment. Explanation: When caring for infants and newborns, the best nursing intervention is to encourage the parents to be present during the medical treatment. There is no need for the nurse to ask for a child specialist to be present during the treatment. Instead, the nurse should involve the parents in the caring process as the infant will feel more secure and comfortable in the presence of the parents. Providing the infant with toys, a feeding bottle, or trying to explain that it will be over soon will not pacify the child.
A nurse is caring for an infant who is to be administered an enema. What spiritually oriented interventions could the nurse follow with newborns and infants? Provide the infant with soft toys or a feeding bottle. Encourage parents to be present during the treatment. Ask a child specialist to be present during treatment. Tell the infant that it will be over within a minute.
Encourage parents to be present during the treatment. Explanation: When caring for infants and newborns, the best nursing intervention is to encourage the parents to be present during the medical treatment. There is no need for the nurse to ask for a child specialist to be present during the treatment. Instead, the nurse should involve the parents in the caring process as the infant will feel more secure and comfortable in the presence of the parents. Providing the infant with toys, a feeding bottle, or trying to explain that it will be over soon will not pacify 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? Love Faith Religion Hope
Faith Explanation: Faith refers to a confident belief in something for which there is no proof or material evidence. It can involve a person, idea, or thing, and it is usually followed by action related to the ideals or values of that belief. Hope is a feeling of expectation and desire for a certain thing to happen. Love is an intense feeling of deep affection. Religion is a particular system of faith and worship.
The nurse is caring for a client whose treatment has been based on the Ayurveda medical system. Which nursing intervention incorporates this client's beliefs into the nursing plan? Helping the client to balance his or her dosha Preparing the client for exercises that help him or her regulate qi Basing practice on the yin-yang theory Including the client's shaman in the plan of care
Helping the client to balance his or her dosha Explanation: Central to Ayurvedic medicine is an understanding of the client's basic constitution, or dosha. The three doshas in Ayurvedic medicine are vata (changeable), pitta (intense), and kapha (relaxed). Yin-yang and qi are associated with traditional Chinese medicine. A shaman is associated with shamanism (involves the spirit world).
The yin/yang theory of harmony and illness is rooted in which paradigm of health and illness? Religious Holistic Scientific Biomedical
Holistic Explanation: One example of a naturalistic or holistic belief, held by many Asian groups, is the yin/yang theory, in which health is believed to exist when all aspects of a person are in perfect balance or harmony.
While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements? Spirituality is the behavioral manifestation of religious beliefs. Religion and spirituality are synonymous. Spirituality is a recently developed alternative to traditional religious belief. Religion is a collection of spiritual beliefs and practices.
Religion is a collection of spiritual beliefs and practices. Explanation: Spirituality may or may not include religion, which is a codified system of spiritual beliefs. The two terms are not interchangeable, and spirituality is not solely concerned with outward behavior. Spirituality is not necessarily an "alternative" to religion; nor is it a recent development.
A nurse is caring for a Jewish client with a terminal illness who is on a ventilator. The spouse of the client intends to stay near the client when the ventilator is removed. What is the reason for such a request, according to the Jewish culture? Choose the best answer. The soul of the deceased should comfortably be able to travel into the afterlife. The soul of the deceased should not be alone while leaving the body. The soul of the deceased should pass through the body of a close family member. The soul of the deceased should not be disturbed by the other spirits.
The soul of the deceased should not be alone while leaving the body. Explanation: The Orthodox Jewish people believe that the soul should not leave the body while the person is alone. Thus a close relative is supposed to be there with a person who is dying. The purpose of this custom is not to prevent disturbance from the other spirits, to help the soul travel comfortably to the afterlife, or to make the soul of the deceased pass through the body of a close family member.
During the patient assessment, the client shares that the family attends church nearly every Sunday. Which function of the family does this represent? Economic Socialization Physical Reproductive
Socialization Explanation: The family transmits values and beliefs, including those of religion, through socialization. The family provides financial aid to family members, fulfilling the economic function. The family meets physical needs by providing a safe, comfortable environment essential for growth, development, and rest or recuperation. The reproductive function of the family is rearing children. Reference:
A nurse convinces a client who is a Jehovah's Witness that receiving blood products is more important than the legalistic components of religion. What client reaction may be expected following this mandated change? The client states, "I can't get over my feelings of legalism as a Jehovah's Witness." The client states, "I am glad that nurse told me what to do." The client states, "I feel like I abandoned my religion." The client states, "Why isn't blood administration forced on all who need that treatment?"
The client states, "I feel like I abandoned my religion." Explanation: When clients are forced to participate in care that conflicts with their values, feelings of guilt and abandonment are likely. These feelings may deepen and threaten the client's well-being. The other answer choices are not related to mandated change.
A client with multiple serious chronic illnesses says to the nurse, "I would like to strengthen my faith, but I am struggling." What action(s) by the nurse would assist the client in strengthening faith? Select all that apply. identifying current or past spiritual supports asking the client about original spiritual beliefs reading aloud Bible passages that relate to the client's needs exploring factors that are creating conflict with client's beliefs offering to pray with the client to help resolve the conflict
asking the client about original spiritual beliefs identifying current or past spiritual supports exploring factors that are creating conflict with client's beliefs Explanation: The client is directly asking the nurse for assistance in strengthening faith. For this reason, it is reasonable for the nurse to explore the client's faith origins as well as what the usual sources of spiritual support were or are. Commonly, a hospitalized client is separated from those of common faith practices so this should be explored. The nurse can also carefully explore what is contributing the challenges to faith the client is expressing. The scenario does not state that the client is Christian so reading from the Bible is an assumption by the reader, first. Second, the nurse would not take the step of reading to the client from a religious text unless this was a direct request by the client. Nurses should also not offer to pray with the client but should only engage in this if directly asked and if this is something the nurse is comfortable with.
Upon assessment, the client reports that they do not belong to an organized religion. The nurse is correct to interpret this statement as the client will experience conflicts between religious beliefs and healthcare options. client will not request to see the hospital chaplain or seek spiritual counseling. client is not affiliated with a specific system of belief regarding a higher power. client's spiritual needs are met.
client is not affiliated with a specific system of belief regarding a higher power. Explanation: The nurse should not interpret the fact that a client does not belong to an organized religion to mean that the client has no spiritual need; a person may be highly spiritual yet not profess a religion. The client may seek spiritual counseling during hospitalization related to spiritual needs.
A college foreign exchange student is living with a family in England and is confused about the family's Catholic prayers and rituals. The student longs for her Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress? spiritual loss spiritual guilt spiritual anger spiritual alienation
spiritual alienation Explanation: Spiritual alienation occurs when an individual is separated from one's faith community. Spiritual guilt is the failure to live according to religious rules. Spiritual anger is the inability to accept illness. Spiritual loss occurs when one is not able to find comfort in religion.
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should ask to be present during the visit to explain any medical information or answer questions about the client's care. ensure that the hospital administration approves the counselor. take measures to ensure privacy during the counselor's visit. ask the spiritual counselor to summarize the visit in the client's medical record.
take measures to ensure privacy during the counselor's visit. Explanation: Visits between a client and a spiritual counselor require privacy. The details of the meeting are not typically documented in the client's chart, though the fact that the visit took place is often noted. The nurse may be present during the meeting but this should take place at the client's request. Spiritual counselors do not require administrative approval; clients and their families are normally able to seek spiritual help from whomever they prefer.
A hospice nurse is discussing spirituality and faith with a client and the client's family member. The client asks the nurse what is the difference between spirituality and faith. How will the nurse describe faith? "A way to discover a purpose in your life" "A trust and belief in a higher power or something you cannot see" "A relationship with a higher power" "A concept to help you understand qualities of life"
"A trust and belief in a higher power or something you cannot see" Explanation: Faith is best described as a trust or belief in a higher power or something you cannot see. Spirituality can best be described as a way to discover a purpose in life, understand qualities of life, and a relationship with a higher power.
Why is Zen meditation effective for a client with generalized anxiety disorder? Includes yoga exercise for stress relief Assists client to enter state of calmness Helps client forget issue causing stress Used to reduce hyperactivity in group therapy
Assists client to enter state of calmness Explanation: Zen meditation assists the client to enter a state of calmness to reduce anxiety. Focusing on breathing, posture, and the present, allows the mind to deal properly with intrusive thoughts, bringing a sense of calmness over oneself. Zen meditation doesn't make one forget about stressful thoughts, rather how to manage them effectively. Zen, or mindfulness meditation, is not a group therapy for hyperactivity, Although Yoga and Zen meditation have many similarities, Zen focuses on achieving a higher consciousness.
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. Organize a meeting between the chaplain, the son, and the client to achieve a resolution. Perform a detailed spiritual assessment of the client. Document the client's request and wait to see if the client reiterates the request.
Contact the chaplain to arrange a visit with the client. Explanation: The nurse's primary responsibility is to honor the client's request for a meeting with a spiritual advisor. Completing a spiritual assessment is not necessary at this time. Organizing a meeting between the chaplain, the son, and the client is not an accurate intervention at this time unless requested by the client. Documentation of the conversation with the client and calling for a spiritual advisor should be recorded in the client's health record. It is not necessary to document and wait for the client to ask again before the nurse considers the request. Afterall, she is dying and waiting for her to ask again is not warranted.
When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the spiritual healer. preacher. rabbi. priestess.
spiritual healer. Explanation: Shamans and spiritual leaders are found among Aboriginal and many Southeast Asian groups.
A client diagnosed with terminal lung cancer expresses a desire to seek spiritual advice. Which intervention by the nurse best provides spiritual support for this client? Contact the most available spiritual advisor, even if of another faith. Ask who the client's spiritual advisor is and make the contact. Ask if the client would like to speak to the nurse. Identify the name of the spiritual advisor from the client's admission history.
Ask who the client's spiritual advisor is and make the contact. Explanation: The nurse may contact the client's spiritual advisor if the client so desires. The nurse can listen to the client, but spiritual support is best provided by someone proficient in that field, such as a spiritual advisor. It would be appropriate for the nurse to contact the clergy of another faith only if no other resources were available and if the client consented. The nurse should speak with the client and get the information firsthand, researching the admission history only if that is not possible.
Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which is a culturally linked behavior to autopsy? the continuation of society is prevented the cause of death can be discovered rebirth is made impossible body ultimately decomposes into dust
the cause of death can be discovered Explanation: Westerners believe that autopsy is used to discover the causes of death. Hmong who have not converted to Christianity believe that autopsy prevents continuation of society and rebirth. Judeo-Christians believe that the body ultimately decomposes into dust.
A client with posttraumatic stress disorder (PTSD) holds strong Christian beliefs. The nurse refers the client to an individual from the clergy as a part of treatment. What would be the most appropriate reason for the nurse to take this action? It helps the client sleep in peace. It fosters resilience through allegiance to religious beliefs. It helps the client forget the traumatic incident. It helps the client concentrate on the therapy.
It fosters resilience through allegiance to religious beliefs. Explanation: Strong cultural, spiritual, and/or religious identity and allegiance contribute to resilience and, therefore, are highly positive factors in the lives of people with PTSD. As this client is inclined toward spiritual and religious orientation, referring the client to a clergy person would help build resilience in the client. Talking to a member of the clergy would not directly treat concentration issues or insomnia. This intervention will not be directly helpful for the client to forget the traumatic incident.
Mrs. Dupree is a 55-year-old patient with end-stage renal failure who has asked to be taken off dialysis. She now shares with the nurse that she has mistreated her only daughter in the past and would like to reconcile this before she dies. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people? Need basic necessities of life Need for forgiveness Need for love and relatedness Need for meaning and purpose
Need for forgiveness Explanation: According to Shelly and Fish (1988), the three spiritual needs underlying all religious traditions and common to all people are the need for meaning and purpose, the need for love and relatedness, and the need for forgiveness. The client is pursuing reconciliation which is in the need for forgiveness category. The need for basic necessities is related to Maslow's hierarchy of need and include food (including water), shelter and clothing.. The need for love and relatedness corresponds to having meaningful relationships. The need for meaning and purpose is for one to feel that the work they perform or the duties they complete are meaningful and respected.
A client who has been taught to monitor her pulse calls the nurse because she is having difficulty feeling it strongly enough to count. She states that she takes her pulse before taking her cardiac medication. She sits down with her nondominant arm on a firm service, palm up. She uses her three fingers to feel just below the wrist on the side closest to the body. She does not press hard and she has a watch with a second hand to use to count it, but she has a very difficult time feeling it. What does the nurse recognize that she is doing wrong? She should place her three fingers just below the wrist on the outside of the arm with the palm up. She should stand when taking her pulse to increase blood flow. She needs to take her pulse after her medication so that her pulse is stronger. She needs to press harder until she feels a pulse.
She should place her three fingers just below the wrist on the outside of the arm with the palm up. Explanation: A client is taught to take his or her own pulse before certain medications or after exercise, depending on the individual client's needs. When teaching a client to take his or her own pulse, the nurse should teach the client to sit down and place an arm on a hard service with the palm upward. Using three fingers, the client should feel just below the wrist on the outer side of the arm for the pulse. The client should be taught not to press too hard or the pulse can be obliterated.
The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. The nurse informs the parents that the development of a child's spirituality is best accomplished by: educating the child about God. educating through parental behaviors. educating the child about religion. educating through religious-based schools.
educating through parental behaviors. Explanation: A child's parents play a key role in the development of the child's spirituality. What is important is not so much what parents teach a child about God and religion, but rather what the child learns about God, life, and self from the parents' behavior.
The nurse educator is discussing spirituality for nurses in a mental health class. The nurse educator asks a student nurse, "Which of the following is most consistent with spirituality?" The student nurse identifies which description? feeling a connection to a higher power living according to one's beliefs closely intertwined with beliefs about health and mental illness participation in common ways of worshiping
feeling a connection to a higher power Explanation: Spirituality develops over time and is a dynamic, conscious process characterized by two movements of transcendence; either deep within the self or beyond the self. Self-transcendence involves self-reflection and living according to one's values in establishing meaning to events and a purpose to life. Closely intertwined with beliefs about health and mental illness, living according to one's beliefs, and participation in common ways of worshipping are not things that are most consistent with spirituality.
A nurse is learning about religious dietary restrictions at a nursing conference. Which religious meal selection should the nurse understand is appropriate? toast with coffee for a client who practices the restored gospel of Jesus Christ grilled shrimp for a client who practices Orthodox Judaism grilled pork chop for a client who practices Orthodox Judaism vegetable plate for a client who practice Hinduism
vegetable plate for a client who practice Hinduism Explanation: Dietary restrictions associated with religions are extremely important to provide culturally competent nursing care. Clients who practice Hinduism do not consume beef, because cows are considered a sacred creature. They are typically vegetarians; therefore, a vegetable plate is appropriate for this client. Clients who practice Orthodox Judaism eat have kosher foods. Shrimp and pork are prohibited in a kosher diet. Members of The Church of Jesus Christ of Latter-day Saints do not drink coffee, tea, or alcohol and they limit their meat consumption
When describing the historical aspects of psychiatric-mental health care, the nurse addresses the changes in thought about the cause of mental illness from 0 to 1000 CE. Which cause would the nurse most likely identify as the belief during this period? Contaminated environments Physical illness Demonic control Personal failure
Demonic control Explanation: During early Christian times (1-1000), primitive beliefs and superstitions were strong. During this time, sin or demonic possession, not physical illness and personal failure, was thought to cause mental disorders. Contaminated environments were a common causative belief during the medieval era (1000-1300 AD).
A nurse is caring for a client with chronic pain. In planning care, what will the nurse focus on as part of incorporating spiritual health into the client's plan for pain control? the client's willingness to ask others to pray for the relief of the client's pain the client's sense of meaning and purpose as it relates to quality of life and pain the client's belief about the effects of positive spiritual thoughts on pain levels spiritually linked actions that the client has used to manage pain in the past
spiritually linked actions that the client has used to manage pain in the past Explanation: Religion and spirituality have been related to a client's well-being when facing illness and disease. They can be powerful coping mechanisms when a client is facing life-or-death decisions, as well as chronic conditions such as pain if the client believes in the value of these links. The nurse is seeking interventions and, therefore, the client's past use of spiritual practices for pain management is most relevant. General beliefs about abstract concepts such as meaning and purpose will not be directly helpful in informing interventions. The nurse should not focus on the client's acceptance of prayer as this is making an assumption instead of exploring the client's spiritual practices. Asking the client if he or she believes pain levels are affected by spiritual thoughts again makes an assumption instead of asking an open-ended, non-leading question about the client's practices or beliefs.
The nurse caring for a bedridden hospitalized client who states that this will be the first time that he has missed a Methodist church service in 50 years plans care based on which of the following NANDA-I diagnoses? Spiritual Need as evidenced by verbalizations and distress at missing Methodist church services Potential for Enhanced Spiritual Well-Being related to distress at missing Methodist church services Dysfunctional Grieving related to inability to attend church services as a result of his medical condition Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt
Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt Explanation: Persons suffering spiritual dysfunction or distress may verbalize such distress or express a need for help. Developing a three-part nursing diagnosis consists of data analysis, problem identification, and the formulation of the nursing diagnosis. There are four different types of nursing diagnoses: actual nursing diagnosis, wellness (or health promotion) nursing diagnosis, risk nursing diagnosis, and syndrome diagnosis. The other three statements are missing part of the nursing diagnosis.
Which culturally related perspective on illness/disease involves a belief in supernatural forces or a higher power? naturalistic or holistic homeopathic magico-religious biomedical or scientific
magico-religious Explanation: According to the magico-religious perspective, supernatural forces dominate. Examples include faith healing in some Christian faiths and voodoo or witchcraft in some Caribbean cultures. Health beliefs are a person's ideas about what causes illness, the role of the sick person, how to restore health, and how one stays healthy. The biomedical or scientific view is generally shared by Western healthcare personnel. An example is the belief that bacterial or viral organisms cause meningitis. The natural/holistic view espouses that human beings are only one part of nature. Natural balance or harmony is essential for health. Homeopathy is an alternative treatment modality. It is not a cultural view of illness/disease.
A client requests that the nurse assist with spiritual counselling. What is the most important factor for the nurse to apply when determining how to best offer spiritual counselling? the nurse's comfort and knowledge level related to the process of spiritual counselling the family's wishes related to their involvement in the client's spiritual practices the degree of alignment between the client's spiritual beliefs and those held by the nurse whether the client is receiving palliative care measures or is approaching end of life
the nurse's comfort and knowledge level related to the process of spiritual counselling Explanation: A nurse who feels competent to counsel the client may assist the client in achieving spiritual goals through spiritual counselling. The level of ability of the nurse to perform in this role is not directly related to the level of congruence between the nurse's beliefs and that of the client; people of all faiths are permitted to counsel those of others. The nurse would consider the client's condition when offering counselling, but this is not the most important factor--the nurse's abilities are. Family involvement may be necessary, but this would be determined by the nurse asking the client's preference rather than being based on the family's preference.
Three major paradigms are used to explain the causes of disease and illness. Which three of the following are the paradigms? Choose all three. Geographic view Naturalistic or holistic perspective Biomedical or scientific view Magico-religious view Dynamic perspective
Biomedical or scientific view Naturalistic or holistic perspective Magico-religious view Explanation: Three major views, or paradigms, attempt to explain the causes of disease and illness: the biomedical or scientific view, the naturalistic or holistic view, and the magico-religious view. The geographic view and the dynamic perspective are not considered paradigms of causes of illness.
