Spirtuality

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?

1. Spiritual factors *correct* 2. emotional factors 3. Developmental stage factors 4. Intellectual background factor

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. *correct* 4. The nurse should explain to the family member that the client needs this transfusion.

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." *correct* 3. "Do you believe that God is punishing you for your sins?" 4. "If you feel this way, you should talk to your spiritual advisor."

Which theory proposes that older adults experience a shift from a materialistic to cosmic view of the world?

1. Activity theory 2. Continuity theory 3. Disengagement theory 4. Gerotranscendence theory *correct*

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?" *correct*

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." *correct* 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."

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 *correct* 3. By strictly adhering to organization policies regarding nursing care 4. By ignoring the cultural aspect and focusing on the medical aspect of care

A resident in a nursing home recently immigrated to the United States (Canada) from Italy. How does the nurse plan to provide emotional support?

1. By offering choices consistent with the client's heritage *correct* 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

A client who has a hemoglobin of 6 gm/dL (60 mmol/L) is refusing blood because of religious reasons. What is the most appropriate action by the nurse?

1. Call the chaplain to convince the client to receive the blood transfusion. 2. Discuss the case with coworkers. 3. Notify the primary healthcare provider of the client's refusal of blood products * correct* 4. Explain to the client that they will die without the blood transfusion.

A nurse is helping a client who observes the traditional Jewish dietary laws to prepare a dietary menu. What considerations should the nurse make?

1. Eating beef and veal is prohibited. 2. Consumption of fish with scales is forbidden. 3. Meat and milk at the same meal are forbidden. *correct* 4. Consuming alcohol, coffee, and tea are prohibited

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 *correct* 3. Socioeconomic factors 4. Perception of functioning

Which nursing interventions are examples of the nurse as a caregiver? Select all that apply.

1. Encouraging the client to exercise daily *correct* 2. Setting goals for the client to reduce weight *correct* 3. Arranging for the client to meet a spiritual advisor *correct* 4. Evaluating the client's understanding of prescribed diet 5. Demonstrating the procedure to self-administer insulin injection

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 *correct* 4. Conducting extensive research about the ritualistic practices of the client's community to formulate a care plan

Which internal variable influences health beliefs and practices?

1. Family practices 2. Cultural background 3. Socioeconomic factors 4. Intellectual background *correct*

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?

1. Fitting within standards accepted by one's society *correct* 2. Helping the person reduce the need for coping skills 3. Expressing the individual's feelings and thoughts accurately 4. Allowing achievement of short-term and long-term goals by the individual

Before effectively responding to a sexually abused victim on the phone, it is essential that the nurse in the rape crisis center do what?

1. Get the client's full name and address. 2. Call for assistance from the psychiatrist. 3. Know some myths and facts about sexual assault. 4. Be aware of any personal bias about sexual assault. *correct*

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 *correct*

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?

1. Limit the father's discussion of religion. 2. Include the mutual discussion of religious beliefs. 3. Invite the family's religious leader to a therapy session. 4. Encourage family discussion of their religion in the sessions. *correct*

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?

1. Make a new prayer cloth 2. Discard the soiled prayer cloth 3. Pin the prayer cloth to the clean gown *correct* 4. Wash the prayer cloth with a mild detergent

A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a circumcision. What is the medical priority?

1. Obtaining a physician's prescription for a lidocaine injection 2. Educating the new mother about the circumcision procedure 3. Obtaining an informed consent signed by the mother of the baby *correct* 4. Obtaining an informed consent signed by the grandmother of the baby

Which carative factor is involved in creating a healing environment at all levels, physical and non-physical, according to Watson's Transpersonal Caring?

1. Promoting transpersonal teaching- learning 2. Promoting and expressings positive and negative feelings 3. Developing a helping, trusting, human caring relationship 4. Providing for a supportive, protective, and/or spiritual environment *correct*

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." *correct* 2. "Don't administer nasal drops now because it will break my fast." *correct* 3. "I do not believe in surrogacy because this is not permitted in our community." *correct* 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?"

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?" *correct* 2. "What do you believe is the cause of your depression? *correct* 3. "Does religion have a role in your perception of health and wellness?" *correct* 4. "Do you have insurance that includes coverage of mental health issues?" 5. "Have you ever sought treatment for a mental health problem previously?" *correct*

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 *correct* 2. Hypnosis *correct* 3. Medication 4. Aromatherapy *correct* 5. Guided imagery *correct*

A nurse notices that a client is in spiritual distress. Which nursing action establishes the nurse as a caregiver?

1. The nurse provides therapeutic treatment to the client *correct* 2. The nurse teaches the client about signs of spiritual distress 3. The nurse communicates the wishes of the client to family members 4. The nurse collaborates with the agency chaplain to pursue the best treatment plan