CH. 45 - Spirituality

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: A. agnosticism. B. theism. C. atheism. D. deism.

B. theism.

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. A. Separation from the religious community or supports B. Ability to introspect C .Inability to reconcile a current life situation with spiritual beliefs D. Seeking a religious leader

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

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. A. Support system B. Knowledge that illness is a punishment C. Diet D. Endurance of extreme stress E. Positive emotions

A. Support system C. Diet D. Endurance of extreme stress E. Positive emotions

Which question would be appropriate for the F in the FICA spiritual assessment tool? A. "Do you use your church family for support? B. "Are you actively involved with a church community? C. "Do you consider yourself a spiritual person?" D. "How would you like me to address this issue in your health care?"

C. "Do you consider yourself a spiritual person?"

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? A. Provide liquid nutrition only as this does not interfere with religious practice. B. Tell Mr. V. he must eat to maintain his health. C. Work with the nutrition staff to provide nutritious meals at off hours. D. Encourage Mr. V. to speak with a religious leader to grant a medical exception.

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

An appropriate nursing diagnosis for a bedridden hospitalized client who tells the nurse that he has not missed a Methodist church service in 50 years would be: A. Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt B. Spiritual Need as evidenced by verbalizations and distress at missing Methodist church services C. Potential for Enhanced Spiritual Well-Being related to distress at missing Methodist church services D. Dysfunctional Grieving related to inability to attend church services as a result of his medical condition

A. Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt

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. a belief in something for which there is no proof or material evidence. B. practices associated with all aspects of a person's life. C. an organized belief system about a higher power. D. a positive outlook even in the bleakest moments.

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

A client who is admitted for a debilitating disease is talking to the nurse. She relates that family is the only thing that matters, stating that family helps fulfill all the spiritual needs by first fulfilling the most basic of all needs. What is this basic need? A. Belonging B. Love C. Autonomy D. Self-reliance

B. Love

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying: A. his spirituality. B. his culture. C. his faith. D. his values.

C. his faith.

A recently graduated nurse is talking to the charge nurse about spirituality and tells the charge nurse that it is difficult to understand why people have a hard time giving spiritual care to clients. The charge nurse identifies the new nurse's lack of understanding when the new nurse makes which statement? A. "Spirituality is anything that pertains to a person's relationship with a higher power." B. "Spirituality and religion have distinctions." C. "Spirituality and faith are the same thing." D. "Spirituality and religion are the same thing."

D. "Spirituality and religion are the same thing."

The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next? A. Inform the client that a priest will be in to see her very soon. B. Avoid talking about suicide and its effects. C. Inform the family that this order does not keep the nurse from doing her job. D. Assess the client's spiritual needs

D. Assess the client's spiritual needs

The nurse is caring for a Roman catholic client who is dying. What would be an appropriate action for the nurse? A. Ensure that a person of the same sex as the deceased clean the body. B. Contact a local priest to provide special care to the body after death. C. After death, place the client's body on the floor to facilitate the soul's journey. D. Contact a local priest to complete the anointing of the sick ritual.

D. 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? A. Document the client's request and wait to see if she reiterates her request. B. Organize a meeting between the chaplain, the son, and the client to achieve a resolution. C. Perform a detailed spiritual assessment of the client. D. Contact the chaplain to arrange a visit with the client.

D. Contact the chaplain to arrange a visit with the client.

Research findings have demonstrated that the group of clients who have indicated a greater need for spirituality include those diagnosed with A. Nonmalignant tumors B. Hypertension C. Congenital defects D. Terminal illness

D. Terminal illness

The nurse is caring for a client who states, "No one can understand God." The nurse would document the client's spiritual belief as: A. atheist. B. holistic. C. theist. D. agnostic.

D. agnostic.