chap 45 Spirituality 3rd quarter SCC

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 nurse clients well even though you ignore the spiritual dimension of health."

The nurse is differentiating beliefs of atheists from agnostics.

Both are guided by a philosophy of living that does not include a religious faith.

When assessing a child's spiritual dimension, a nurse should be aware of which basic tenet?

Children attribute to God tremendous and expansive power.

As you admit a new patient to your unit for elective surgery, you facilitate the practice of religion by doing which of the following?

• Arrange for the patient's pastor to visit if desired • Attempt to meet religious dietary restrictions • Respect the need for privacy during periods of prayer

While admitting Mr. Spencer, the nurse asks if he has a preferred religion or faith. Mr. Spencer indicates that he is not sure there is any proof of a higher power and therefore, has no preferred religion. The nurse knows that which of the following terms describes Mr. Spencer's feelings about religion?

AGNOSTIC

Your first patient in the emergency department today is a 6-year-old boy who was in a motor vehicle accident and has lost a lot of blood through a leg wound. The parents tell you right away that the child cannot have blood transfusions due to their religious beliefs. You are aware that this has been challenged in court and the courts did which of the following about treatment for the child?

Did not support the parents' right to refuse treatment for the child

What is the best reflects nursing's view of clients as holistic beings?

Mind, body, spirit

Mrs. Dopson is a 75-year-old widow who lost her last offspring to cancer last month. She shares with the nurse that she fears being alone. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?

Need for love and relatedness

According to Shelly and Fish, which of the following is a spiritual need underlying all religious traditions?

Need for meaning and purpose

Mr. Baker is an 81-year-old patient who can no longer live alone safely and is being admitted to a long-term-care facility. He grew a large garden every summer and took pleasure in sharing the produce with neighbors. He now tells the nurse that he feels he is of no use to anyone. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?

Need for meaning and purpose

When a client informs the nurse that he is a Jehovah's Witness, the nurse must recognize and validate that the client will not accept

blood transfusions

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. Which of the following is this client demonstrating?

faith

Mrs Jones is an 81-year-old patient who can no longer live alone safely and is being admitted to a long-term-care facility. She had to leave her elderly cat, Baby, with neighbors. She tells the nurse that her cat was the only family she had and that she misses her. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?

need for love and relatedness

A nurse is caring for a client who is upset after being told about a diagnosis of cancer. The client asks the nurse to take a minute to pray, but the nurse is not a very religious person. What is the best action for this nurse?

Agree to pray with the client and stand in silence by the bed.

The nurse is caring for a patient who asks that his special undergarments not be removed for an upcoming procedure. The nurse is aware that these undergarments are related to the patient's religion. This religion is which of the following?

Mormon

Individuals who are Christian Scientists may not approve of

Immunizations

A college foreign exchange student is living with a family in England and is confused about the daily Catholic prayers and rituals of the family. The student longs for the comfort of her fundamentalist Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress?

SPIRITUAL ALIENATION

The family members of a dying patient have asked for the hospital chaplain's help in having a member of the clergy come to the patient's bedside to perform the anointing of the sick. The nurse who is providing care for the patient should recognize that the family is likely:

Roman Catholic

A client who is admitted to the ER with severe right-sided abdominal pain is diagnosed with appendicitis. The surgeon is called and proceeds to explain the procedure to the client and asks her to sign the consent. The client refuses and informs the doctor that her husband needs to be called to do this. Which of the following religions does this client likely practice?

Islam

What patient statements most clearly suggests the potential of a nursing diagnosis of Spiritual Anxiety?

"Now that I'm nearing the end, I'm worried that God won't think I lived a good enough life

Based on religious customs, for which patient would the nurse administering medicines avoid touching the patient's lips?

A Hindu patient

A patient 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 which of the following?

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

While admitting Mr. Spencer, the nurse asks if he has a preferred religion or faith. Mr. Spencer indicates that he is not sure there is any proof of a higher power and therefore, has no preferred religion. The nurse knows that which of the following terms describes Mr. Spencer's feelings about religion?

Agnostic

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.

While interviewing a hospitalized client, he states, "The holy days of Ramadan are coming soon. I am not to have any food or drink from sunrise to sunset during this time." Further assessment reveals that the client's request is associated with which religion?

Islam

A teenage client comes to the clinic and tells the nurse that she has not had a period for the last 2 months. After assessment and lab work, the client is told that she is 3 months' pregnant. She begins to sob and says she is too young to have a baby. When the nurse offers counseling for an abortion, the client gets even more upset and says that she cannot have an abortion as it is not permitted in her church. This client is most likely which of the following?

Catholic

A client who is on hospice care and has no immediate family has been given less than 1 week to live. The nurse caring for the client recognizes that providing presence is most important, especially when a client is dying. What would be the best way for this nurse to provide presence to this client?

Hold the client's hand and sit by the bedside as often as possible.

A recently graduated nurse is talking to the charge nurse about spirituality and tells the nurse that it is difficult to understand why people have a hard time giving spiritual care to clients. The charge nurse identifies a lack of understanding when the new nurse makes which statement?

Spirituality and religion are the same thing."

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying to the nurse what

The client's faith

A dying patient requests that the nurse pray with him. The nurse is not accustomed to praying aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this patient?

The nurse should select a formal prayer or Bible passage to use to pray aloud.

A terminally ill patient tells the nurse that he does not belong to an organized religion. It is safe for the nurse to assume what?

The patient may still be deeply spiritual.

A client who is scheduled to begin chemotherapy for cancer is overheard telling a family member that everything will eventually be okay and the cancer will be in remission. This client is demonstrating which of the following?

hope

Mr. Field is a 45-year-old man who has suffered a myocardial infarction. Mr. Field provided for his family by working in the construction industry, which he will no longer be able to do. He tells his nurse that he fears he will be of no use to anyone now. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?

need for meaning and purpose

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:

teaching through parental behaviors

An older adult who identifies herself as a devout Catholic has recently relocated to an assisted-living facility. The client is pleased with most aspects of the living situation but laments the fact that the church is not nearby, so attending daily mass is not an option. She is quite upset by this restriction and states, "Going to daily mass was my life." The nurse recognizes that this client is suffering which of the following?

spiritual distress