NUR 344 Chapter 22

A nurse is conducting a second-level spiritual screen with an older client. Which of the following questions would be part of a second-level spiritual screening? -"How are your energy reserves holding up when you consider your health status at the present time?" -"Do you see yourself as a spiritual person at this time?" -"Do you have any spiritual/religious behaviors or practices that are important to you at this time?" -"Do you associate with a religious or spiritual community or group at this time?"

-"How are your energy reserves holding up when you consider your health status at the present time?"

Mrs. Chin, a 79-year-old woman of Chinese heritage, is a resident in a nursing home. She has no dietary restrictions but usually doesn't eat much when meals are served. The nurse sees that her family has come for a visit and has brought many containers of home-cooked food, which Mrs. Chin appears to be enjoying. Which of the following would be appropriate for the nurse to say about it? -"It's forbidden to bring outside food into the nursing home. I'm going to throw it away." -"I'm sorry; you'll have to put that food away. Mrs. Chin should eat the food that our dieticians select." -"It looks like you're really enjoying these dishes. Which ones are your favorites?" -"That looks delicious! Can I have some?"

-"It looks like you're really enjoying these dishes. Which ones are your favorites?"

Which of the following questions would NOT be appropriate to ask as part of a first-level spiritual screening? -"Is there anything here that you see would get in the way of having your personal spiritual needs met?" -"Do you see yourself as a spiritual person at this time?" -"When is the last time that you went to church?" -"Does your spirituality play any role in helping you to understand your health or illness condition(s) at this time?"

-"When is the last time that you went to church?"

Which of the following is not true about spirituality and the nursing profession? -The essence of nursing practice has a strong spiritual component not related to doctrine or dogma -The practice of nursing centers on caring for and caring about the holistic well-being of others -Nurses are educated to share the personal faith and beliefs with all patients

-Nurses are educated to share the personal faith and beliefs with all patients

Mr. Ebert is an older man who has been moved to a nursing home for rehabilitation following a stroke. The nurse conducts a spiritual assessment and determines that it would be a good idea to focus on the second dimension of spirituality to strengthen Mr. Ebert's energy levels. To that end, the nurse ______. -makes an appointment for Mr. Ebert to meet with a spiritual life coach -schedules visit from Mr. Ebert's family and friends -arranges a visit from the priest at Mr. Ebert's home parish -brings in a CD that plays the sounds of nature for Mr. Ebert to listen to

-schedules visit from Mr. Ebert's family and friends

When a nurse obtains admission information on the status of the client's body, mind, and spirit, two important messages are relayed to the older client. First, that the human spirit is an important part of the client's health, and second, that ________. -the nurse has strong spiritual beliefs and would be glad to share them with the client -the hospital belongs to a particular religious' tradition and will help the client adopt that tradition -spirituality is the client's personal business and is not relevant to the health-care setting -the nurse is available and interested in helping the client work to improve his health status

-the nurse is available and interested in helping the client work to improve his health status

In 1960, 32.6% of the foreign-born population in the United States was age 65 or older. As of 2010, that percentage is ________. 12.4 4.0 9.7 21.2

12.4

There are significant health-related differences among the five major ethnic groups in the United States. Members of which of the following ethnic groups are LEAST likely to turn to religion or spirituality as coping or problem-solving mechanisms? Hispanic Americans Asian Americans Native Americans European Americans

European Americans

Healthcare organizations are required to provide translation services for patients with limited English proficiency, and failing to provide adequate interpretation is considered a form of ________. Hate-speech Discrimination Assimilation Cost-benefit analysis

Discrimination

Which of the following ethnic groups has recently become the second largest population demographic in the U.S.? Asian Americans European americans Hispanic Americans African Americans

Hispanic Americans

By paying attention to and assessing the client from the perspectives of body, mind, and spirit, the nurse is addressing the client in a(n) ________ way. Spiritual Holistic Wholesome Culturally diverse

Holistic

Which of the following is NOT one of the three dimensions of spirituality? Intrapersonal Transpersonal Interpersonal Multipersonal

Multipersonal

The idea that all people need spirituality as a way to provide meaning in their lives, and the idea that spirituality must be tied to formal religious beliefs, are both described in the chapter as ________. Myths Part of a holistic understanding of the patient A powerful influence on health and healing Eternal truths

Myths

According to the Centers for Disease Control and Prevention National Center for Health Statistics, the leading causes of death for all five of the United States' major ethnic groups are diseases of the heart and malignant neoplasms. Which ethnic group is most likely to die of diabetes mellitus? Asian Americans African Americans Native Americans Hispanic Americans

Native Americans

Where once America was described with the metaphor of the "melting pot," where people from different cultures blended together to assimilate into the mainstream culture, what new metaphor describes today's immigrants, who maintain aspects of their original culture while also participating in mainstream culture? Mosaic Tossed Salad Tradition-based Mixed nuts

Tossed Salad

What percentage of the older U.S. population will eventually need some level of assistance or health care? About one quarter About one third More than half Virtually all

Virtually all