NUR302 Spirituality Quiz
A patient expresses the desire to learn how to meditate. What does the nurse need to do first? 1. Answer the patient's questions. 2. Help the patient get into a comfortable position. 3. Select a teaching environment that is free from distractions. 4. Encourage the patient to meditate for 10 to 20 minutes twice a day.
3. Select a teaching environment that is free from distractions. A quiet environment without distractions enhances learning and is essential for meditation.
The nurse is caring for a patient suffering from a severe illness. What are the questions that the nurse should ask to assess the spiritual strength of the patient? Select all that apply. 1. "Do you use prayer or meditation?" 2. "Are you an atheist?" 3. "Do you believe in God?" 4. "How do you feel after praying?" 5. "What gives you energy during difficult times?"
1. "Do you use prayer or meditation?" 4. "How do you feel after praying?" 5. "What gives you energy during difficult times?" If the nurse wants to assess the spiritual strength of the patient, the nurse will ask whether the patient prays or not. This will help the nurse determine if the patient is spiritual and has religious beliefs. Asking about the feeling after prayers will help to analyze the patient's faith and hope in their spiritual beliefs. Asking the patient about the source of his or her strength during difficult times helps to determine the patient's spirituality and religious beliefs. The nurse should never ask directly whether the patient is an atheist or does not believe in God.
The spouse of a patient who is terminally ill is in spiritual distress. What other situations adversely affect the spirituality of an individual? Select all that apply. 1. A diagnosis of diabetes 2. A major motor vehicle accident 3. A successful surgery 4. The birth of twins 5. A near-death experience
1. A diagnosis of diabetes 2. A major motor vehicle accident 5. A near-death experience Spirituality is significantly influenced by chronic illness, acute illness, and near-death experiences. The diagnosis of diabetes, a chronic illness, creates stress and anxiety in a person because that person will have to modify his or her lifestyle and diet. A person who experiences a major motor vehicle accident may be in distress and confused, possibly leading to spiritual distress. A patient who had a near-death experience may feel that no one will believe his or her experiences. A successful surgery and the birth of twins likely would elevate the spirits of an individual.
The nurse is assessing a patient to identify spiritual needs. What questions would help the nurse assess the patient's spirituality? Select all that apply. 1. Do you attend a religious service on a regular basis? 2. What is do you want to achieve in your life? 3. Whom do you feel is the closest to you? 4. Have you assigned a power of attorney? 5. Do you wish to change your profession?
1. Do you attend a religious service on a regular basis? 2. What is do you want to achieve in your life? 3. Whom do you feel is the closest to you? When assessing a patient's spirituality, the nurse should inquire about the patient's feelings and views on life, the level of connectedness with the self and others, and the practice of religion. Asking if the patient attends church (religious practice), the one person the patient is closest to (connectedness), and the patient's goal in life (view of life) would help the nurse identify the patient's spiritual needs. The assignment of a power of attorney and the desire to change professions would not shed light on the patient's spirituality.
A patient who experienced a stomach ache was diagnosed with stomach cancer. The nurse finds that the patient is sad and feels hopeless about health and the future. What nursing interventions would be helpful for this patient? Select all that apply. 1. Help the patient set important goals. 2. Spend time with the patient and teach coping strategies. 3. Assess the potential for committing suicide. 4. Encourage the patient to listen to music of his or her choice. 5. Assess the potential for the presence of psychosis.
1. Help the patient set important goals. 2. Spend time with the patient and teach coping strategies. 3. Assess the potential for committing suicide. Setting important goals helps alleviate depression. Spending time and teaching coping strategies provide social, emotional, and moral support for the patient. Hopelessness is associated with suicidal tendencies; therefore, the nurse should look for suicidal signs in the patient. Listening to music may help in reducing anxiety but does not help in providing hope. Hopelessness is not a risk factor for the patient to become psychotic.
A patient who is hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. Of what is this an example? 1. Hope 2. Faith 3. Values 4. Connectedness
1. Hope Hope refers to an energizing source that is oriented toward future goals and outcomes. Faith allows people to have firm beliefs despite the lack of physical evidence; in this situation, the patient is energized by the future and has hope that it will be positive despite her heart failure.
The nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice? 1. Islam 2. Sikhism 3. Hinduism 4. Catholicism
1. Islam Patients who practice Islam do not eat until after the sun goes down during the month of Ramadan.
Which nursing interventions support(s) a healing relationship with a patient? Select all that apply. 1. Praying with the patient 2. Giving pain medications before a painful procedure 3. Telling a patient that it is time to take a bath before the family arrives 4. Making the patient's bed following the hospital protocol 5. Helping a patient see positive aspects related to a chronic illness
1. Praying with the patient 5. Helping a patient see positive aspects related to a chronic illness Praying with patients and mobilizing the patient's hope create a healing relationship.
A female Islamic patient is in the terminal stage of leukemia. The patient wants to end her life due to her suffering and hopelessness. Furthermore, she is not responding to pharmacological interventions. What should the nurse suggest to the caregivers to promote spirituality? Select all that apply. 1. Promote faith healing. 2. Encourage family and friends to visit. 3. Suggest the patient considers euthanasia. 4. Discuss the imminence of death. 5. Convince the patient that hope of survival is minimal.
1. Promote faith healing. 2. Encourage family and friends to visit. Muslims believe in faith healing, and therefore it should be promoted. The patient is in the terminal stages of illness. The nurse should promote spiritual health in the patient by permitting family and friends to visit. Muslims do not encourage euthanasia. They do not discuss death and hope for the best outcome. Therefore, the nurse should not discuss death but should encourage hope for a good outcome.
An elderly patient who is a devout Christian is admitted to the hospital with partial paralysis. The patient's son visits the patient daily and is very supportive. What nursing actions demonstrate the nurse's caring presence? Select all that apply. 1. The nurse offers to read the Bible to the patient. 2. The nurse checks the patient's vital signs twice daily. 3. The nurse discusses physical therapy options with the patient's son. 4. The nurse answers the patient's questions promptly and appropriately. 5. The nurse informs the health care provider about the patient's progress.
1. The nurse offers to read the Bible to the patient. 3. The nurse discusses physical therapy options with the patient's son. 4. The nurse answers the patient's questions promptly and appropriately. Establishing a caring presence provides hope for recovery and contributes to physical, mental, and spiritual well-being. Behaviors that establish the nurse's presence include doing things that help the patient's physical and spiritual well-being such as reading a sacred text to the patient, involving the family in making decisions and planning care, and answering the patient's questions promptly. Simply checking vital signs and exchanging health information with the patient or health care provider is not being present to attend to the patient's spiritual needs.
The nurse is working in a health clinic on a Navajo reservation. The nurse plans care for the patients knowing which statement below is true? 1. The patients may not be on time for their appointments. 2. The patients most likely do not trust the doctors and nurses. 3. The patients probably are not comfortable if they have to remove their undergarments. 4. Terminally ill patients probably want to receive the sacrament, the anointing of the sick.
1. The patients may not be on time for their appointments. In Navajo culture, punctuality is not important, thus Navajos may not always be on time for appointments.
The nurse understands that some people believe that there is no known ultimate reality. These people are referred to as agnostics. What are the beliefs of an agnostic person? Select all that apply. 1. They discover meaning in what they do or how they live. 2. They do not believe in the existence of God. 3. They do not find ultimate meaning for the way things are. 4. They believe that people bring meaning to what they do. 5. They search for meaning in life through their work and their relationships with others.
1. They discover meaning in what they do or how they live. 3. They do not find ultimate meaning for the way things are. 4. They believe that people bring meaning to what they do. Agnostics believe that there is no ultimate reality; they tend to discover meaning in what they do and how they live. They are unable to find the ultimate meaning for the way things are. They believe that people bring meaning to what they do. An atheist does not believe in the existence of God and searches for the meaning of life through work and relationships with others.
While caring for a Muslim female patient, which religious beliefs and practices should the nurse keep in mind? Select all that apply. 1. They do not practice euthanasia. 2. Health and spirituality are two different issues. 3. Women prefer female health care providers. 4. During the month of Ramadan, they do not eat until sundown. 5. Medicines are not accepted because they believe that chemicals are harmful to the body.
1. They do not practice euthanasia. 3. Women prefer female health care providers. 4. During the month of Ramadan, they do not eat until sundown. Islam does not allow euthanasia or mercy killing. The women of this religion prefer a female health care provider. Therefore, the nurse must arrange for female health care providers so that the patient is comfortable. Ramadan is a holy month for the followers of Islam. During Ramadan, the followers of Islam do not eat and drink until sundown. Therefore, the nurse must take additional care during this month. Muslims believe that health and spirituality are connected. Buddhists will reject some medications because they believe that chemical substances in the body are harmful
A senior nurse is talking with student nurses about spirituality. What are the different conceptual elements in spirituality? Select all that apply. 1. Transcendence 2. Faith and hope 3. Inner strength and peace 4. Meaning and purpose in life 5. Connectedness 6. Culture
1. Transcendence 2. Faith and hope 3. Inner strength and peace 4. Meaning and purpose in life 5. Connectedness Spirituality has five constructs or conceptual elements. Transcendence is the belief that there is an external force beyond the material world. Faith refers to the firm belief despite any evidence of physical presence. Hope is a source that gives energy to move forward in life. Inner strength is a source of positive energy that drives a person in difficult times. Inner peace provides a calm, positive, and peaceful feeling. A spiritual person strives to find meaning and purpose in order to live a meaningful life. Connectedness refers to feeling connected with oneself, with others, and with an unseen force. Culture is not a part of spirituality.
A patient experienced asystole because of an acute heart attack. The patient recovered due to prompt resuscitative measures. What statements made by the patient would suggest that the patient had a near-death experience (NDE)? Select all that apply. 1. The patient saw a bright light. 2. The patient met her dead parents. 3. The patient heard her spouse calling. 4. The patient felt as if she slept for too long. 5. The patient felt as if she was pulled out of her body.
1. he patient saw a bright light. 2. The patient met her dead parents. 5. The patient felt as if she was pulled out of her body. Patients who undergo a near-death experience tell similar stories about seeing a bright light, meeting people who are already dead, and seeing themselves pulled out of, or rising above, their bodies. The nurse can identify a near-death experience by the stories the patient tells. Patients usually do not recall someone calling them or that they slept too long after an NDE.
A patient has non-Hodgkin's lymphoma and is in the terminal stage. The patient is spiritually depressed and not ready to face death. What restorative care options can the nurse use to care for this patient? Select all that apply. 1. Prayer 2. Diet therapy 3. Supporting grief work 4. Meditation 5. Guided imagery
1. prayer 3. Supporting grief work 4. Meditation 5. Guided imagery Spiritual care is important for a person with terminal illness. Prayer reinforces one's belief in God or a higher being and is one of the most effective coping resources. It provides the patient with inner strength and a sense of peace and serenity. A patient with terminal illness needs time and the nurse's support to grieve, and the nurse should support the patient in a spiritual and therapeutic manner. Meditation and guided imagery reduce stress, pain, and blood pressure and provide increased spirituality. Diet therapy is not an option for restorative care.
The nurse evaluates a patient for achievement of goals related to spiritual well-being and finds that the patient does not display positive outcomes. What questions should the nurse ask to develop an appropriate modification to the care plan for such a patient? Select all that apply. 1. "What is the problem with you? Why aren't you coping well with the situation?" 2. "What is holding you back, and what can I do to help restore hope?" 3. "Why hasn't your family shown up? Are you not yet talking to them?" 4. "Do you want me to ask your wife to talk to you? 5. "Do you want me to put you on antidepressants?"
2. "What is holding you back, and what can I do to help restore hope?" 4. "Do you want me to ask your wife to talk to you? When appropriate outcomes are not met, the nurse should ask the patient about strategies to reach positive outcomes. Asking about what is holding the patient back and if the patient wants his wife to talk to him may help the nurse determine appropriate continued care. Asking blunt questions, such as "What is the problem with you?" and "Why hasn't your family shown up?" may prompt the patient to stop talking. Opting for medication use when dealing with health-related stress is not recommended.
An elderly patient is suffering from a chronic illness with multiple medical conditions and has a poor prognosis for recovery. What nursing actions are appropriate during the last hours of life before death? Select all that apply. 1. Avoid further spiritual interventions. 2. Arrange a visit from a cleric. 3. Ask if the patient wants to meet loved ones. 4. Help the patient with guided imagery to attain peace. 5. Withdraw all life-supporting modalities.
2. Arrange a visit from a cleric. 3. Ask if the patient wants to meet loved ones. 4. Help the patient with guided imagery to attain peace. A patient in the last stages of life may greatly benefit from a visit from a member of the clergy. A meeting with a cleric might help the patient attain peace and tranquility. If the patient desires to meet someone in particular, the nurse should arrange for such a meeting. The nurse can help the patient get relief from pain and be comforted and relaxed with the help of guided imagery and other relaxation techniques. Spiritual interventions should be continued until the end of life. They prepare the patient to leave the world in peace. Withdrawal of life support should be a decision made by family or the patient and is definitely not the nurse's call.
A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient's family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply. 1. The nurse can ask the family to wait in the waiting room and not visit the patient. 2. The nurse can motivate the family to chant religious prayers beside the patient. 3. The nurse can talk to the children and instill hope about the patient's condition. 4. The nurse should deny religious rituals in the hospital because they are not allowed. 5. The nurse should make sure a female health care provider is treating the patient.
2. The nurse can motivate the family to chant religious prayers beside the patient. 3. The nurse can talk to the children and instill hope about the patient's condition. To honor their religion, the patient and the family, being followers of Hinduism, should be allowed to chant prayers and hymns near the patient. The nurse should try to comfort the children, who may be in shock, by instilling hope that patients like their mother can recover in a matter of time. The family should be allowed to visit the patient. Denial of rituals may cause spiritual distress in the patient and the family. Therefore, the patient and the family should be allowed to perform religious rituals if safe for the patient. A female Hindu patient may not necessarily ask for a female health care provider.
The nurse tries to calm down a patient diagnosed with cancer. The nurse asks the patient to have faith in God; however, the patient turns out to be an atheist. What does an atheist believe? 1. A supernatural power governs the universe. 2. God is the ultimate being in the universe. 3. God does not exist. 4. Sins from the past have to be faced in the current life.
3. God does not exist. Atheists do not believe in God. They often seek meaning in life through whatever they do and how they treat others. Many people believe in God as the Supreme Being controlling the universe or a supernatural power that governs the universe. People following Hinduism believe that sins from the past have to be dealt with in the present or future life.
