Spirituality PREP U
Read a passage of the bible to the client
An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse?
The nurse's colleague confides to the nurse that he has been proselytizing to a client who is described as being in desperate spiritual distress. The nurse advises her colleague to do which of the following?
Consult pastoral care immediately
Today you are caring for Mary Snow, who is preparing to undergo a left mastectomy. As you perform your physical assessment, she informs you that she is unable to accept blood products as treatment due to her religion. You interpret this as a belief of which of the following religions?
Jehovah's Witness
When a 76-year-old client diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should
Listen empathetically and attentively
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 love and relatedness
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?
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
Meeting spiritual needs
Offering a compassionate presence Assisting in the struggle to find meaning in the face of suffering, illness, and death Fostering relationships that nurture the spirit Facilitating patient's expression of religious or spiritual beliefs and practices
An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse?
Read a passage from the Bible to the client
The nurse is caring for a client with Parkinson's disease. The client informs the nurse that he has been angry with God because of his worsening illness, but after talking to the hospital chaplain, he is ready to return to the church choir and become active again in the men's group at the church. What is an appropriate nursing diagnosis for this client?
Readiness for Enhanced Spiritual Well-Being
While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements?
Religion is a collection of spiritual beliefs and practices.
The family members of a dying client have asked for the hospital chaplain's help in having a member of the clergy come to the client's bedside to perform the anointing of the sick. The nurse who is providing care for the client should recognize that the family is likely which religion?
Roman Catholic
A nurse is assisting a terminally ill female client with bathing. The client tells the nurse that she has great respect and faith in a particular spiritual leader. The nurse interprets this information as fulfilling which need for the client?
Sense of security for present and future
faith
The client states "I have lifted my cancer to God and am accepting of God's plan for me." This is an example of an adaptive expression of spiritual needs labeled:
A new nurse observes a priest visiting the clients every Saturday afternoon and praying with them. This activity supports which of the nursing outcomes?
The client uses a type of spiritual experience that provides comfort.
Roman Catholic
The family members of a dying client have asked for the hospital chaplain's help in having a member of the clergy come to the client's bedside to perform the anointing of the sick. The nurse who is providing care for the client should recognize that the family is likely which religion?
step outside the door until the prayer is finished
The nurse enters a client's room as the client and his family are praying. Which is the most appropriate action of the nurse?
Contact a local priest to complete the anointing of the sick ritual.
The nurse is caring for a Roman catholic client who is dying. What would be an appropriate action for the nurse?
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should:
take measures to ensure privacy during the counselor's visit.
The nurse should select a formal prayer or Bible passage to use to pray aloud.
A dying client 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 client?
A nurse who provides care on the palliative unit of a hospital is aware of the importance of spiritual assessment and the integration of spirituality into clients' care. What assessment question should the nurse use in an effort to determine clients' spiritual beliefs?
"Are there any spiritual or religious beliefs or practices that are important to you?"
When conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. Which questions should the nurse ask? Select all that apply.
"Do you feel your faith is helpful to you?" "Is there anyone from your church you would like to talk to?" "Is religion or God significant to you?"
Which client statement 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."
Three spiritual needs
1. need for meaning and purpose 2. need for love and relatedness 3. need for forgiveness
Hold the client's hand and sit by their bedside as often as possible.
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?
Hope
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?
spiritual alienation
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?
Which religious groups would the nurse anticipate to regard Saturday as the Sabbath? (Select all that apply.)
Adventist Judaism
A hindu patient
Based on religious customs, for which patient would the nurse administering medicines avoid touching the patient's lips?
When a nurse asks himself or herself questions such as "Why am I here?," the nurse is attempting to
Develop a philosophical base for clearer thinking
The nurse is caring for a client that practices Islam in the hospital. When dietary brings the client a food tray for supper, which food on the tray should the nurse remove that is against the dietary laws for a practicing Muslim?
pork chop
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.
Which of the following food groups would be appropriate to suggest to a client who practices tenets of the Islamic faith?
Broiled chicken sandwich with skimmed milk
Based on religious practices, which client would be most likely to defer to her husband when making health care decisions?
An Islamic woman
Members of which of the following religious tradition are likely to have the most stringent restrictions and parameters placed on their medical care? A: Christian scientism B: Hinduism C: Protestantism D: Buddhism
A: Christian scientism. Rationale Christian scientism places significant restriction of the use of drugs, medical procedures, therapies, and surgeries. The scope of these restrictions greatly exceeds that dictated by Hinduism, Protestant, Christianity and Buddhism.
Upon assessment, patient report does not belong to organized religion. The nurse is correct interpret this statement of which of the following?
A: the patient spiritual needs are met B: the patient is not affiliated with a specific system of belief regarding a higher power C: the patient will experience conflict between religious beliefs and healthcare option. D: the patient will not request to see the hospital chaplain or seek spiritual counseling. B: the patient is not affiliated with a specific system of belief regarding a higher power. Rationale the nurse should not interpret the fact that the patient does not belong to an organized religion to mean that the patient has no spiritual need; a person may be highly spiritual yet not profess a religion. The patient may seek spiritual counseling during hospitalization related to spiritual needs.
The nurse is caring for Mr. Z., a 55-year-old man admitted to the hospital for liver failure. He is an active member in the Latter-Day Saints (Mormon) church. Mr. Z. tells the nurse that he strictly adheres to the religious practices that are condoned by the church. However, the nurse overhears two of his physicians discussing that Mr. Z.'s liver failure is likely due to chronic alcohol use. The nurse suspects that they are wrong. Which of the following is an appropriate nursing activity?
Engage Mr. Z. in a discussion about past and present religious practices.
According to Shelly and Fish (1988), which of the following are spiritual needs underlying all religious traditions that are common to all people? Select all that apply.
Forgiveness Love and relatedness Meaning and purpose
A nurse working in a facility that cares for clients with Alzheimer's includes spirituality in client care. A family caregiver tells the nurse that faith has been broken and asks about help in getting through the day. What approaches can the nurse use to help the family member? Select all that apply.
Help the family member get relief so church services can be attended Contact the family church group members for assistance Give the family member some spiritual reading materials
Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation?
Separation from spiritual ties
A recently graduated nurse is caring for a client who was just given the diagnosis of pancreatic cancer. The client asks the nurse to help her understand this death sentence and tell her why God did this to her, as she has lived a good life all along. The nurse, not being comfortable as a spiritual counselor, should do which of the following?
Suggest to the client that she can call her spiritual advisor to help give her counsel
Upon assessment, the client reports he does not belong to an organized religion. The nurse is correct to interpret this statement as which of the following?
The client is not affiliated with a specific system of belief regarding a higher power.
agnostic
The nurse is caring for a client who states, "No one can understand God." The nurse would document the client's spiritual belief as:
Ensure that a male washes the client's body
The nurse is caring for a dying male client who practices Islam. What is the most appropriate action for the nurse after the client's death?
Both are guided by a philosophy of living that does not include a religious faith.
The nurse is differentiating beliefs of atheists from agnostics. Which statement is accurate?
Assess the client's spiritual needs
The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next?
A dying client 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 client?
The nurse should select a formal prayer or Bible passage to use to pray aloud.
"Spiritual beliefs and practices do not give strength when a person is in crisis."
The nursing instructor has been discussing spirituality with a group of nursing students. Which statement by a student would indicate a need for further education?
Church of Jesus Christ of Latter-Day Saints Christian Science American Muslim Mission
Use silence and allow the husband to express his emotions.
To help the nurse identify possible coping responses in clients, which of the following would be most important for the nurse to understand about spirituality?
Varies in different situations.
broiled chicken sandwich with skimmed milk
Which food group would be appropriate to suggest to a client who practices tenets of the Islamic faith?
mind, body, spirit
Which set of terms best reflects nursing's view of clients as holistic beings?
Islam
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?
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 ...
educating through parental behaviors.
The client states "I have lifted my cancer to God and am accepting of God's plan for me." This is an example of an adaptive expression of spiritual needs labeled:
faith.
While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying:
his faith.
Which set of terms best reflects nursing's view of clients as holistic beings?
mind, body, spirit
A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of:
spiritual crisis
Christian Scientist
Members of which religious tradition are likely to have the most stringent restrictions and parameters placed on their medical care?
Which of the following best reflects nursing's view of clients as holistic beings?
Mind, body, spirit
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 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
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:
educating through parental behaviors.
Spiritual crisis
A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of:
need for meaning and purpose need for love and relatedness need for forgiveness
A nursing instructor, while teaching a class on spiritual health, identifies which of the following to be spiritual needs common to all people? Select all that apply.
"spirituality and religion are the same thing"
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?
Catholic
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?
Which description best describes the role of a parish nurse?
A: A nurse who works to reintegrate the healing tradition into the life of a faith community. B: A trained layperson who provides the spiritual needs of the congregation or parish. C: Spiritual leader, such as a minister, who is also a registered nurse. D: A nurse who provides home health services similar to a visiting nurse. A: a nurse who works to reintegrate the healing tradition into the life of a faith community. Rationale Parish nurses and health ministry teams work to reintegrate the healing tradition into the life of the faith community. The key roles of the parish nurse and health educator, personal health counselor, referral agent, trainer of volunteers, developer of support group, integrator of faith and health, and health advocate. Parish nurses are not visiting nurses or home health nurses.
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?
A: Assist the patient in obtaining information to make a informed decision B: The nurse has little role in this situation because it is best managed by the physician C: Provide a subjective opinion on the appropriate course of action D: The nurse should provide examples of ways other patients from various religions handle the situation. Rationale A: Assist the patient in obtaining information to make an informed decision The nurses role in resolving conflict between spiritual beliefs and treatment is to assist the patient in obtaining information needed to make an informed decision and to support the patient's decision making.
A nurse who provides care on a palliative unit of a hospital is aware of the importance of spiritual assessment and the integration of spirituality into patient's care. What assessment questions should the nurse use in an effort to determine the patient's spiritual beliefs?
A: Do you hold a belief in the afterlife? B: what church do you normally attend? C: are there any spiritual or religious beliefs or practices that are important to you? D: if you had to identify yourself as either a religious person or spiritual person, which would you choose? C: are there any spiritual or religious beliefs or practices that are important to you? Rationale an open ended yet clear question about a person spiritual beliefs is most likely to elicit information about the patient in a thoughtful manner. Asking the patient to choose between identifying as religious or spiritual is not an accurate dichotomy, while asking about the afterlife is not a direct way of assessing religion and spirituality. Not every religious or spiritual group situates their practices in a church.
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: Practice associated with all aspects of a person Iife. B: An organized belief system about a higher power C: I believe in something for which there is no proof or material of evidence D: a positive outlook even in the bleakest moment C: a belief in something for which there is no more material evidence. Rationale Faith is a belief in something for which there is no proof or material evidence. Hope is a positive outlook even in the bleakest moments. Religion is an organized belief system about a higher power. Spiritual beliefs are practices associated with all aspects of a person's life.
The family members of a dying patients asked for the patient have asked for the chaplain to help in having a member of the clergy to come the patients bedside to perform the anointing of the sick. The nurse who is providing care for the patient should recognize the family is likely:
A: Roman Catholic B: Jehovah's Witness C: Jewish D: Christian scientist A: Roman Catholic rationale among the sacrament of the Roman Catholic Church is the anointing of the sick. The specific right is not a component of Jehovah witness, Christian scientist, or Jewish religious beliefs.
A 79-year-old man is in the late stages of lung cancer with bone metastases. Since receiving his terminal diagnosis, the patient has often made mention of the fact that he has a long estranged daughter admits he was a "miserable father". The patient has recently asked for the social worker's assistance in locating his daughter before his death. What spiritual need likely underlies the patient's request?
A: a need for purpose B: a need for meaning C; a need for forgiveness D; a need for love C: a need for forgiveness rationale While a need for love may be a factor in the man's request, the fact that he admits is a parental failings and wishes to rekindle a relationship with his child suggest that he may feel the need for forgiveness. The need for purpose and meaning are not directly evidence in this scenario.
An 80-year-old woman who identifies herself as a devout Catholic has recently relocated to an assisted living facility. The woman is pleased with most aspects of her new living situation, but laments the fact that she is no longer close to the church where she was in the Habit of attending daily mass each morning. What nursing diagnosis may apply to this problem that the woman has identified?
A: hopelessness B: impaired religiosity C: spiritual pain D: spiritual distress B: impaired religiosity rationale the nursing diagnosis of impaired religiosity encompass the inability to participate in rituals of particular faith tradition. Spiritual distress involves the inability to integrate meaning and purpose in life, while spiritual pain involves angst over the nature and actions of higher power. The woman's statements do not directly reflect an outlook of hopelessness.
American Muslim patient seeks care in the emergency room for dehydration related to a prolonged period of diarrhea and vomiting. The nurse manager has been contacted because the patient has requested that his health care be provided by:
A: men older than himself B: Females younger than himself C: physicians only D: members of the black community D: members of the black community Rationale American Muslims are encouraged to obtain healthcare provided by members of the black community.
Which of the following statements about religion and spirituality is most accurate?
A: religion is an organized system of spiritual beliefs and practices. B: spirituality is the behavioral manifestation of religious beliefs. C: spirituality is a recently developed alternative to traditional religious beliefs. D: religion and spirituality are synonymous. A: religion is an organized system of spiritual practices. Rationale spirituality may or may not include religion, which is a codified system of spiritual beliefs. The two terms are not interchangeable and spirituality is not solely concerned with outward behavior. Spirituality is not necessarily an "alternative" to religion, nor is it in recent development.
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 the direction. The nurse recognizes the student is experiencing which type of spiritual distress?
A: spiritual anger B; spiritual alienation C: spiritual guilt D: spiritual loss B: spiritual alienation rationale spiritual alienation occurs when an individual is separated from his/her a community. Spiritual guilt is the failure to live according to religious rules. Their anger is the inability to accept illness. Spiritual loss occurs when one is not able to find comfort in religion.
The nurse caring for a patient with Parkinson's disease. The patient informs the nurse that he has been angry with God because of his worsening health, but after talking to the hospital chaplain, he is ready to return to church choir and become active again in the men's group at the church. Why is an appropriate nursing diagnosis for this patient?
A: spiritual distress B: impaired religiosity C: readiness for enhanced spiritual well-being D; risk for loneliness C: readiness for enhanced spiritual well-being Rationale The most appropriate diagnosis for this patient is readiness for enhanced spiritual well-being. The patient's desire to experience and integrate meaning and purpose in life through connectesness with self , others, art, music, literature, nature, or a power greater than himself.
The parents of a three children ages four, seven, and 11 years are interested in fostering spiritual development in their children. A nurse informs the parents that the development of the child spirituality is best accomplished by:
A: teaching through parental behaviors B: teaching the child about religion C: teaching through religious based schools D: teaching the child about God A: teaching through parental behaviors rationale a child's parents play a key role in the development of the child's spirituality. What is important is not so much what parents teach a child about God and religion, but rather what the child learned about God, life, and self from the parents behavior.
A dying patient request that the nurse pray with him. The nurse is not accustomed to praying out loud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this patient?
A: the nurse should select a formal prayer or Bible passage to use to pray out loud. B: the nurse should defer to the patient's request to pray. C: the nurse should inform the patient that she pray for the patient but not with him. D: the nurse had asked the patient's roommate to pray with the patient A; the nurse should a formal prayer or Bible passage to use to pray out loud. Rationale a nurse unaccustomed to praying out loud or in public may find it helpful to have a Bible passage or formal prayer readily available for praying. If the nurse is not the praying the patient, she should call the hospital chaplain or find another individual who is comfortable.
Upon assessment, the nurse is addressing the beliefs of a newly admitted man who reports practicing the Adventist religion. Based on the nurses familiarity with his religion, she appropriately asks the patient:
AA: what are your beliefs about the use of narcotics for pain? B: is that acceptable for the healthcare team to remove undergarments in an emergency? C: what are your beliefs about blood transfusions? D: do you receive care from a medicine man or woman? A: what are your beliefs about the use of narcotics for pain? Rationale the Adventist religion prohibits the taking of narcotics and stimulant because the body the Temple. Jehovah witnesses prohibits blood transfusions because it violates God's law. Native American religions incorporate medicine men or women healthcare needs. Members of the Church of Jesus Christ of Latter Day Saints are required to wear special undergarments that should be removed only an emergency.
Use silence and allow the husband to express his emotions.
After being informed that his wife only has a few hours to live, the nurse hears the husband say; "If you take my wife now. I will never pray to you!" What should be the nurse's reply?
Separation from spiritual ties
Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation?
The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next?
Assess the client's spiritual needs
What preparing a spiritual counselor to visit a hospitalized patient, the nurse should: A: ask spiritual counselor to summarize the visit in the patient's medical record. B: take measures to ensure privacy during the counselors visit. C: ensure that the counselor is approved by the hospital administration. D: asked to be present during a visit in order to explain any medical information or answer questions about the patient's care.
B: take measures to ensure privacy during the counselors visit. Rationale Visits between a patient and a spiritual counselor require privacy. The details of the meeting are not typically documented in the patient's chart, though the fact that the visit took place often noted. The nurse may be present during the meeting, but they should take place at the patient's request. Spiritual counselers do not require administrative approval; patient and families are normally able to seek spiritual help from whoever they prefer.
The following factors should be the primary factor in a nurse's decision whether to pray with a patient? A: the nature and course of the patient's current diagnosis B: the patient's openness to being prayed for C: the nurses familiarity with a prayer traditions of different faiths D: the availability of a hospital chaplain or other spiritual counselor.
B: the patient's openness to being prayed for rationale Many factors influence the nurse's decision to pray with the patient. Central among theses, however, is the question of whether the patient is open to this possibility. This factor is more important than the nurses familiarity with specific prayer tradition, the patient's medical condition, or the presence or absence of a chaplain.
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
Which of the following patients statement is most clearly suggests the potential for a nursing diagnosis of spiritual anxiety? A: "I always try to do the right pain, so' I don't understand why I have to suffer so much now" B: "I've never been a religious man, and all these Catholic crosses and pictures in the hospital make me a bit uncomfortable." C: "Now that I am nearing the end, I'm worried that God wont think I lived a good enough life" D; "I guess I should have taken a lot more time to go to church when I was younger"
C: "now that I'm nearing the end, I'm worried that God wont think I lived a good enough life" rationale worry about one spiritual condition it indicative of the nursing diagnosis of spiritual anxiety. Unfamiliarity with the religious character of a care setting suggests spiritual alienation, while questions of suffering often indicate spiritual pain or spiritual despair. Regrets over previous religious or spiritual apathy may suggest a nursing diagnosis of spiritual guilt.
The son of a dying patient surprised at his mother's adamant request to meet with 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: perform a detailed spiritual assessment of the patient B: organize a meeting between the chaplain, the son, and the patient to achieve a resolution. C; contact the chaplain to arrange a visit with the patient D: document the patient's request and wait to see if she reiterates request.
C: contact the chaplain to arrange a visit with the patient rationale The nurses primary duty is to honor the patient's request for a meeting with a spiritual advisor.
The nurse is caring for a Roman catholic client who is dying. What would be an appropriate action for the nurse?
Contact a local priest to complete the anointing of the sick ritual.
A nurse interviews a client and finds that the client's view on health care does not involve blood transfusions, since they are believed to violate God's law. Which religious view would the client most likely adhere to?
Jehovah's Witness
The nurse caring for a bedridden hospitalized client who states that this will be the first time that he has missed a Methodist church service in 50 years plans care based on which of the following NANDA-I diagnoses?
Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt
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
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should do what?
Take measures to ensure privacy during the counselor's visit.
educating through parental behaviors
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:
contact the chaplain to arrange a visit with the client.
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 terminally ill client tells the nurse that he does not belong to an organized religion. It is safe for the nurse to assume:
the client may still be deeply spiritual.
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:
theism.
A nurse is caring for clients at the healthcare facility. Which of the following populations require special spiritual care? Select all that apply.
• Clients with acute pain • Clients with chronic pain • Clients with mental illness
You are working with a student nurse today and he comes to you with a question about how nurses can provide spiritual care. You talk to him about spiritual care boundaries for nurses. These include which of the following? Choose all that apply.
• Nurses should consult pastoral care appropriately • Nurses should keep a spiritual history patient centered
