CH.46 Spirituality PrepU

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

Which of the following best reflects nursing's view of clients as holistic beings?

Mind, body, spirit

Mrs. Dupree is a 55-year-old patient with end-stage renal failure who has asked to be taken off dialysis. She now shares with the nurse that she has mistreated her only daughter in the past and would like to reconcile this before she dies. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?

Need for forgiveness

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

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

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.

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.

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.

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

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?"

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

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

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 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 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.