chapter 42

The nurse is assisting a patient with his meal selection for the next day. The patient states, "I can't have meat tomorrow, it's a Holy Day." The nurse recognizes that the patient is a member of which religious organization? A) Orthodox Jewish B) Reform Jewish C) Roman Catholic D) Islamic

roman catholic

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? A) "Spiritual beliefs and practices do not give strength when a person is in crisis." B) "Spiritual beliefs and practices give healing strength and support." C) "A person's daily living habits can be guided by their spiritual beliefs. D) "Spiritual beliefs can help give a person meaning in their life."

spiritual beliefs and practices do not give strength when a person is in crisis

An appropriate nursing diagnosis for a bedridden hospitalized patient who tells the nurse that he has not missed a Methodist church service in 50 years would be A) Spiritual distress related to inability to attend church services evidenced by verbal states of guilt B) Spiritual need as evidenced by verbalizations and distress at missing Methodist church services C) Dysfunctional grieving related to inability to attend church services as a result of his medical condition D) Potential for enhanced spiritual well-being related to distress at missing Methodist church services

spiritual distress related to inability attend church services evidenced by verbal states of guilt

When providing care to the Native American culture, it is important to elicit help from the A) Spiritual healer B) Priestess C) Rabbi D) Preacher

spiritual healer

To obtain subjective data related to a 16-year-old patient's spirituality, the nurse should A) Ask the patient's parents if the patient attends services B) Observe whether the patient reads religious material C) Ask the patient if religion or a higher being is significant D) Document the number of times a minister visits

ask the patient if religion or a higher being is significant

The nurse is caring for a patient diagnosed with HIV 10 years ago. The patient states that her "relationship with God" has helped her survive this long. The nurse understands that spiritual well-being is a condition in which a person is at peace with which of the following? Select all that apply. A) God B) Self C) Community D) Environment

god, self, community, environment

The nurse is caring for a patient who states, "No one can understand God." The nurse would document the patient's spiritual belief as which of the following? A) Atheist B) Agnostic C) Theist D) Holistic

agnostic

The nurse is caring for a patient who states, "Why are you asking me all these questions about religion? There is no God." The nurse would document this belief as_______? A) Atheism B) Agnostic C) Theism D) Faith

atheism

When a patient informs the nurse that he is a Jehovah's Witness, the nurse must recognize and validate that the patient will not accept A) Blood transfusions B) Traditional health practices C) Pain medication D) Disease causation from germs

blood transfusions

Which of the following food groups would be appropriate to suggest to a patient who practices tenets of the Islamic faith? A) Salad with crumbled bacon and cheese with a cup of tea B) Barbecued pork sandwich with a milkshake C) Sliced ham and cheese sandwich and 2% milk D) Broiled chicken sandwich with skimmed milk

broiled chicken sandwich with skimmed milk

An 80-year-old woman does not believe certain religions should allow gay marriage. However, her grandchildren support this view. The grandmother is experiencing A) Moral dilemma B) Conjunctive faith C) Value clarification D) Unethical behavior.

conjunctive faith

The nurse is caring for a Roman Catholic patient who is dying. Which of the following would be an appropriate action of the nurse? A) Contact a local priest to complete the anointing of the sick ritual. B) Contact a local priest to provide special care to the body after death. C) After death, place the patient's body on the floor to facilitate the soul's journey. D) Ensure that a person of the same sex as the deceased clean the body.

contact a local priest to complete the anointing of the sick ritual

When a nurse asks himself or herself questions such as "Why am I here?," the nurse is attempting to A) Develop the concepts of holism and integration B) Become a more spiritual being for other people C) Develop a philosophical base for clearer thinking D) Strive toward unity with the higher power

develop a philosophical base for clearer thinking

Using the FICA spiritual assessment tool, which would be an appropriate question for the C? A) "Do you consider yourself a spiritual person?" B) "Do you attend a specific church?" C) "How do these concerns effect your health?" D) "Can I discuss your concerns with your family?"

do you attend a specific church

Which of the following questions would be appropriate for the F in the FICA spiritual assessment tool? A) "Do you consider yourself a spiritual person?" B) "Are you actively involved with a church community? C) "Do you use your church family for support? D) "How would you like me to address this issue in your healthcare?"

do you consider yourself a spiritual person

A question that would be appropriate for the E in the HOPE spiritual assessment tool would be? A) "Do you have a living will?" B) "Do you want to experience a Catholic mass?" C) "Do you expect to go to heaven when you die?" D) "Do you want to end your drug addiction?"

do you have a living will

When discussing spirituality with the mother of an 8-year-old child, the nurse instructs the mother that children of this age A) Enjoy lore and legends of religious groups B) Are influenced by their peer groups C) Are moved deeply by spirituality D) May question religious authority

enjoy lore and legends of religious groups

The nurse is caring for a dying male patient who is Islamic. What is the most appropriate action for the nurse after the patient's death? A) Ensure that a male washes the patient's body. B) Place the body on the floor to facilitate the soul's journey. C) Ensure that no one is in the room when the patient dies. D) Ensure that someone performs the anointing of the sick sacrament prior to the patient's death.

ensure that a male washes the patients body

The best definition of a spiritual need is A) Universal belief in truth, justice, and compassion B) Expression of a person's inner being and meaning C) A quest to discover life's meaning D) An affirmation of life, peace, and harmony

expression of a persons inner being and meaning

Individuals who are Christian Scientists may not approve of A) Expensive treatments B) Circumcisions C) Contraception D) Immunizations

immunizations

The nurse is caring for a patient who is recovering from a suicide attempt. Which of the following nursing interventions would be inappropriate for this patient? A) Utilize active listening techniques. B) Allow for expression of negative feelings. C) Implement all-new coping mechanisms. D) Include the patient's family and friends.

implement all new coping mechanism

When a 76-year-old patient diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should A) Notify the physician B) Contact the religious leader at his church C) Encourage him to think positively D) Listen empathetically and attentively

listen empathetically and attentively

An appropriate goal for the patient with a nursing diagnosis of spiritual distress related to intense pain and suffering as verbalized by the patient would be that the patient will A) Express feelings of anger and despair to God B) Have a minister meet with the patient daily C) Reflect on past accomplishments in life D) Participate in supportive spiritual practices

participate in supportive spiritual practices

The nurse is preparing to complete a spiritual assessment of a patient. What step should the nurse complete first? A) Perform a self-assessment of their own spiritual beliefs B) Provide for privacy during the assessment C) Determine if the patient would like any family members present during the assessment D) Gather the needed paperwork for the assessment

perform a self assessment of their own spiritual beliefs

Children who are hospitalized may view hospitalization as A) The work of the devil B) Punishment for wrongdoing C) A lack of faith in God D) Poor parental bonding

punishment for wrongdoing

When the patient tells the nurse that she believes God's reality is personal, and that God is the creator of all beings, the nurse determines the patient is expressing A) Faith B) Agnosticism C) Atheism D) Theism

theism

The nurse is caring for a patient with a nursing diagnosis of Spiritual Distress. Which assessment finding would support this nursing diagnosis? A) Views illness as punishment B) Offers to forgive others C) Is nonjudgemental of others D) Accepts help from others

views illness as punishment