Chapter- 45 Spirituality

A question that would be appropriate for the E in the HOPE spiritual assessment tool would be:

"Do you have a living will?"

When asked about his religious preference, the client becomes very upset with the nurse. Which response is appropriate for this situation?

"I can see that this question upsets you. Do you have any questions about this?"

After attending an Aboriginal patient's family meeting in the hospital, a nurse comments to a colleague, "I'd heard that relationships between mothers and daughters were the cornerstone of Aboriginal culture, and you could really see evidence of that during the meeting." Which of the colleague's responses is most accurate?

"That seemed to be the case for this family, but remember that not every Aboriginal group has identical norms."

A patient who uses intravenous drugs is being treated on the acute medical unit for cellulitis. The patient's frequent requests for breakthrough analgesia and assistance with activities of daily living have caused him to be labeled as needy and manipulative by several members of the care team. When responding to the patient's request for analgesia, what response by the nurse best demonstrates the principles of unconditional presence?

"It seems like you're having a difficult time managing your pain lately."

A nursing instructor, after teaching about the importance of spirituality, identifies a need for further teaching when overhearing a student make which of the following statements?

"You can nurse clients well even though you ignore the spiritual dimension of health."

A community health nurse in an urban centre has witnessed a gradual increase in the number of Aboriginal people in the community. Which of the following Aboriginal residents typifies this trend?

A man in his late teens who hopes to eventually obtain his carpentry ticket (certification)

The nurse has admitted a patient who is a resident of a local reserve. Which of the following actions should the nurse prioritize when seeking to establish therapeutic rapport with the patient?

Aim to maintain authenticity and transparency when interacting with the patient.

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?

Contact the chaplain to arrange a visit with the client

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?

Ensure that a male washes the client's body

Q1- 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: Q2- A nurse overhears a client telling a family member that a belief in God is the only thing helping in the fight against a terminal illness. What is this client demonstrating?

Faith

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 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

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 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

The nurse caring for a bedridden hospitalized client who states that this will be the first time that he has missed a Methodists church service in 50 years plans care based on which of the following NANDA diagnosis?

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

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?

Use silence and allow the husband to express his emotions

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

Mrs Jones is an 81-year-old client who can no longer live alone safely and is being admitted to a long-term-care facility. She had to leave her elderly cat, Baby, with neighbors. She tells the nurse that her cat was the only family she had and that she misses her. 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

When preparing for a spiritual counselor to visit a hospitalized client, the nurse should:

take measures to ensure privacy during the counselor's visit

Upon assessment, the client reports that he does not belong to an organized religion. The nurse is correct to interpret this statement as:

the client is not affiliated with a specific system of belief regarding a higher power

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

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