Concepts II - Chapter 45 Religion
A client of the Catholic faith is recently diagnosed with terminal cancer. The client finds solace in religion and a deep-rooted faith. What activities can the client participate in that will strengthen that spirituality? Select all that apply? a) Engaging in devotional readings b) Praying c) Reading the Quran d) Attending the synagogue e) Attending mass
a) Engaging in devotional readings b) Praying e) Attending mass
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? a) Hold the client's hand and sit by the bedside as often as possible. b) Sit in the chair on the other side of the room for 10 minutes each hour. c) Check on this client every hour. d) Tell the client that you are there when needed and to just ring the call bell.
a) Hold the client's hand and sit by the bedside as often as possible.
According to Shelly and Fish, which of the following is a spiritual need underlying all religious traditions? a) Need for formal ceremony b) Need for power in relationship with God c) Need for justice d) Need for meaning and purpose
d) Need for meaning and purpose
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? a) Impaired Religiosity b) Spiritual Distress c) Risk for Loneliness d) Readiness for Enhanced Spiritual Well-Being
d) 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? a) Jewish b) Christian Scientist c) Jehovah's Witness d) Roman Catholic
d) Roman Catholic
Mrs Jones is an 81-year-old patient 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? a) Need for love and relatedness b) Need for meaning and purpose c) Need basic necessities of life d) Need for forgiveness
a) 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? a) Need for love and relatedness b) Need for meaning and purpose c) Need for forgiveness d) Need basic necessities of life
a) Need for love and relatedness
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? a) Read a passage from the Bible to the client b) Tell the client she is busy at the moment and hope the client will forget c) Inform the client that she will try to get another nurse to pray with her d) Tell the client that she is not comfortable praying out loud
a) Read a passage from the Bible to the client
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) The nurse should ask the client's roommate to pray with the client. b) The nurse should defer the client's request to pray. c) The nurse should inform the client that she will pray for the client but not with him. d) The nurse should select a formal prayer or Bible passage to use to pray aloud.
d) The nurse should select a formal prayer or Bible passage to use to pray aloud.
Based on religious practices, which patient would be most likely to defer to her husband when making health care decisions? a) A Jewish woman b) An Islamic woman c) A Protestant woman d) A Roman Catholic woman
b) An Islamic woman
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? a) Offer to pray more with the client b) Consult pastoral care immediately c) Continue and include the spouse d) Offer last rites
b) Consult pastoral care immediately
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. Which of the following is this client demonstrating? a) Religion b) Faith c) Love d) Hope
b) Faith
The nursing instructor when teaching about spirituality and religion informs the students that most Americans are religious and have a non-dogmatic approach to faith. Which of the following statements further explains the nursing instructor's statement? a) Most Americans believe that there is only one way to interpret the teachings of their religion. b) Most Americans do not believe that their religion is the only way to salvation. c) Most Americans do not have a religion that they follow. d) Most Americans believe that their religion is the only way to salvation.
b) Most Americans do not believe that their religion is the only way to salvation.
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? a) Financial strength and support b) Sense of security for present and future c) Power to perform miracles d) Living a longer life
b) Sense of security for present and future
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should do what? a) Ensure that the counselor is approved by the hospital administration. b) Take measures to ensure privacy during the counselor's visit. c) Ask to be present during the visit in order to explain any medical information or answer questions about the client's care. d) Ask the spiritual counselor to summarize the visit in the client's medical record.
b) Take measures to ensure privacy during the counselor's visit.
The school nurse is concerned about the week-long absence of Jerry, a third grader. The nurse visits the home and learns that Jerry has been diagnosed with appendicitis by a local clinic doctor. The parents, who are Christian Science church members, have had several church groups in to pray over Jerry. He is not improving and is getting worse. The nurse should do which of the following? a) Allow the parents their religious rights b) Threaten the parents with a lawsuit c) Contact Child Protection Services d) Insist that the parents take Jerry to the hospital
c) Contact Child Protection Services
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? a) Christianity b) Hinduism c) Islam d) Judaism
c) Islam
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? a) Protestant b) Jewish c) Adventist d) Catholic
d) Catholic
Which of the following best reflects nursing's view of clients as holistic beings? a) Physical, psychosocial, religious b) Id, ego, superego c) Spiritual, egocentric, naive d) Mind, body, spirit
d) Mind, body, spirit