Exam 5

A nurse cares for a client who is a Jehovah's Witness the nurse realizes that this client is likely to refuse what type of treatment?

Blood transfusion

During the assessment of a female client, which physical examination techniques should the nurse use to assess the vagina?

Inspection

In which order should a nurse examine the abdomen of a client during physical assessment?

Inspection, auscultation, percussion, palpation

A nurse is caring for a terminally ill client. The client's family has requested that at the time of death, the clients arms not be crossed and any clothing or bandages with the clients blood be prepared for burial with the person. The nurse recognizes that his family falls rituals of which religion?

Judaism

A nurse performs the mini mental status exam to assess cognitive abilities of a client. What will the nurse assessed as a part of the mini mental status exam?

Remote memory of the past

The nurse cares for a client who practices Hinduism. The nurse understands that Hindus believe illness is caused by which type of behavior?

Result of past and current life actions

A nurse must perform a nonformal spiritual assessment of a client. which tool be most appropriate for the nurse to use?

SPIRIT assessment tool

Which characteristic of religion should a nurse be aware of when assessing the spiritual believes of an individual?

Group oriented

A nurse supervisor is instructing a novice nurse on methods of introspective reflection to help the novice gain an understanding of self beliefs and biases about the relationship between spirituality and health. Which of the following methods should the supervisor recommend to the novice? Select all that apply

1) meditation 2) journaling 3) discussions with a spiritual leader

A nurse is preparing a client for a head to toe examination. Which of the following should the nurse do it this time? Select all that apply

1. Acquired the clients permission to ask personal questions 2.explain your respect for the clients privacy and for confidentiality 3.discuss the purpose and importance of the health history with the client 4.explained that the client will need to change into a gown

A hospice nurse preform spiritual assessment on four of her clients one afternoon. The nurse knows that, based on recent statistics, which of the following clients is most likely to express nonbelief in God?

A 22 year old woman

A nurse works in a health clinic with clients of diverse religious and spiritual beliefs. Which of the following would be more associated with spirituality than with religion?

A young man seeking to connect with God by hiking in the mountains

I client that practices Catholicism is chronically ill and state that he feels disconnected from his support system, because he's unable to attend church services. What is the most appropriate action by the nurse?

Arrange for the chaplain to meet the client

The nurses working with the client in the hospital who is Muslim. Which of the following considerations that is unique to a client of this faith should the nurse be prepared to address in this situation?

Assisting the client and turning in his bed to face east during his prayer time

A nurse is assessing a 73-year-old client in terms of her psychosexual development. Which of the following with the nurse most likely identify as an abnormal finding in this client?

Avoidance of relationships

While preparing a Hindu client for surgery, it becomes apparent that the client view about spirituality is entirely different from the nurse's. What is the most appropriate action by the nurse?

Be respectful, open, and willing to discuss spiritual issues as appropriate

A child whose parents are Christian scientists is admitted to the hospital after an injury during a school field trip. The child's parents arrive shortly afterwards and refused to allow other child receive needed anabiotic's to fight off infection and analgesics to lessen the child's severe pain.which of the following should the nurse do?

Consult the hospital's ethics committee.

A nurses talking to an eight-year-old boy who is proud of himself for washing his hands before every mail this past week. The nurse recognizes that this client is eager to please the nurse and his own parents. The nurse realizes that this boy is most likely in which level of moral development according to Kohlberg?

Conventional

A client reports to the nurse that reading the holy book of his faith brings him comfort during his prolonged illness. Which of the following should the nurse do in response to this report?

Encourage the client to continue reading the book as evidence has shown the positive effects of spirituality and health.

A nurse is in the process of selecting a spiritual assessment tool to use with clients. Which of the following characteristics should the tool possess? Select all that apply

General introductory questions Objectivity

I nurse has completed a comprehensive nursing health history of the client and is now beginning the physical assessment. Which assessment should the nurse perform first?

General survey

I nurse has completed a comprehensive nursing health history of the client and is now beginning the physical assessment. Which assessment should the nurse perform first?

Have the client stand and face the nurse with gown raised

A nurse assesses the spirituality of a patient who is terminally ill with pancreatic cancer. Which of the following is the best rationale for this action, from the nurse's perspective.?

Identifying possible coping mechanisms

A nurse is discussing summer plans with a 16-year-old girl. The client tells the nurse she will be working her first job. The nurse your calls that, according to Erikson , which of the following is the primary task of adolescence?

Identity vs. role confusion

A Hindu client on hospice care tells the nurse that he is not afraid of death. He explained that this is because he has lived a very good life and therefore his next life should be even better than this one, as all of his life actions will be carried into the next. The nurse recognizes this believe it's which of the following?

Karma

A client who practices Islam is admitted to a nursing unit. The nurse is aware that which food is prohibited according to the client spiritual belief?

Pork

I nursed interviews a client with bipolar mood disorder. Which formal assessment tool for spiritual health should the nurse use?

RCOPE

In the assessment of a client, the nurse is having her complete a daily spiritual experiences self assessment scale.which of the following should the nurse mentioned to the client before giving her this assessment tool?

She may substitute another word for God in the scale if she would like.

A client expresses to the nurse that he's unable to get the support to mentally prepare himself to undergo the treatment for leukemia. Which nursing diagnosis is appropriate for the client?

Spiritual distress

A client explained that she has been feeling stressed at work lately because her boss has been asking her to perform accounting measures that went against her conscience. According to Freud, which component of the personality is associated with the conscience?

Superego

A Muslim teenager is in the hospital for surgical repair of a severe fracture in the leg during the month of Ramadan, which the client says he would like to observe during his stay. Which of the following intervention should the nurse be prepared for in caring for this client?

Withhold all food and drink between sunrise and sunset