PrepU Chapter 12 Religion

The nurse is performing an admission assessment on a patient with a diagnosis of pancreatic cancer. The nurse asks the patient about religious preference. The patient states, "Leave me alone about religion. I don't want to talk about it with you!" What is the best intervention by the nurse?

Collaborate with the hospital clergy.

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.

Journaling - Meditation - Discussions with a spiritual leader

The nurse is meeting with a client for the first time and begins to assess the client's perspective of spirituality. Which questions are appropriate when focusing on the establishment of a trusting nurse-client relationship? Select all that apply.

"Do you belong to any formal religion?" & "Are you interested in having a member of the clergy visit during your hospitalization?" & "Are you aware of the research that confirms a connection between physical health and spiritual comfort?"

A patient just died, and the nurse is preparing the body for the funeral home. The patient practiced Judaism and a rabbi was present at the time of death. The nurse is careful to do which of the following to honor the patient's religious beliefs concerning death?

Do not cross the patient's arms.

A nurse is using a quick reference to guide the spiritual assessment. A published acronym related to the assessment of spirituality is which of the following?

FICA

The nurse is planning the discharge of a patient with hypertension. What would be an appropriate intervention to ensure support and accountability for this patient?

Have the patient inquire about joining his local congregation's support group for hypertension.

A nurse assesses the spirituality of a client 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 performing a spiritual assessment on a client that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the patient's spiritual end of life issues if she is unable to?

Make a referral to the appropriate professional.

A mother brought a child in to the Emergency Department stating that she thinks her child's appendix has ruptured. Before any diagnostic tests can be done, the father comes in and says, "I don't want anything done, we will take the child to our church where prayer will heal him." What is an appropriate action by the nurse at this time?

Notify the ethics committee immediately.

A patient asks the nurse if there are church services in the hospital because the patient attends mass every Sunday. The nurse realizes that this patient is demonstrating:

Religion

During an interview, a patient tells the nurse about spending time out of doors and hiking to connect with the earth and observe the activities of small animals. The nurse would document this patient's hiking behavior as supporting:

Spirituality

A patient in the hospice unit has fewer than 3 months to live. The patient states, "I have been good all my life ... I do not know why God is punishing me like this." What is the most appropriate action for the nurse?

Stay with the patient and provide presence.

A patient is being educated on a new diagnosis of diabetes mellitus. The patient asks no questions during or after the session. What cultural consideration does the nurse understand may be the reason for the patient not asking questions?

The patient considers asking questions of the nurse a sign of mistrust in her abilities.

The previous week a client from a non-English speaking culture desired time to say prayers before eating breakfast. Another client from the same culture is currently being admitted. What should the nurse do to support the new client's spiritual needs?

assess if the client would like time for prayers before breakfast

Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress?

assessing the spiritual needs of a client who is critical ill

A nurse should assess patients for signs of spiritual distress, which include which of the following? (Select all that apply.)

crying, wishing to die, anger

A nursing instructor is teaching the importance of religion and spirituality to patients. The instructor identifies which of the following as the first step in promoting the spiritual aspect of holistic care?

reflect on one's own spiritual dimension