spirituality

Which questions are appropriate for the nurse to ask when assessing the spiritual beliefs of a client? (Select all that apply)

A) "How will being sick interfere with your religious practices?" B) "Would you like a visit from your spiritual counselor or the hospital chaplain?" C) "Are any particular religious practices important to you?" D) "How is your faith helpful to you?" E) "Because you indicated you are Catholic, I suppose you fast every Friday?" ANSWER A,B,C,D

A nurse is caring for a client who was recently diagnosed with a terminal illness. Which statement made by the client would indicate to the nurse that the client is in spiritual distress?

A) "I am not sure why this is happening but I believe God has a plan for me" B) "I wish I did not have cancer but I believe that it is happening for a reason." C) "My children don't go to church and they are having a difficult time dealing with my diaganosis" D) People tell me things happen for a reason, but why is God doing this to me?" ANSWER D

The nurse is providing care to several clients. Which clients are most likely to request a vegetarian diet due to religious belief's? (Select all that apply)

A) A Catholic client B) A Jewish client C) A Hindu Client D) An Episcopalian client E) A Seventh-Day Adventist client ANSWER C,E

A client was recently diagnosed with alcoholic liver cirrhosis. During a regular checkup, the client tells the nurse. "This is God's punishment for all those parties I went to when I was younger." The nurse should recognize that this religious view could have a negative effect on what other nursing concept?

A) Addiction B) Legal Issues C) Stress and Coping D) DIgestion ANSWER C

A client is abstaining from meat and dairy products during Lent and refuses to select those items when making meal choices. Which actions by the nurse support the client's nutritional and religious needs? (Select all that apply)

A) Ask the healthcare provider to discuss the impact of the restricted diet on the client's health. B) Provide soy milk products as supplements C) Add protein powder supplements to the client's water pitcher D) Ask the client what foods are typically consumed during this period of time. E) Consult with a dietitian for food choices to meet the client's needs. ANSWER D,E

The nurse is planning care for a hospitalized client. Which activities should the nurse identify as appropriate to support the client's spiritual needs through presencing. (Select all that apply)

A) Being available to the client B) Sharing about a time when the nurse overcame a similar situation C) Reading a newspaper at the nurse's station D) Stating personal religious beliefs E) Listening to the client ANSWER A,E

The nurse is providing are to a Catholic client who describes herself as "extremely devout". Which treatment option is most likely to cause spiritual distress for this client?

A) Blood transfusion for anemia B) Specialized cardiac diet C) Elective termination of pregnancy D) A below-the-knee amputation ANSWER C

The nurse is providing care to a client who has just received a diagnosis of cancer. Which finding would suggest that the client is experiencing spiritual distress? (Select all that apply)

A) Client is observed crying with children. B) Client tells the nurse that he feels hopeless. C) Client discusses possible outcomes with healthcare provider D) Client turns off a religious show on the TV and stares out the window. E) Client is talking quietly with spouse. ANSWER B,D

While assessing a client's spiritual needs, the nurse asks, "What spiritual beliefs are important to you?" This question represents which step of the FICA assessment model?

A) Community B) Address C) Implication D) Faith ANSWER D

The nurse is caring for a client in spiritual distress. The client has met with the hospital chaplain but did not find it beneficial. The nurse recognizes that outside assistance from the client's own spiritual advisor may be helpful. What should the nurse do before making an appointment with the advisor?

A) Consult with the primary care provider to find an available counselor. B) Ask the client's permission to contact the counselor C) Call the hospital chaplain to come speak with the client D) Advocate with the primary care provider to offer spiritual care to the client. ANSWER B

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus. The client wishes to take Communion but must fast for 1 hour prior to receiving it. Which action by the nurse is most appropriate?

A) Contact the healthcare provider to suggest an alternative form of nutrition because the client is refusing to eat or drink. B) Provide the client with breakfast and morning medication and encourage the client to eat and take Communion some other time. C) Find out when the hospital clergy will be distributing Communion and adjust the client's medications and breakfast accordingly. D) Suggest that because the client is hospitalized, eating and drinking will not affect the Communion. ANSWER C

The nurse recognizes that a client is experiencing spiritual distress due to the need to receive a blood transfusion. The nurse should also identify the need to provide interventions for what other nursing diagnosis?

A) Decisional Conflict B) Chronic Confusion C) Acute Pain D) Self Neglect ANSWER A

The family members of a critically ill client tell the nurse, "We believe in the power of prayer. Prayer connects us all and make us stronger. We will continue to pray that our loved one recovers." This statement suggests that the family is demonstrating which of the following characteristics?

A) Good family support system B) Spiritual well-being C) Denial D) Spiritual distress ANSWER B

The nurse is caring for an 8-year old client who has been in the hospital repeatedly due to complications from leukemia. The nurse understands that the family is very religious, and the client often speaks about God's care for her. Which age-appropriate nursing intervention should the nurse implement that can help the child express her spirituality?

A) Help the child reminisce about fun experiences earlier in life. B) Provide the child with tools to draw and color pictures. C) Provide the child with tools to produce a music video. D) Support parent-child bonding to encourage attachment. ANSWER B

A client who is scheduled for surgery wants to continue to wear religious medallion. Which actions by the nurse support the client's religious needs? (Select all that apply)

A) Keep the medallion on the client but remove it once anesthesia is provided B) Ask the client if wearing a medallion is going to ensure a successful surgery. C) Document that the medallion is being worn by the client D) Suggest the client not wear the medallion because it will most likely be lost. E) Explain that the medallion can be safety pinned to the client's gown ANSWER C,E

While hospitalized, a client learns that a close friend has died suddenly. The client is crying and asking, "Why God" The nurse should correctly identify that the client is demonstrating which type of spiritual distress?

A) Physiologic B) Psychologic C) Treatment-related D) Situational ANSWER D

A client requests that surgery be delayed for several days until after a period of Holy Days has concluded. Which action by the nurse supports this client's request?

A) Remind the client that one's health is more important than following Holy Days. B) Provide the client with alternative forms of treatment to replace having surgery C) Suggest the client think about whether having the surgery is the right decision, as the client is willing to delay it now D) Communicate the client's request to the surgeon ANSWER D

The nurse is preparing to discharge a client from the hospital. Which actions by the client indicate that her religious needs were met during the hospitalization? (Select all that apply)

A) Requesting and attending religious services in the hospital chapel B) Thanking the nurse for contacting a priest to visit while hospitalized. C) Asking nurse for additional supplies to change dressings while at home D) Asking the nurse whom to cal if problems occur after surgery? ANSWER A,B

Prior to being discharged, a client tells the nurse, "I trust you and the rest of the medical team, and I think the prescribed treatment is going to work. I'm ready to embrace life, and I'm looking forward to celebrating the holiday season in a few months. "This statement suggests that the client is experiencing which of the following?

A) Spiritual well-being B) Denial C) Conflict D) Apprehension ANSWER A

When receiving nursing care, the client states, " I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body." Which action by the nurse is appropriate when providing care to this client?

A) Tell the client that cold water is better metabolized by the body. B) Instruct the client that lemon juice is really a dose of vitamin C that helps with healing. C) Provide the warm water and juice of a lemon. D) Suggest the client delay the water and lemon until after morning medications. ANSWER C

The nurse is caring for a client who is actively engaged in an organized religion. Based on this statement, the nurse knows that which of the following statements is most likely true?

A) The client believes in the presence of only one god B) The client knows other individuals from the same religion who may be available to offer emotional and spiritual support C) The client lives by the moral code of the Ten Commandments. D) The client will require time set aside for prayer several times each day, and the nurse will need to work around this schedule. ANSWER B

A nurse is admitting a client to the oncology unit. During the admission assessment, when the nurse asks the client about religious preference, the client states, " I am an atheist." The nurse should recognize that the client holds which belief?

A) The client believes that there is one God. B) The client believes that there is more than one god C) The client believes that the existence of God has not been proven. D) The client does not believe in any god. ANSWER D

While helping a client with the evening meal, the nurse observes the client close his eyes and bows his head and murmur words of thanks and praise. What should this behavior suggest to the nurse?

A) The client did not want the nurse to leave B) The client was asking that the meal be better than the last. C) The client is confused. D) The client was praying before eating. ANSWER D

The nurse is assessing a client's spirituality. Which of the follow findings would suggest that the client experiences spirituality as a source of strength? (Select all that apply)

A) The client uses the telephone to inform family members of an unwanted diagnosis. B) The client reads spiritual material every morning. C) The client asks to watch a religious service on television. D) The client says she has no desire to meet with a chaplain. E) The client tells the nurse she is convinced she will be punished in the afterlife. ANSWER B,C

The nurse is developing a plan of care for a devout Muslim client. Which intervention should the nurse anticipate being a priority for the client?

A) The client will be able to participate in observing Sabbath. B) The client will be able to participate in daily prayer with a rosary. C) The client will be able to participate in reading the Torah. D) The client will be able to participate in prayer at specific times without interruptions ANSWER D

A nurse enters a client's room to assess why the alarm on an IV infusion has sounded. As the nurse checks the IV equipment, the client says he would like someone to pray with. How should the nurse address the client's spiritual needs while providing necessary IV care?

A) The nurse should focus her attention solely on the infusion, because it is more important at this time than the client's prayer request B) The nurse should nod in response to the client's request while taking care of the infusion. C) While taking care of the infusion, the nurse should offer to call a clergy member. D) After assessing that the alarm is not an emergency, the nurse should offer to pray with the client. ANSWER D

The nurse is caring for an older adult client with a advanced dementia. The family often mentions that the client was very spiritual earlier in life and loved to sing. What could the nurse suggest to the family to help support the client's religious needs?

A) They should help the client reminisce about spiritual events early in life. B) They should encourage the client to compose lyrics or write music to a new spiritual song. C) They should sing some of their favorite songs to the client D) They should bring in a recording of some of the client's favorite spiritual songs for him to listen to. ANSWER D

The nurse is caring for a devout Muslim client who is near death. The nurse should be prepared for which request from the client related to religious beliefs?

A) Turn the client's head or body toward Mecca B) Have a spiritual leader perform the Anointing of the SIck C) Read the client the Tibetan Book of the Dead D) Perform a ritualistic bath for cleansing the body. ANSWER A

The nurse is performing a holistic assessment of a client. Which observation indicates that the client is experiencing spiritual distress? ( Select all that apply)

A)The client is sitting in a chair before breakfast reading the Bible. B) The client states he has lost his faith in God since he's gotten ill. C) The client is watching a religious program on the television. D) The client is crying, pacing. and mumbling about God being angry with him. E) The client is overheard arguing with clergy about the existence of God. ANSWER B,D,E