Ch 12 Spirituality & Religious Practices

25. A client describes herself as "dumbfounded" that she has been diagnosed with cancer, stating, "I had such a clear vision from God that I was negative for cancer. Now I have no idea what I can trust." This client's statement is suggestive of what nursing diagnosis? A) Ineffective role performance B) Complicated grieving C) Social isolation D) Spiritual distress

D) Spiritual distress

1. A nurse is working with a client who has received a terminal diagnosis. To help the nurse identify the client's possible coping responses, which of the following would be most important for the nurse to understand about spirituality? A) It varies in different situations. B) It increases in significance with illness. C) It decreases in importance with age. D) It remains static throughout the lifespan.

A) It varies in different situations.

28. A client expresses frustration that the nurse is assessing his spirituality, stating, "I thought I was here to have my tumor removed, not to figure out what I believe or don't believe about God." How should the nurse best justify the need for a spiritual assessment? A) "It's important that we plan to make sure that we don't offend you." B) "Spirituality actually has a significant effect on your overall health." C) "We need to make plans in case there are unexpected outcomes of your surgery." D) "Your beliefs determine whether we will focus more on your body or on your spirit."

B) "Spirituality actually has a significant effect on your overall health."

14. When taking the Daily Spiritual Experiences Scale, a client says the word "God" in the scale is bothersome. Which response by the nurse would be most helpful in encouraging a client to complete the scale? A) "Substitute whatever word you prefer that would represent the divine or holy." B) "You can skip those questions and answer only those you are comfortable with." C) "Don't be concerned about the wording; just answer the best way you know how." D) "It is perfectly fine to leave out any question that contains the word 'God.'"

A) "Substitute whatever word you prefer that would represent the divine or holy."

24. A nurse recognizes the need to assess a client's spirituality after the client has been admitted from the emergency department to the medical unit. How should the nurse best initiate this assessment? A) "Would you describe yourself as being a religious or spiritual type of person?" B) "What is the belief system that you most closely adhere to?" C) "What church do you attend at Christmas and Easter?" D) "Do you consider yourself to be a moral person with beliefs about the supernatural?"

A) "Would you describe yourself as being a religious or spiritual type of person?"

4. A nurse interviews a pregnant client and learns that her beliefs around health care do not involve participation in comprehensive prenatal care. To which religious view would the client most likely adhere? A) Faith Assembly of Indiana B) Buddhist C) Christian Scientist D) Jehovah's Witness

A) Faith Assembly of Indiana

11. A nurse assesses a client's spirituality and religious practices. During the assessment, the nurse notes that the client is very quiet and rarely asks any questions of the health care workers. The nurse recognizes that this behavior may be associated with which religion? A) Islam B) Buddhism C) Hinduism D) Christianity

A) Islam

9. The nurse is caring for the family of a client who has just died. The family requests that the client's arms not be crossed and that any of the clothing and dressings containing blood be left and be prepared for burial with the client. The nurse understands this family's request as indicative of what religious beliefs? A) Judaism B) Buddhism C) Hinduism D) Christianity

A) Judaism

3. A nurse is planning a spiritual assessment of a client who is experiencing intractable losses in function as a result of disease. Which of the following principles should inform the nurse's assessment? A) Knowledge of the most common spiritual practices in the community is a priority. B) Reviewing all religious denominations before approaching a client is important. C) It is of little importance for a nurse to understand his or her own spirituality. D) Spirituality is a complex phenomenon that is not normally describable.

A) Knowledge of the most common spiritual practices in the community is a priority.

5. A nurse is admitting a client to a long-term care facility. In order to elicit reliable and valid data during the spiritual assessment, the nurse understands that the focus must be on which of the following? A) Objectivity when performing the assessment B) Sharing a common religious affiliation with the client C) Repeating the assessment in several weeks D) Providing spiritual interventions prior to assessment

A) Objectivity when performing the assessment

29. The nurse's assessment of a hospital client's spirituality reveals that the client will accept very few of the standard treatments for her health problems. How should the nurse follow up this assessment finding? A) Report the finding to the appropriate supervisors. B) Prioritize complementary interventions in the client's care. C) Consult the client's clergy to weigh options. D) Document the client's nonadherence to treatment.

A) Report the finding to the appropriate supervisors.

6. The nurse chooses to use a formal assessment technique when doing a client's spiritual assessment. Which of the following techniques would be most appropriate? A) Self-response assessment instrument B) Acronyms related to spirituality C) Open-ended questions D) A systematic guide for question choices

A) Self-response assessment instrument

7. A nurse is preparing to begin work in a diverse, urban community with members of numerous different religious traditions. The nurse should identify which statement as best reflective of Buddhism? A) Some holy days include fasting from dawn to dusk. B) The soul has no beginning or end. C) Outcomes are predetermined. D) Beliefs focus around the Koran.

A) Some holy days include fasting from dawn to dusk.

26. A nurse should conduct an assessment of a client's Risk for Complications after gathering data related to the client's spirituality. When planning the client's care, the nurse should be aware that complications are primarily due to the effect of spirituality on what phenomenon? A) Stress B) Pain C) Worry D) Emotional lability

A) Stress

17. A nurse is preparing an in-service program about spirituality and religion for a group of colleagues. When describing the effects on clients of religion and spirituality, which of the following should the nurse include? Select all that apply. A) Improved client sense of well-being B) Enhanced coping with end-of-life issues C) Increased mortality levels D) Increased timely use of health care E) Increased adherence to medical regimens

A, B, E A) Improved client sense of well-being B) Enhanced coping with end-of-life issues E) Increased adherence to medical regimens

18. A nurse is completing a comprehensive assessment of a client who has been referred to the clinic. Which of the following would be most appropriate for the nurse to ask when beginning to assess the client's spirituality? A) "What religion are you?" B) "What gives you hope or peace?" C) "Do you believe in God?" D) "Would you like to speak to a chaplain?"

B) "What gives you hope or peace?"

16. A group of students is reviewing material related to the role of religion and spirituality in health care choices. The students demonstrate understanding when they identify which of the following situations as the most prominent ethical dilemma that involves religion? A) Providing life-saving therapy B) Failure to seek timely medical care C) Implementing spiritual care D) Treating clients' psychological needs

B) Failure to seek timely medical care

27. During a client's spiritual assessment, the client explains that the ultimate purpose of her existence is to achieve a state that she describes as nirvana. The nurse should recognize that this client ascribes to what religion? A) Islam B) Hinduism C) Buddhism D) Judaism

B) Hinduism

2. A nurse is planning care that is grounded in the fact that clients are holistic beings. Which of the following lists of components constitute the view of clients as holistic beings? A) Physical identity, psychosocial identity, religious identity B) Mind, body, spirit C) Id, ego, superego D) Spiritual identity, egocentric nature, naïve identity

B) Mind, body, spirit

15. A nurse has collected extensive data relating to a client's spirituality. Which type of data would the nurse need to validate the information obtained during this assessment? A) Subjective data B) Objective data C) Informal data D) Formal data

B) Objective data

13. The nurse is reviewing a client's spirituality using the SPIRIT Spiritual Assessment Tool. Which of the following would the nurse assess when addressing the letter "P"? A) Powers B) Personal spirituality C) Spiritual prognosis D) Prayer

B) Personal spirituality

21. A nurse is completing an admission assessment of an adult client, during which the client states, "I've never been a religious man, but I'm definitely spiritual." How should the nurse best understand an aspect of the relationship between spirituality and religion? A) Spirituality is an Eastern concept, whereas religion is associated with Western cultures. B) Religion consists of the spiritually focused rituals and practices of a group. C) Spirituality is the codification of principles that are based on religion. D) Religion is the state of spiritual certainty that results from cultural influences.

B) Religion consists of the spiritually focused rituals and practices of a group.

19. When assessing a client's spirituality, the nurse has the client complete a Brief Religious Coping Questionnaire. When reviewing the completed questionnaire, the nurse identifies which of the following as indicating positive religious coping? A) Client feels stress is something from God that is to be endured. B) Client wonders if God has abandoned him or her. C) Client looks to God for support in a crisis. D) Client decides what to do without relying on God.

C) Client looks to God for support in a crisis.

10. 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) Judaism C) Islam D) Hinduism

C) Islam

22. A nurse's colleague states, "I think Mrs. Nguyen in room 412 is a Buddhist, so she'll definitely be a vegetarian." The nurse should understand what principle of religion and spirituality when planning clients' care? A) Decisions around a religious client's care should be deferred to the clergy of that religion. B) Clients who claim to be spiritual generally oppose meat consumption. C) The beliefs of members of a particular religion are not necessarily homogeneous. D) Nurses should avoid planning care on the basis of religion.

C) The beliefs of members of a particular religion are not necessarily homogeneous.

30. The nurse is assessing a client's spiritual history using the SPIRIT acronym. The nurse should begin the assessment by identifying what aspect of spirituality? A) The client's religious affiliation B) The client's state of health C) The client's sources of hope D) The client's spiritual belief system

C) The client's sources of hope

23. A nurse recognizes the need to perform a spiritual assessment of a newly admitted hospital client, but the circumstances surrounding the client's diagnosis and family dynamics make this challenging. What variable is likely to have the greatest impact on enhancing the quality of data from the nurse's spiritual assessment? A) The nature of the nurse's spiritual beliefs B) The nurse's knowledge of major religions C) The quality of rapport between the nurse and the client D) The setting in which the assessment is performed

C) The quality of rapport between the nurse and the client

12. The nurse is preparing a client for cancer chemotherapy treatment. While talking with the nurse, the client says, "Miracles do happen, and I'm praying for one." The nurse interprets this statement as suggesting which religious preference? A) Judaism B) Buddhism C) Islam D) Christianity

D) Christianity

8. A client tells the nurse that the intravenous line must be placed in his right hand. Based on the nurse's understanding of the major religions, the nurse identifies this request as reflecting which of the following? A) Judaism B) Christianity C) Islam D) Hinduism

D) Hinduism

20. After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when a student states which of the following? A) Spirituality and religion are important factors that can affect health decisions and outcomes. B) Religion and spirituality are separate and distinct, but interrelated concepts. C) There has been a tremendous growth in the understanding of spirituality in the past 20 years. D) Nursing has only recently begun to incorporate spirituality into client care.

D) Nursing has only recently begun to incorporate spirituality into client care.