Chapter 12 spirituality Health Assessment
A nurse interviews a client with bipolar mood disorder. Which formal assessment tool for spiritual health should the nurse use?
Brief Religious Coping Questionnaire (RCOPE) Rationale: RCOPE is a formal assessment tool for spiritual health. RCOPE stands for Brief Religious Coping Questionnaire. It consists of a set of questions for which the ratings are given. FICA is a non-formal assessment tool for spiritual health. BDI-II and CES-D are depression scales.
A nurse must perform a nonformal spiritual assessment of a client. Which tool would be most appropriate for the nurse to use?
SPIRIT assessment tool The SPIRIT assessment tool is a nonformal tool for spiritual assessment of a client.
Which characteristic of religion should a nurse be aware of when assessing the spiritual beliefs of an individual?
Group-oriented Religions are group-oriented and the rituals are commonly followed by members of the religious groups.
A client who practices Catholicism is chronically ill and states that he feels disconnected from his support system, because he is unable to keep his religious obligation. What is the most appropriate action by the nurse?
Arrange for the chaplain to meet the client Rationale: The nurse should arrange for the chaplain to meet the client. The chaplain may help the client relieve his spiritual distress and the client may feel connected again
While preparing a Hindu client for surgery, it becomes apparent that the client's 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
Which tool is appropriate for a nurse to implement to perform a non-formal spiritual assessment on a client?
FICA inventory the FICA assessment tool is a non-formal tool for spiritual assessment of a client.
A nurse is in the process of selecting a spiritual assessment tool to use with clients. Which of the following characteristics should this tool possess? Select all that apply.
General introductory questions, Objectivity Objectivity is a key component in a high-quality spiritual assessment. The most useful spiritual assessment techniques should have general introductory questions and not be specific to any religious denomination that would guide a client's responses related to specific spiritual needs.
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 Rationale: Religion and spirituality have been related to a client's well-being in the face or illness and disease. They can be powerful coping mechanisms when a client is facing end-of-life issues. The definition of spirituality is a search for meaning and purpose in life. Common practice shared by a group of persons defines a religion. Religion also helps to define the meaning of the afterlife.
A nurse is caring for a terminally ill client. The client's family has requested that at the time of death, the client's arms not be crossed and any clothing or bandages with the client's blood be prepared for burial with the person. The nurse recognizes that this family follows the rituals of which religion?
Judaism Rationale: In Judaism, the Psalms and the last prayer of confession are held at bedside. At death, the arms are not crossed; any clothing or bandages with the client's blood should be prepared for burial with the person. It is important that the whole person be buried together.
A client on hospice care tells his nurse that he is not afraid of death. He explains that this is because he believes 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 belief as which of the following?
Karma Rationale: In Hinduism, death marks a passage because the soul has no beginning or end. At death the soul may be reborn as another person and one's karma, or life actions, is carried forward. It is important for karma to leave this life with as little negativity as possible to ensure a better life next birth.
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.
Meditation, Journaling, Discussions with a spiritual leader
A nurse cares for a client who states that he believes that God can be seen in everything and every action. The nurse recognizes this as what characteristic of spirituality?
Self-reflection Rationale: The client refers to self-reflection. Spirituality is based on self-reflection and not group-oriented as a religion. It is unorganized and subjective; it differs from person to person. There are no universal beliefs on spirituality. Rather, spirituality is based on experience and not rituals.
A client expresses to the nurse that he is 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 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 interventions should the nurse be prepared for in caring for this client?
Withhold all food and drink between sunrise and sunset Rationale: During the holy days of Ramadan (29 days in December and/or January), neither food nor drink is taken between sunrise and sunset, though frail, ill, and young children excempt.
