Med-Surg Chapter 47: Spirituality

The nurse is using the FICA spiritual assessment tool as part of a client's intake assessment. What question would be appropriate to ask initially?

"Do you consider yourself a spiritual person?"

The nursing instructor is teaching a class on spiritual health and its importance in nursing care. When talking about the model using the unifying approach, which of the following does the spiritual dimension affect? Select all that apply. -The physiological dimension -The psychological dimension -The unifying dimension -The sociological dimension -The integrated dimension

-The physiological dimension -The psychological dimension -The sociological dimension

The nurse has identified the nursing diagnosis Spiritual distress related to intense pain and suffering as verbalized by the client. Which is an appropriate goal for to related to this concern?

Client participates in supportive spiritual practices

The nurse is caring for a dying male client who practices Islam. What is the most appropriate action for the nurse after the client's death?

Ensure the family is in the room when the client is dying

An older adult client is spiritual and has a deep faith. The client asks the nurse to say a prayer for the client. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse?

Read a printed interfaith prayer to the client.

The nurse is taking care of a client who is scheduled for a mastectomy. The client tells the nurse that the client is apprehensive about the operation and asks the nurse to read a passage from the Koran to help prepare the client for surgery. Which action by the nurse is the most appropriate?

Read the Koran passage to the client.

A nurse interviews a client and finds that, because of religious beliefs, the client's view on health care does not involve blood transfusions. How can the nurse best handle this client situation?

Record this information in the client's chart.

While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements?

Religion is a collection of spiritual beliefs and practices.

The nurse is assisting a client with meal selection for the next day. The client states, "I can't have meat tomorrow, it's a Holy Day." The nurse recognizes that the client is likely a member of which faith group?

Roman Catholic

Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation?

Separation from spiritual ties

The nurse caring for a bedridden hospitalized client who states that this will be the first time that he has missed a Methodist church service in 50 years plans care based on which of the following NANDA-I diagnoses?

Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt

T/F: Faith is an organized system of beliefs about a higher power that often includes set forms of worship, spiritual practices, and codes of conduct

False

T/F: Praying with patients should not be initiated by the nurse unless there is no pastoral care available, regardless of their relationship with the patient

False

A middle-aged female client visits the clinic to confirm pregnancy. "I cannot believe this is happening. I cannot be pregnant. My parents will kill me. I was raised in a strict Roman Catholic home. I was not supposed to get pregnant before marriage." The client is exhibiting signs of spiritual _________; related to the __________________________ ___ __ ______________

guilt; disengagement from faith community

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying:

his faith

Which set of terms best reflects nursing's view of clients as holistic beings?

mind, body, spirit

Nurses who work to reintegrate the healing tradition into the life of faith communities are referred to as:

parish nurses

The client tells the nurse that she believes God's reality is personal and that God is the creator of all beings. The nurse will recognize what belief system?

Theism

A client who is a practicing Jehovah's Witness has been severely injured in motor vehicle accident. What intervention will most likely be contraindicated by the client's faith?

Transfusion of packed red blood cells

T/F: An emergency department nurse is aware that those who practice the religion of Jehovah's Witnesses will not accept blood transfusions

True

T/F: Nurses always have the moral right to withdraw from administering care that violates their personal moral code

True

T/F: Spirituality is anything that pertains to a person's relationship with a nonmaterial life force or higher power

True

After being informed that his wife only has a few hours to live, the nurse hears the husband say; "If you take my wife now. I will never pray to you!" What should be the nurse's reply?

Use silence and allow the husband to express his emotions.

Which of the following groups are less religiously affiliated than others?

Millennials

Which client statement most clearly suggests the potential that the nurse will identify the client is experiency spiritual anxiety?

"Now that I am nearing the end of life, I am worried that a higher power will not think I lived a good enough life."

According to Shelly and Fish (1988), which of the following are spiritual needs underlying all religious traditions that are common to all people? Select all that apply. -Meaning and purpose -Power -Formal religion -Love and relatedness -Forgiveness

-Meaning and purpose -Love and relatedness -Forgiveness

The nurse overhears a client, who is scheduled to begin chemotherapy, tell a family member that everything will eventually be okay and the cancer will be in remission. Which question will the nurse ask to begin a conversation about hope with the client?

"What provides you with strength to deal with this health situation?"

The nurse is caring for a critically ill client who informs the nurse that there is a conflict between the client's spiritual beliefs and a proposed health option. Which question does the nurse ask to begin a conversation about the conflict that the client is experiencing?

"Would you like to talk to someone to help you make an informed decision?"

A nursing instructor, after teaching about the importance of spirituality, identifies a need for further teaching when overhearing a student make which of the following statements?

"You can provide quality nursing care to clients even though you ignore the spiritual dimension of health."

A nurse is conducting a spiritual assessment on a client recently admitted to the hospital unit. Which questions would be appropriate to ask the client about his religious and spiritual practices? Select all that apply. -"Is religion a significant part of your life?" -"Are there any spiritual practices that you would like to continue while hospitalized?" -"You would like the priest to come and visit you, right?" -"Does the present situation interfere with any spiritual or religious practice?"

-"Is religion a significant part of your life?" -"Are there any spiritual practices that you would like to continue while hospitalized?" -"Does the present situation interfere with any spiritual or religious practice?"

The nurse has been teaching a group of colleagues about spirituality. Which statement by a colleague would indicate a need for further education? -"Spiritual beliefs and practices are more prevalent in the Eastern hemisphere than in the West." -"A person's daily living habits can be guided by their spiritual beliefs. -"Spiritual beliefs and practices have the potential to give healing strength and support." -"Spiritual beliefs can help give a person meaning in their life."

-"Spiritual beliefs and practices are more prevalent in the Eastern hemisphere than in the West."

Which religious groups would the nurse anticipate to regard Saturday as the Sabbath? (Select all that apply.) -Roman Catholicism -Buddhism -Adventist -Judaism -Islam -Hinduism

-Adventist -Judaism

The nurse's client states that his pastor is coming in a few hours to pray with him and offer sacrament. The nurse plans to do the following things in preparation for this. Select all that apply. -Have a chair available near the bed. -Clear the room of unnecessary items. -Clear the bedside table; cover with clean towel. -Keep the bed curtains open so as to allow others to join in prayer -Complete your work so you may join them.

-Have a chair available near the bed. -Clear the room of unnecessary items. -Clear the bedside table; cover with clean towel.

A nurse working in a facility that cares for clients with Alzheimer's includes spirituality in client care. A family caregiver tells the nurse that faith has been broken and asks about help in getting through the day. What approaches can the nurse use to help the family member? Select all that apply. -Help the family member get relief so church services can be attended -Tell the family member you wish you could help but don't know how -Contact the family church group members for assistance -Give the family member some spiritual reading materials -Ignore the family member's concerns

-Help the family member get relief so church services can be attended -Contact the family church group members for assistance -Give the family member some spiritual reading materials

A nurse is conducting online research for information related to spiritual needs and religious traditions. The nurse demonstrates understanding of the information by identifying which need as common to all? Select all that apply. -Love -Meaning -Punishment -Ritual -Forgiveness

-Love -Meaning -Forgiveness

A new nurse observes a priest visiting the clients every Saturday afternoon and praying with them. This activity supports which of the nursing outcomes?

The client uses a type of spiritual experience that provides comfort.

The nurse is caring for a client that practices Islam in the hospital. When dietary brings the client a food tray for supper, which food on the tray should the nurse remove that is against the dietary laws for a practicing Muslim?

A pork chop

The nurse is caring for a client who states, "God might exist, but at the end of the day no one can understand God." The nurse would document what form of spiritual belief?

Agnosticism

An older adult client who identifies as a devout Catholic has recently relocated to an assisted living facility. The client is pleased with most aspects of the living situation but laments the fact that the church is not nearby, so attending daily mass is not an option. The client is quite upset by this restriction and states, "Going to daily mass was my life." Which action would the nurse take to address the client's spiritual distress?

Actively listen to the client to explore the client's feelings.

Which of the following describes a person who denies the existence of a higher power?

Agnostic

The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next?

Assess the client's spiritual needs

The nurse is caring for a Roman catholic client who is actively dying. What would be an appropriate action for the nurse?

Contact a local priest to complete the anointing of the sick ritual.

Which of the following describes the ingredient in life responsible for a positive outlook, even in life's bleakest moments?

Hope

The nurse is caring for a client who is preparing to undergo a left mastectomy. As the nurse performs the physical assessment, the client informs the nurse that she is unable to accept blood products as treatment due to her religion. The nurse interprets this as a belief of which religion?

Jehovah's Witnesses

A nursing student is studying spirituality and completing a report on The Church of Jesus Christ of Latter-day Saints. Which fact about this faith should the student include in the report?

Latter-day Saints are not allowed to use tobacco or alcohol.

Which of the following religious groups believe in divine healing through the laying on of hands?

Protestants

The nurse enters a client's room as the client and family are praying. Which is the most appropriate action of the nurse?

Step outside the door until the prayer is finished.

An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse?

Take the lead from the client by asking, "How would you like us to pray?"

Research findings have demonstrated that the group of clients who have indicated a greater need for spirituality include those diagnosed with

Terminal illness

The nurse is caring for a client who asks that the special undergarments not be removed for an upcoming procedure. The nurse is aware that these undergarments are related to the client's religion. This religion is:

The Church of Jesus Christ of Latter-day Saints.

Mr. V. is recovering from pneumonia. The nurse understands that a well-balanced diet will help him to recover. However, Mr. V. informs the nurse that it is Ramadan and he must fast from sunrise to sunset. What is the nurse's most appropriate nursing action?

Work with the nutrition staff to provide nutritious meals at off hours

The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. The nurse informs the parents that the development of a child's spirituality is best accomplished by:

educating through parental behaviors.

The client states "I have lifted my cancer to God and am accepting of God's plan for me." This is an example of an adaptive expression of spiritual needs labeled:

faith