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The nurse is caring for a patient suffering from a severe illness. What are the questions that the nurse should ask to assess the spiritual strength of the patient? Select all that apply. "Do you use prayer or meditation?" "Are you an atheist?" "Do you believe in God?" "How do you feel after praying?" "What gives you energy during difficult times?"

"Do you use prayer or meditation?" "How do you feel after praying?" "What gives you energy during difficult times?" If the nurse wants to assess the spiritual strength of the patient, the nurse will ask whether the patient prays or not. This will help the nurse determine if the patient is spiritual and has religious beliefs. Asking about the feeling after prayers will help to analyze the patient's faith and hope in their spiritual beliefs. Asking the patient about the source of his or her strength during difficult times helps to determine the patient's spirituality and religious beliefs. The nurse should never ask directly whether the patient is an atheist or does not believe in God.

During a spiritual assessment, which question asked by the nurse assesses connectedness? "How do you feel after you've prayed?" "What gives you energy during difficult times?" "How happy or satisfied are you with your life?" "How do these changes affect what you need to do?"

"How do you feel after you've prayed?" The nurse asks the patient direct questions during a spiritual assessment in order to make clinical decisions required for effective nursing care. Connectedness is described as connection within oneself, with others, and with the environment. To assess the connectedness of the patient, the nurse asks the patient about his or her feelings after prayer. To assess the concept of spirituality and spiritual health, the nurse asks the patient about the patient's source of energy during difficult times. The nurse asks the patient about his or her satisfaction with life, which is an aspect of spiritual assessment. The nurse asks the patient about role changes and the effects of these changes on the patient's life in order to assess the patient's own life and self-responsibility.

Which statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse? "I planted a tree in my husband's honor at my church." "I have been unable to talk with my children lately." "My friends think that I need to go to a grief support group." "I believe that someday I'll meet my husband in heaven."

"I have been unable to talk with my children lately." Feelings of connectedness are important for the older adult; this statement indicates that this woman is having difficulty staying connected with her children, who are potentially an important resource for the woman.

A 62-year-old male patient has just been told he has a terminal illness. Which statements indicate that the patient is spiritually distressed due to diagnosis of terminal illness? "I have nothing to live for now." "What will happen to my wife when I die?" "How much longer do I have to live?" "I need to go to church and pray for a miracle."

"I have nothing to live for now." Patients with spiritual distress verbalize a lack of hope and meaning.

A patient comes to a rheumatology clinic for pain in her knees due to osteoarthritis. The orthopedic surgeon advises her to undergo knee replacement surgery. The patient practices Buddhism. Which patient statement reflects her religious beliefs? Select all that apply. "Will a female surgeon do the surgery?" "Aren't there any alternative techniques for treating this?" "I don't want to be admitted to the hospital." "Please change the date of my surgery since it is a holy day." "Some evil spirit has invaded my body and caused illness."

"I don't want to be admitted to the hospital." "Please change the date of my surgery since it is a holy day." "Some evil spirit has invaded my body and caused illness." Buddhists accept modern medical science and believe that health is an integral part of life. Buddhists prefer not to visit hospitals and may refuse treatments on holy days. They believe that nonhuman spirits invade the body and cause illness. There is no indication that Buddhists would refuse conventional treatments in favor of alternative treatments. Muslims, rather than Buddhists, are likely to request female practitioners if they are female.

A patient has non-Hodgkin's lymphoma and is in the terminal stage. The patient is spiritually depressed and not ready to face death. What restorative care options can the nurse use to care for this patient? Select all that apply. Prayer Diet therapy Supporting grief work Meditation Guided imagery

Prayer Supporting grief work Meditation Guided imagery Spiritual care is important for a person with terminal illness. Prayer reinforces one's belief in God or a higher being and is one of the most effective coping resources. It provides the patient with inner strength and a sense of peace and serenity. A patient with terminal illness needs time and the nurse's support to grieve, and the nurse should support the patient in a spiritual and therapeutic manner. Meditation and guided imagery reduce stress, pain, and blood pressure and provide increased spirituality. Diet therapy is not an option for restorative care.

Which nursing interventions support(s) a healing relationship with a patient? Select all that apply. Praying with the patient Giving pain medications before a painful procedure Telling a patient that it is time to take a bath before the family arrives Making the patient's bed following the hospital protocol Helping a patient see positive aspects related to a chronic illness

Praying with the patient Helping a patient see positive aspects related to a chronic illness Praying with patients and mobilizing the patient's hope create a healing relationship.

The nurse evaluates a patient for achievement of goals related to spiritual well-being and finds that the patient does not display positive outcomes. What questions should the nurse ask to develop an appropriate modification to the care plan for such a patient? Select all that apply. "What is the problem with you? Why aren't you coping well with the situation?" "What is holding you back, and what can I do to help restore hope?" "Why hasn't your family shown up? Are you not yet talking to them?" "Do you want me to ask your wife to talk to you? "Do you want me to put you on antidepressants?"

"What is holding you back, and what can I do to help restore hope?" "Do you want me to ask your wife to talk to you? When appropriate outcomes are not met, the nurse should ask the patient about strategies to reach positive outcomes. Asking about what is holding the patient back and if the patient wants his wife to talk to him may help the nurse determine appropriate continued care. Asking blunt questions, such as "What is the problem with you?" and "Why hasn't your family shown up?" may prompt the patient to stop talking. Opting for medication use when dealing with health-related stress is not recommended.

The spouse of a patient who is terminally ill is in spiritual distress. What other situations adversely affect the spirituality of an individual? Select all that apply. A diagnosis of diabetes A major motor vehicle accident A successful surgery The birth of twins A near-death experience

A diagnosis of diabetes A major motor vehicle accident A near-death experience Spirituality is significantly influenced by chronic illness, acute illness, and near-death experiences. The diagnosis of diabetes, a chronic illness, creates stress and anxiety in a person because that person will have to modify his or her lifestyle and diet. A person who experiences a major motor vehicle accident may be in distress and confused, possibly leading to spiritual distress. A patient who had a near-death experience may feel that no one will believe his or her experiences. A successful surgery and the birth of twins likely would elevate the spirits of an individual.

In a case in which a patient suffers from spiritual distress, of what patient feelings should the nurse be aware? Select all that apply. A feeling of doubt A feeling of being cheated A feeling of loneliness A feeling of loss of faith The desire to kill others

A feeling of doubt A feeling of loneliness A feeling of loss of faith One of the common symptoms observed in a patient experiencing spiritual distress is having doubts about the self and others. The patient also feels lonely or abandoned and suffers from a loss of faith. The feeling of being cheated and the desire to kill others are not found commonly. Thus, when caring for such a patient, the nurse needs to be cautious. Spiritual distress also occurs when there is conflict between a person's beliefs and the treatment prescribed for health. Some treatment regimens may not be acceptable to patients from certain cultures or religions.

The nurse wants to include spiritual care when planning care for a sick patient. What actions should the nurse perform? Select all that apply. Allow time for religious readings. Allow the patient to play slow, religious music. Allow family members to plan a prayer session. Allow the patient to read religious books all the time. Allow the patient to fast and miss medication occasionally.

Allow time for religious readings. Allow the patient to play slow, religious music. Allow family members to plan a prayer session. To support spiritual activities, the nurse must allow the patient to read religious books, and listen to slow religious music or classical music. These activities help to build a healthy environment. Family members can also plan a prayer session without disturbing the patient's normal activities. Reading religious books continuously can disturb the patient's schedule of rest. Fasting or missing medication cannot be allowed even occasionally.

An elderly patient is suffering from a chronic illness with multiple medical conditions and has a poor prognosis for recovery. What nursing actions are appropriate during the last hours of life before death? Select all that apply. Avoid further spiritual interventions. Arrange a visit from a cleric. Ask if the patient wants to meet loved ones. Help the patient with guided imagery to attain peace. Withdraw all life-supporting modalities.

Arrange a visit from a cleric. Ask if the patient wants to meet loved ones. Help the patient with guided imagery to attain peace. A patient in the last stages of life may greatly benefit from a visit from a member of the clergy. A meeting with a cleric might help the patient attain peace and tranquility. If the patient desires to meet someone in particular, the nurse should arrange for such a meeting. The nurse can help the patient get relief from pain and be comforted and relaxed with the help of guided imagery and other relaxation techniques. Spiritual interventions should be continued until the end of life. They prepare the patient to leave the world in peace. Withdrawal of life support should be a decision made by family or the patient and is definitely not the nurse's call.

An emergency department nurse is caring for a patient who was severely injured in a car accident. The patient's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're feeling. What can I do to help you feel more at peace right now?" What is the nurse demonstrating in this example? Prayer Presence Coaching Instilling hope

Presence The nurse demonstrates presence in this situation by establishing a therapeutic relationship and being with the mother during a particularly stressful time.

An elderly patient complains of severe pain in both lower extremities. The patient becomes tearful when describing the pain and states that it is intolerable. How should the nurse develop a healing relationship with the patient? Select all that apply. By inquiring how the pain is affecting the patient's daily routine By telling the patient about various pain-relieving interventions By encouraging the patient to be strong and deal with the pain positively By asking the family to help the patient cope with pain and anxiety By administering pain medications and encouraging the patient to exercise

By inquiring how the pain is affecting the patient's daily routine By telling the patient about various pain-relieving interventions By asking the family to help the patient cope with pain and anxiety To establish a healing relationship and a helping role, the nurse should not just look at the patient's leg pain as a medical problem. The nurse should also try to understand how it affects the patient's daily life and spirituality, and work to improve the patient's overall well-being. By informing the patient about various methods to alleviate pain, the nurse mobilizes hope in the patient. The nurse should also help the patient use social resources, such as friends and family, who can help the patient deal with his or her health condition. Asking the patient to be strong and deal with the pain may decrease spirituality and increase stress and anxiety. The nurse should focus on more than just prescribing medications and exercise to develop a healing relationship.

Nurses have an important role in patient care that is different from other health care providers. Patients seek out nurses to help them cope up with difficult situations during the course of an illness. What skills would help the nurse understand a patient's spiritual needs? Select all that apply. Politeness and kindness Critical thinking skills Knowledge of spirituality Therapeutic communication Physical and psychological fitness

Critical thinking skills Knowledge of spirituality Therapeutic communication A skilled nurse who applies concepts of critical thinking, integrates knowledge from past experiences, and is skilled in techniques of therapeutic communication can effectively assess the patient's spiritual needs and help the patient. Politeness and physical and psychological fitness may help in developing a therapeutic relationship with the patient but are not helpful in understanding a patient's spiritual needs.

A Hindu patient is admitted to the hospital. The nurse prepares a diet plan for the patient. What should the nurse do to appropriately plan the patient's diet? Select all that apply. Determine whether the patient consumes nonvegetarian food. Ask if the patient is observing a fast. Ask if the patient has any particular food preferences. Ask the patient to talk to the dietitian about preferences. Make sure the patient consumes only food provided by the health care facility.

Determine whether the patient consumes nonvegetarian food. Ask if the patient is observing a fast. Ask if the patient has any particular food preferences. Ask the patient to talk to the dietitian about preferences. Food is an important aspect of a patient's health and an important component of religious beliefs and observances. People following Hinduism are often vegetarians. They may fast on sacred days and only consume specific food items while fasting. Some sects avoid consuming certain foods, such as onion and garlic. The nurse should determine these preferences before outlining a diet plan. The patient should talk to the dietitian to explain food preferences and suggest changes if necessary. If the patient is not comfortable with the food and food preparation at the health care facility, the nurse should allow the patient to eat food made at home, assuming that food meets the patient's dietary restrictions.

A female Islamic patient died of leukemia. What nursing interventions and medical practices are against the beliefs of the Islamic religion? Select all that apply. Donating eyes Cleaning the body Informing the family members Postmortem examination Praying in groups

Donating eyes Postmortem examination Organ donation and postmortem examination are against the Islamic religion. Cleaning the body, informing the family members, and praying in groups are allowed by most religions.

The nurse tries to calm down a patient diagnosed with cancer. The nurse asks the patient to have faith in God; however, the patient turns out to be an atheist. What does an atheist believe? A supernatural power governs the universe. God is the ultimate being in the universe. God does not exist. Sins from the past have to be faced in the current life.

God does not exist. Atheists do not believe in God. They often seek meaning in life through whatever they do and how they treat others. Many people believe in God as the Supreme Being controlling the universe or a supernatural power that governs the universe. People following Hinduism believe that sins from the past have to be dealt with in the present or future life.

A patient who experienced a stomach ache was diagnosed with stomach cancer. The nurse finds that the patient is sad and feels hopeless about health and the future. What nursing interventions would be helpful for this patient? Select all that apply. Help the patient set important goals. Spend time with the patient and teach coping strategies. Assess the potential for committing suicide. Encourage the patient to listen to music of his or her choice. Assess the potential for the presence of psychosis.

Help the patient set important goals. Spend time with the patient and teach coping strategies. Assess the potential for committing suicide. Setting important goals helps alleviate depression. Spending time and teaching coping strategies provide social, emotional, and moral support for the patient. Hopelessness is associated with suicidal tendencies; therefore, the nurse should look for suicidal signs in the patient. Listening to music may help in reducing anxiety but does not help in providing hope. Hopelessness is not a risk factor for the patient to become psychotic.

A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I are yet to tour the world." What kind of spiritual belief does this patient exhibit? Hope Self-transcendence Transcendence Agnosticism

Hope Hope is a belief that something positive is going to happen. It exists when faith and spirituality are present. Hope is comforting and energizing to people facing extreme emotional and physical distress, hardships, and personal challenges. It is a valuable resource motivating a person to achieve. Self-transcendence is a feeling and a sense of connecting to one's inner self. Transcendence is a feeling or experience beyond normal and above the material world. Agnosticism is a belief that there is no known ultimate reality.

A patient who is hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. Of what is this an example? Hope Faith Values Connectedness

Hope Hope refers to an energizing source that is oriented toward future goals and outcomes. Faith allows people to have firm beliefs despite the lack of physical evidence; in this situation, the patient is energized by the future and has hope that it will be positive despite her heart failure.

A female Muslim patient is in the terminal stage of leukemia. What nursing interventions are appropriate considering the patient's religion? Select all that apply. Induce a sense of hope. Avoid discussing death. Discourage visits by family and friends. Insist on adopting life-support measures. Get an appointment with a female health care provider only.

Induce a sense of hope. Avoid discussing death. Get an appointment with a female health care provider only. The Islamic religion promotes a sense of hope and does not encourage discussing death. Female Islamic patients prefer female health care providers. In Islam, family and friends usually visit ill people; hence, this should be permitted within medically accepted limits. Islam often does not permit life-support measures.

The nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice? Islam Sikhism Hinduism Catholicism

Islam Patients who practice Islam do not eat until after the sun goes down during the month of Ramadan.

What are the positive effects of spirituality on an individual? Select all that apply. It affects health behaviors. It affects quality of life. It affects compliance. It affects education. It affects lifestyle.

It affects health behaviors. It affects quality of life. It affects lifestyle. Spirituality affects an individual's health behaviors, quality of life, and lifestyle in a positive way. Spirituality helps individuals maintain health, well-being, and cope with illness. Compliance and education are not entirely dependent on the spirituality of an individual

When caring for a patient who is suffering from a serious illness, the nurse encourages the patient to follow his spiritual practices. How does spirituality help in healing? Select all that apply. It decreases the risk of infection in the patient. It helps to treat without any medication. It increases the pain threshold of the patient. It decreases stress and increases the immune response. It reduces perception of pain and anxiety.

It increases the pain threshold of the patient. It decreases stress and increases the immune response. It reduces perception of pain and anxiety. Nurses who support the spirituality of their patients realize that the patients' spirituality enables them to heal faster because such thinking increases the pain threshold. It decreases stress, increases the immune response, and reduces perception of pain and anxiety. Spirituality does not decrease the infection nor treat without medication. Treatment of infection is through administration of medications to kill the microorganisms.

A patient with newly diagnosed diabetes is sitting in the waiting area. She appears sad and anxious. The nurse talks to the patient and tries to make the patient laugh. How does laughter help a person during difficult times? Select all that apply. It increases the pain threshold. It exercises the facial muscles. It boosts immunity. It reduces tension, stress, and anxiety. It increases oxygenation in the body.

It increases the pain threshold. It boosts immunity. It reduces tension, stress, and anxiety. Laughter has several therapeutic effects on a person's body, mind, and spirit. It increases the pain threshold and the body's immunity. It reduces tension, stress, and anxiety and improves the patient's mood. Exercising facial muscles through laughter does not help a depressed person. Laughter does not increase oxygenation in the body.

Which cultural group is associated with the belief in the sanctity of life and health as a balance between God and medicine? Sikhism Judaism Hinduism Buddhism

Judaism The health care beliefs of Judaism include belief in the sanctity of life, health as a balance between God and medicine, and observance of the Sabbath. The beliefs associated with Sikhism, Hinduism, and Buddhism include acceptance of modern medical science, scientific advancements, and biomedical processes.

A female Islamic patient is in the terminal stage of leukemia. The patient wants to end her life due to her suffering and hopelessness. Furthermore, she is not responding to pharmacological interventions. What should the nurse suggest to the caregivers to promote spirituality? Select all that apply. Promote faith healing. Encourage family and friends to visit. Suggest the patient considers euthanasia. Discuss the imminence of death. Convince the patient that hope of survival is minimal.

Promote faith healing. Encourage family and friends to visit. Muslims believe in faith healing, and therefore it should be promoted. The patient is in the terminal stages of illness. The nurse should promote spiritual health in the patient by permitting family and friends to visit. Muslims do not encourage euthanasia. They do not discuss death and hope for the best outcome. Therefore, the nurse should not discuss death but should encourage hope for a good outcome.

A patient expresses the desire to learn how to meditate. What does the nurse need to do first? Answer the patient's questions. Help the patient get into a comfortable position. Select a teaching environment that is free from distractions. Encourage the patient to meditate for 10 to 20 minutes twice a day.

Select a teaching environment that is free from distractions. A quiet environment without distractions enhances learning and is essential for meditation.

A tearful parent of a 10-year-old boy diagnosed with cancer is in the hospital lobby. The nurse comforts the parent, who says that life would be meaningless without the child. What trait is the parent exhibiting? Loss of belief in religion Fear of death Transcendence Spiritual distress

Spiritual distress When a person loses the ability to integrate meaning and purpose in life, he or she is said to be in spiritual distress. It causes the person to lose faith, doubt religion, and lose hope. A person who loses belief in religion finds himself or herself in conflict with the self and the religious belief system. The parent does not exhibit a loss of belief in religion or a fear of death. Transcendence is a feeling or experience beyond normal and above the material world.

A patient was diagnosed with cervical cancer and underwent a hysterectomy. During assessment in the recovery room, the patient tells the nurse, "I don't believe in God anymore. I can't believe I can never have a child. Why me? I can never be the same person again." What does this reaction suggest? Atheism due to illness Spiritual distress due to loss of purpose in life Awareness about loss of uterus Risk of spiritual distress due to surgery

Spiritual distress due to loss of purpose in life Spiritual distress results when the patient loses the purpose and meaning of life, loses hope, and loses connectedness with the self and, in this case, with God. A patient suffering from spiritual distress demonstrates a loss of belief in life, self, or God as a result of a health complication. Atheism, wherein a person does not believe in a god or another supreme being usually does not result from surgery or a health condition. The patient has lost her uterus and is upset about it. However, the reaction is more suggestive of spiritual distress. The patient is not in the at-risk stage of spiritual distress but is actually experiencing the spiritual distress.

An older adult is receiving hospice care. Which nursing intervention(s) help(s) the patient cope with feelings related to death and dying? Select all that apply. Teaching the patient how to use guided imagery Encouraging the family to visit the patient frequently Taking the patient's vital signs every time the nurse visits Teaching the patient how to manage pain and take pain medications Helping the patient put significant photographs in a scrapbook for the family

Teaching the patient how to use guided imagery Encouraging the family to visit the patient frequently Helping the patient put significant photographs in a scrapbook for the family

A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient's family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply. The nurse can ask the family to wait in the waiting room and not visit the patient. The nurse can motivate the family to chant religious prayers beside the patient. The nurse can talk to the children and instill hope about the patient's condition. The nurse should deny religious rituals in the hospital because they are not allowed. The nurse should make sure a female health care provider is treating the patient.

The nurse can motivate the family to chant religious prayers beside the patient. The nurse can talk to the children and instill hope about the patient's condition. To honor their religion, the patient and the family, being followers of Hinduism, should be allowed to chant prayers and hymns near the patient. The nurse should try to comfort the children, who may be in shock, by instilling hope that patients like their mother can recover in a matter of time. The family should be allowed to visit the patient. Denial of rituals may cause spiritual distress in the patient and the family. Therefore, the patient and the family should be allowed to perform religious rituals if safe for the patient. A female Hindu patient may not necessarily ask for a female health care provider.

A patient is brought to the emergency department with multiple burn injuries. What nursing actions build trust and establish a caring presence? Select all that apply. The nurse holds the patient's hand while talking to provide emotional support. The nurse informs the patient that the injuries can be treated but will take time. The nurse remains calm and calls for the appropriate health care team to treat the patient. The nurse focuses on the patient's treatment and does not waste time talking to his or her family. The nurse calls the family to be with the patient and leaves the patient with them.

The nurse holds the patient's hand while talking to provide emotional support. The nurse informs the patient that the injuries can be treated but will take time. The nurse remains calm and calls for the appropriate health care team to treat the patient. In an acute care setting, the nurse should establish presence and build trust with the patient by using supportive touch and words of hope and encouragement. The patient is often confused and overwhelmed with the sudden and unexpected change in his or her physical and spiritual well-being, so the nurse should be calm, confident, and have a decisive approach. While focusing on the treatment, the nurse should also be there for the patient and family. Talking to the patient and family is never a waste of time. Although a patient's family may be present, the nurse should not leave the patient's side.

A patient who is spiritually distressed comes for a follow-up. What observations by the nurse indicate positive outcomes in the patient? Select all that apply. The patient expresses increased hope of becoming healthy. The patient's relationship with his partner is satisfactory. The patient is compliant with his medication regimen. The patient is not talking to his family and friends. The patient remains at home and watches TV all day.

The patient expresses increased hope of becoming healthy. The patient's relationship with his partner is satisfactory. The patient is compliant with his medication regimen. When evaluating for goal-directed outcomes, the nurse should check for an increase in hope; a purpose in life; increased connectedness with the self, others, a god, or another spiritual state; and an increase in overall health. Goals set during the planning phase should be the benchmark for assessing the extent of positive outcomes of care. Patients who are hope for good health and who have an increased level of connectedness to their partners exhibit positive outcomes. The patient with positive outcomes tends to become compliant with the prescribed medication regimen. Patients who avoid family and friends and who remain at home with a single activity exhibit a further need for spiritual intervention.

A patient experienced asystole because of an acute heart attack. The patient recovered due to prompt resuscitative measures. What statements made by the patient would suggest that the patient had a near-death experience (NDE)? Select all that apply. The patient saw a bright light. The patient met her dead parents. The patient heard her spouse calling. The patient felt as if she slept for too long. The patient felt as if she was pulled out of her body.

The patient saw a bright light. The patient met her dead parents. The patient felt as if she was pulled out of her body. Patients who undergo a near-death experience tell similar stories about seeing a bright light, meeting people who are already dead, and seeing themselves pulled out of, or rising above, their bodies. The nurse can identify a near-death experience by the stories the patient tells. Patients usually do not recall someone calling them or that they slept too long after an NDE.

The nurse is working in a health clinic on a Navajo reservation. The nurse plans care for the patients knowing which statement below is true? The patients may not be on time for their appointments. The patients most likely do not trust the doctors and nurses. The patients probably are not comfortable if they have to remove their undergarments. Terminally ill patients probably want to receive the sacrament, the anointing of the sick.

The patients may not be on time for their appointments. In Navajo culture, punctuality is not important, thus Navajos may not always be on time for appointments.

The nurse understands that some people believe that there is no known ultimate reality. These people are referred to as agnostics. What are the beliefs of an agnostic person? Select all that apply. They discover meaning in what they do or how they live. They do not believe in the existence of God. They do not find ultimate meaning for the way things are. They believe that people bring meaning to what they do. They search for meaning in life through their work and their relationships with others.

They discover meaning in what they do or how they live. They do not find ultimate meaning for the way things are. They believe that people bring meaning to what they do. Agnostics believe that there is no ultimate reality; they tend to discover meaning in what they do and how they live. They are unable to find the ultimate meaning for the way things are. They believe that people bring meaning to what they do. An atheist does not believe in the existence of God and searches for the meaning of life through work and relationships with others.

When treating a patient who is a Muslim, what factors should the nurse keep in mind? Select all that apply. They consume alcohol in moderation. They do not eat pork. They do not pray 5 times a day. They do not eat meat on Fridays. During Ramadan, they eat only after sunset.

They do not eat pork. During Ramadan, they eat only after sunset. Muslims do not eat pork; they consider it taboo. During Ramadan, they eat only after sunset and fast for the whole month. Islam prohibits alcohol consumption. Muslims usually pray 5 times a day. Followers of Islam have no restrictions regarding eating meat on Friday. Some Christians do not eat meat on Fridays during Lent.

While caring for a Muslim female patient, which religious beliefs and practices should the nurse keep in mind? Select all that apply. They do not practice euthanasia. Health and spirituality are two different issues. Women prefer female health care providers. During the month of Ramadan, they do not eat until sundown. Medicines are not accepted because they believe that chemicals are harmful to the body.

They do not practice euthanasia. Women prefer female health care providers. During the month of Ramadan, they do not eat until sundown. Islam does not allow euthanasia or mercy killing. The women of this religion prefer a female health care provider. Therefore, the nurse must arrange for female health care providers so that the patient is comfortable. Ramadan is a holy month for the followers of Islam. During Ramadan, the followers of Islam do not eat and drink until sundown. Therefore, the nurse must take additional care during this month. Muslims believe that health and spirituality are connected. Buddhists will reject some medications because they believe that chemical substances in the body are harmful.

A patient just gave birth to a beautiful baby. The mother says, "It's like a miracle. I don't have words to explain this feeling. My baby is perfect, like something out of this world. Thank you, God." What kind of feeling did the patient just experience? Self-transcendence Transcendence Connectedness Hope

Transcendence Transcendence is a feeling or experience beyond normal and above the material world. It induces positive feelings by allowing people to have new experiences and new perspectives that are beyond the ordinary. Self-transcendence is a feeling and a sense of connecting to one's inner self. Through connectedness, a person feels connected to himself or herself, to others, and to a Supreme Being or God. Hope is a feeling of expectation or desire for positive things to happen.

A senior nurse is talking with student nurses about spirituality. What are the different conceptual elements in spirituality? Select all that apply. Transcendence Faith and hope Inner strength and peace Meaning and purpose in life Connectedness Culture

Transcendence Faith and hope Inner strength and peace Meaning and purpose in life Connectedness Spirituality has five constructs or conceptual elements. Transcendence is the belief that there is an external force beyond the material world. Faith refers to the firm belief despite any evidence of physical presence. Hope is a source that gives energy to move forward in life. Inner strength is a source of positive energy that drives a person in difficult times. Inner peace provides a calm, positive, and peaceful feeling. A spiritual person strives to find meaning and purpose in order to live a meaningful life. Connectedness refers to feeling connected with oneself, with others, and with an unseen force. Culture is not a part of spirituality.


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