Prep U Spirituality
A client hints that he would like to discuss his spiritual and religious beliefs with someone. What is the best nursing intervention at this point?
Speak with the client further about his needs to assess how best to intervene.
When preparing for a spiritual counselor to visit a hospitalized patient, the nurse should:
Take measures to ensure privacy during the counselor's visit.
A college foreign exchange student is living with a family in England and is confused about the family's Catholic prayers and rituals. The student longs for her Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress?
Spiritual alienation
The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. Then nurse informs the parents that the development of a child's spirituality is best accomplished by:
Teaching through parental behaviors.
Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which of the following is a culturally linked behavior to autopsy?
The cause of death can be discovered.
The client who is in end stages of cancer is requesting spiritual support. The nurse should:
ask the client what spiritual activities would be most helpful.
A nurse is caring for a client with HIV. The client is angry, anxious, depressed, and defensive when asked questions regarding spirituality. What should the nurse say to make the client comfortable?
"I can see from your response that you might not have expected these questions."
Which of the following patient statements most clearly suggests the potential nursing diagnosis of Spiritual Anxiety?
"Now that I'm nearing the end, I'm worried that God won't think I lived a good enough life."
Upon assessment, the nurse is addressing the beliefs of a newly admitted man who reports practicing the Adventist religion. Based upon the nurse's familiarity with this religion, she appropriately asks the patient:
"What are your beliefs about the use of narcotics for pain?"
The nurse is instructing a Hindu client to increase protein in the diet. Which foods are appropriate to include in this client's diet? Select all that apply.
- lentil soup - broiled fish sandwich
A nurse is caring for clients at the healthcare facility. Which of the following populations require special spiritual care? Select all that apply.
-Clients with mental illness -Clients with chronic pain -Clients with acute pain
A nurse is caring for a spiritually distressed client. Which of the following are the factors affecting spiritual distress? Select all that apply.
-Sociocultural deprivation. -Self-alienation. -Chronic illness.
A client recently diagnosed with cancer informs the nurse that she values and finds comfort in her faith. The nurse is aware that faith is best defined as which of the following?
A belief in something for which there is no proof or material evidence.
Which description best matches the role of a parish nurse?
A nurse who works to reintegrate the healing tradition into the life of a faith community
Members of which of the following religious traditions are likely to have the most stringent restrictions and parameters placed on their medical care?
Christian Scientist.
A dying patient requests that the nurse pray with him. The nurse is not accustomed to praying aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this patient?
The nurse should select a formal prayer or Bible passage to use to pray aloud.
Which of the following factors should be the primary factor in a nurse's decision whether to pray with a patient?
The patient's openness to being prayed for.
A primiparous client has just given birth to a healthy male infant. The client and her husband are Muslim, and the husband begins chanting a song while holding the neonate. How does the nurse interpret the father's actions?
singing to his son from the Koran in praise of Allah The father is praying to Allah because of the Muslim belief that the first sounds a child hears should be from the Koran in praise of and supplication to Allah. Although male children are revered in this culture, this practice is performed by Muslims whether the child is male or female. The father's actions are unrelated to his wife and son's being healthy. The nurse should allow the practice because doing so demonstrates cultural sensitivity and builds a trusting relationship with the family. The Muslim faith does not have a baptism rite whereby the child becomes a member of the faith.
To obtain subjective data related to a 16-year-old client's spirituality, the nurse should
Ask the client if religion or a higher power/being is significant.
A client who's a member of Jehovah's Witnesses refuses a blood transfusion based on his religious beliefs and practices. His decision must be followed based on which ethical principle?
Autonomy of the client
A nurse is caring for a client whose left foot was surgically removed due to gangrene. The client tells the nurse that focusing more on his spiritual life helped him overcome the loss of his foot. Which of the following statements appropriately describes the spiritual dimension?
Being in harmony with the universe.
A psychiatrist who has been working with a client on spirituality asks the client to read a book called, "The Power of Spirituality on Thinking and Life," and to discuss it the following week. The nurse identifies this as a form of:
Bibliotherapy
Which of the following food groups would be appropriate to suggest to a client who practices tenets of Islam?
Broiled chicken sandwich with skim milk
The son of a dying patient is surprised at his mother's adamant request to meet with the hospital chaplain and has taken the nurse aside and said, "I don't think that's what she really wants. She's never been a religious person in the least." What is the nurse's best action in this situation?
Contact the chaplain to arrange a visit with the patient.
A nurse is caring for a client with end-stage heart failure who is awaiting a heart transplant. The client tells the nurse that he thinks he's going to die before a donor heart is found. He also tells the nurse that he hasn't been attending a church but wants to talk with a priest. What action should the nurse take?
Contact the clergy member who is assigned to the transplant team.
A client, age 22, is admitted in a psychotic episode. His frequent requests to speak with the hospital chaplain are interspersed with profanities regarding God and the devil. The most therapeutic nursing intervention would be to:
Continue providing safe, effective care and give anti-psychotic medications as ordered to reduce symptoms of psychosis.
When a nurse asks himself or herself questions such as "Why am I here?" the nurse is attempting to
Develop a philosophical base for clearer thinking.
A nurse is caring for an infant who is to be administered an enema. What spiritually oriented interventions could the nurse follow with newborns and infants?
Encourage parents to be present during the treatment.
The nurse is aware that clients who are Christian Scientists may not approve of
Immunizations
An 80-year-old woman who identifies herself as a devout Catholic has recently relocated to an assisted-living facility. The woman is pleased with most aspects of her new living situation, but laments the fact that she is no longer close to the church where she was in the habit of attending daily mass each morning. What nursing diagnosis may apply to this problem that the woman has identified?
Impaired Religiosity
A nurse assesses spirituality to gain an understanding of what in relation to the client's life?
Possible coping mechanisms
A nurse is administering a prescribed dose of an injection to a middle-aged client with Bell's palsy. What are the sources of fulfillment in the middle-years of an adult client's life?
Productive activity
When attempting to facilitate spiritual support for a school-age child with a life-threatening disease and his family, which action would hinder the nurse-client relationship?
Promoting the nurse's personal values and beliefs if she considers the family's to be inappropriate
A client diagnosed with terminal lung cancer tells the nurse that he would like to seek spiritual advice. Which intervention by the nurse best provides spiritual support for this client?
The nurse could ask the client who his spiritual advisor is and make the contact.
Upon assessment, the patient reports he does not belong to an organized religion. The nurse is correct to interpret this statement as which of the following?
The patient is not affiliated with a specific system of belief regarding a higher power.
The nurse manager has assigned a nurse as the circulating nurse for a surgical abortion. The nurse has a religious objection and wishes to refuse to participate in an abortion. The nurse manager of the operating room should:
change the assignment without comment.
A Jewish client requests an orthodox diet while hospitalized. The nurse should refer this request to the:
dietitian.
A multipara at 16 weeks' gestation is diagnosed as having a fetus with probable anencephaly. The client is a devout Baptist and has decided to continue the pregnancy and donate the neonatal organs after the death of the neonate. The nurse should:
explore the nurse's own feelings about the issues of anencephaly and organ donation.
A client with terminal cancer tells the nurse that she is not afraid to die and she is thinking about how to plan her funeral. The most appropriate referral the nurse could suggest would be to the: You Selected:
pastoral care department.
A mother tells the nurse that her 4 1/2-year-old child "does not seem to know the difference between right and wrong." This behavior is typical of which levels as described by Kohlberg's theory of levels of moral development?
preconventional
When a 76-year-old client diagnosed with terminal cancer expresses hopelessness and despair to the nurse, the nurse should first
Listen attentively and with empathy.
When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the
Spiritual healer.
After completing diagnostic testing, the surgeon has scheduled a newborn with the diagnosis of an imperforate anus for surgery the next day. The infant's parents are Catholic and do not want the surgery to take place unless the infant has first been baptized. The nurse asks the parents You Selected:
"Do you want me to help arrange the baptism?"
When caring for a client who is experiencing spiritual distress, what should the nurse do first?
Help the client explore his or her own values and beliefs.
A nurse cares for a client who believes in Hinduism. The nurse understands that Hindus believe illness is caused by which type of behavior?
Past and current life actions.
A nurse is caring for a terminally ill client who believes that death and reincarnation are the ultimate gifts from God to humankind. How can the nurse provide spiritual support to this client?
The nurse should support and build on the clients' faith.
Family members of a dying patient have asked for the hospital chaplain's help in having a member of the clergy come to the patient's bedside to perform anointing of the sick. The nurse who is providing care for the patient should recognize that the family is likely:
Roman Catholic.
A multipara gives birth to a neonate at 24 weeks' gestation. After 12 hours, the neonate's condition deteriorates, and death appears likely within the next few minutes. The parents are Roman Catholic, and they request that the neonate be baptized. The nurse should:
baptize the neonate, regardless of the nurse's own religious beliefs.
The parents of an infant who just died from sudden infant death syndrome (SIDS) are angry at God and refuse to see any members of the clergy. Which nursing diagnosis is most appropriate?
Spiritual distress
A client with mitral valve prolapse is advised to have elective mitral valve replacement. Because the client is a Jehovah's Witness, he declares in her advance directive that no blood products are to be administered. As a result, the consulting cardiac surgeon refuses to care for the client. It would be most appropriate for the nurse caring for the client to:
realize the surgeon has the right to refuse to care for the client.
A client with a fetal demise at 40 weeks asks the nurse, "How could God let this happen?" An appropriate goal for the client with a nursing diagnosis of "spiritual distress related to infant loss as verbalized by the client" would be that the client will
Participate in supportive spiritual practices.
A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly deteriorates and despite efforts by the staff, the client dies. After the client's death, the nursing staff displays many emotions. With whom should the nurse-manager consult to help the staff cope with this unexpected death?
The chaplain, because his educational background includes strategies for handling grief
A 19-year-old male with cystic fibrosis (CF) is hospitalized for a serious lung infection and is in need of a lung transplant. However, he has a rare blood type that complicates the process of obtaining a donor organ. He has also been diagnosed with bipolar disorder and treated successfully since mid-adolescence with medication and therapy. The client requests to see a chaplain to help him make plans for a funeral and donation of his body to science after death. How should the nurse interpret the client's request?
It is a signal of the client's growing awareness that he is likely to have a shortened lifespan and should be supported by unit staff.
To which unlicensed assistive personnel (UAP) should the nurse assign a male orthodox Muslim client who needs complete morning care?
Joe, who has one client requiring complete morning care
The nurse is caring for a patient with Parkinson disease. The patient informs the nurse that he has been angry with God because of his worsening illness, but after talking to the hospital chaplain, he is ready to return to the church choir and become active again in the men's group at the church. What is an appropriate nursing diagnosis for this patient?
Readiness for Enhanced Spiritual Well-Being
Which of the following statements about religion and spirituality is most accurate?
Religion is an organized system of spiritual beliefs.
While preparing a client for surgery, a nurse discovers that the client's view about spirituality is entirely different from the nurse's. What is the most appropriate action by the nurse?
Respect the privacy of his spiritual beliefs and rituals.
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-reflective
