PrepU Chapter 12 Religion
The nurse is performing an admission assessment on a patient with a diagnosis of pancreatic cancer. The nurse asks the patient about religious preference. The patient states, "Leave me alone about religion. I don't want to talk about it with you!" What is the best intervention by the nurse? Inform the physician that the patient is not cooperating with the admission assessment. Call the charge nurse. Tell the patient that he doesn't have to talk with you about religion, you just need to know what religious preference he has. Collaborate with the hospital clergy.
Collaborate with the hospital clergy. If a patient responds negatively to any aspect of the discussion of religion or spirituality, the nurse may collaborate with the hospital clergy or pastoral care department to further assess the situation and patient responses.
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. Journaling Adherence to special dietary practices Meditation Facing east while praying Discussions with a spiritual leader
Journaling Meditation Discussions with a spiritual leader
The nurse is meeting with a client for the first time and begins to assess the client's perspective of spirituality. Which questions are appropriate when focusing on the establishment of a trusting nurse-client relationship? Select all that apply. "Do you belong to any formal religion?" "What do you believe happens when a person dies?" "Are you interested in having a member of the clergy visit during your hospitalization?" "Are you aware of the research that confirms a connection between physical health and spiritual comfort?" "Would you like me to pray with you?"
"Do you belong to any formal religion?" "Are you interested in having a member of the clergy visit during your hospitalization?" "Are you aware of the research that confirms a connection between physical health and spiritual comfort?"
A patient just died, and the nurse is preparing the body for the funeral home. The patient practiced Judaism and a rabbi was present at the time of death. The nurse is careful to do which of the following to honor the patient's religious beliefs concerning death? Do not cross the patient's arms. Burn all bandages with the patient's blood. Discard all clothes of the patient. Place a medal with the patient.
Do not cross the patient's arms.
A nurse is using a quick reference to guide the spiritual assessment. A published acronym related to the assessment of spirituality is which of the following? FACES PIE FICA PRN
FICA The acronym related to the assessment of spirituality is FICA, which stands for faith and beliefs, importance and influence, community, and address. FACES is a pain scale frequently used with children. PIE refers to the charting format that includes problem, intervention, and evaluation. PRN is a common abbreviation used in healthcare that stands for as needed.
The nurse is planning the discharge of a patient with hypertension. What would be an appropriate intervention to ensure support and accountability for this patient? Be sure that they join the local gym. Have the patient inquire about joining his local congregation's support group for hypertension. Carry a low-sodium diet sheet when they go to the grocery store. Follow-up with the primary care physician in 1 week.
Have the patient inquire about joining his local congregation's support group for hypertension. Patients are seen as holistic beings in body, mind, and spirit. Some religions encourage positive health behaviors, greater mental health, and provide a strong social support network. A church-based program may provide support dimensions that are absent in a similar secular program.
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? Searching for meaning and purpose Finding common practices shared with a group Identifying possible coping mechanisms Defining the meaning of the afterlife
Identifying possible coping mechanisms 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 performing a spiritual assessment on a client that is diagnosed with aggressive form of lymphoma. What is the best intervention by the nurse to address the patient's spiritual end of life issues if she is unable to? Do not interact with the patient in a spiritual nature. Tell the charge nurse that you do not want to be assigned to this patient. Make a referral to the appropriate professional. Tell the patient that you are not able to address these issues since you are both different religions.
Make a referral to the appropriate professional. Many hospitals have staff pastoral chaplains, and community resources of different faiths and are usually available through social work professionals. While nurses can assess and support many patients' spiritual needs, some situations are beyond the scope of nursing practice and require someone with more experience and knowledge about a particular faith.
A mother brought a child in to the Emergency Department stating that she thinks her child's appendix has ruptured. Before any diagnostic tests can be done, the father comes in and says, "I don't want anything done, we will take the child to our church where prayer will heal him." What is an appropriate action by the nurse at this time? Notify the ethics committee immediately. Tell the father that if he takes the child from the Emergency Department, the police will be notified. Lock the father out of the Emergency Department. Tell the mother and father that you will call social service if they do not allow treatment.
Notify the ethics committee immediately.
A patient asks the nurse if there are church services in the hospital because the patient attends mass every Sunday. The nurse realizes that this patient is demonstrating: Religion Culture Spirituality Recreation
Religion Religion can be described as a system of beliefs or a practice of worship. The patient requesting information about church services is demonstrating religion. Desiring to attend church services may or may not be an activity within the patient's culture. Spirituality is a behavior that gives meaning to life. Attending church may or may not help the patient give meaning to life. Attending church services is not typically viewed as being a recreational activity.
During an interview, a patient tells the nurse about spending time out of doors and hiking to connect with the earth and observe the activities of small animals. The nurse would document this patient's hiking behavior as supporting: Exercise needs Religious activities Spirituality Relaxation
Spirituality
A patient in the hospice unit has fewer than 3 months to live. The patient states, "I have been good all my life ... I do not know why God is punishing me like this." What is the most appropriate action for the nurse? Give the patient anti-anxiety medication. Tell the patient not to feel that way or dwell on the negative. Stay with the patient and provide presence. Change the subject to distract the patient from these thoughts.
Stay with the patient and provide presence.
A patient is being educated on a new diagnosis of diabetes mellitus. The patient asks no questions during or after the session. What cultural consideration does the nurse understand may be the reason for the patient not asking questions? The patient has not understood enough about the education to ask a question. The patient does not believe that they have diabetes dellitus and refuses to listen. The patient already knows everything about diabetes mellitus and has no questions. The patient considers asking questions of the nurse a sign of mistrust in her abilities.
The patient considers asking questions of the nurse a sign of mistrust in her abilities. In some cultures to question or ask questions of health care providers is considered a sign of mistrust, so patients and family are less likely to ask question.
The previous week a client from a non-English speaking culture desired time to say prayers before eating breakfast. Another client from the same culture is currently being admitted. What should the nurse do to support the new client's spiritual needs? -schedule breakfast after time for prayers -emphasize the importance of physical health as a priority -assess if the client would like time for prayers before breakfast -explain that there is no control over the time when breakfast arrives
assess if the client would like time for prayers before breakfast
Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress? assessing the spiritual needs of a client who is critical ill providing intense spiritual counseling for a client who has expressed hopelessness attending a religious service in the hospital's chapel with a client who is scheduled for surgery sharing a story related to one's own spiritual beliefs
assessing the spiritual needs of a client who is critical ill
A nurse should assess patients for signs of spiritual distress, which include which of the following? (Select all that apply.) crying wishing to die singing anger
crying wishing to die anger
A nursing instructor is teaching the importance of religion and spirituality to patients. The instructor identifies which of the following as the first step in promoting the spiritual aspect of holistic care? reflect on one's own spiritual dimension consult a supervisor take a training class to increase knowledge read the Bible
reflect on one's own spiritual dimension Nurses aware of their own spirituality are more comfortable discussing potential spiritual needs with patients. Introspective reflections on one's own beliefs and biases about the relationship between spirituality and health can be undertaken through writing in journals, meditation, or discussions with interested people.