Week 8 | PrepU | Chapter 46 - ML 4 | Spirituality
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 baked potato with butter and sour cream -A pork chop* -A salad with balsamic vinaigrette dressing -A fresh fruit salad
The nursing instructor has been discussing spirituality with a group of nursing students. Which statement by a student would indicate a need for further education?
-"A person's daily living habits can be guided by their spiritual beliefs. -"Spiritual beliefs and practices do not give strength when a person is in crisis."* -"Spiritual beliefs can help give a person meaning in their life." -"Spiritual beliefs and practices give healing strength and support."
Which question would be appropriate for the F in the FICA spiritual assessment tool?
-"Do you consider yourself a spiritual person?"* -"How would you like me to address this issue in your health care?" -"Do you use your church family for support? -"Are you actively involved with a church community?
When asked about his religious preference, the client becomes very upset with the nurse. Which response is appropriate for this situation?
-"I can see that this upsets you. Let me come back later when you are feeling better." -"There is nothing to be upset about. This is part of my assessment." -"I can see that this question upsets you. Do you have any questions about this?"* -"You need to understand that I am just doing my job here."
Which client statement most clearly suggests the potential that the nurse will identify the client is experiency spiritual anxiety?
-"I have never been a religious man, and all these Catholic crosses and pictures in the hospital make me a bit uncomfortable." -"I always tried to do the right thing, so I do not understand why I have to suffer so much now." -"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."* -"I guess I should have taken a lot more time to go to church when I was younger."
When conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. Which questions should the nurse ask? Select all that apply.
-"Is there anyone from your church you would like to talk to?"* -"Why do you still not believe in God?" -"Do you feel your faith is helpful to you?"* -"Why can't you share your feelings with me? I am your nurse." -"Is religion or God significant to you?"*
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?
-"Nurses can better assist clients by meeting their spiritual needs." -"You can provide quality nursing care to clients even though you ignore the spiritual dimension of health."* -"Nurses can meet spiritual needs by offering a compassionate presence." -"You can help clients meet spiritual needs by assisting in their struggle to find meaning in suffering."
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?
-"Shall I call the health care provider for you to discuss the conflict?" -"Would you like to talk to someone to help you make an informed decision?"* -"What, specifically, are you asking me to do for you?" -"Do you want to refuse the proposed health care option?"
Upon assessment, the client reports not belonging to an organized religion. Which assessment question would the nurse ask to assess the client's spirituality?
-"Tell me about spiritual or religious beliefs that are important to you."* -"Do you think of yourself as a religious person?" -"Can I set up an appointment for you with our hospital chaplain?" -"Why do you not belong to an organized religion?"
The nurse is performing the intake assessment for a 16-year-old adolescent in the emergency department. Which question by the nurse will assist in understanding the adolescent's spirituality?
-"What religion do you practice?" -"How many times per week do you attend religious services?" -"What religion do you want me to write down in your medical record?" -"What are your spiritual beliefs?"*
Based on religious customs, for which client would the nurse administering medicines avoid touching the client's lips?
-A Roman Catholic client -An Islamic client -A Hindu client* -A client who is a member of the Baha'i International Community
A nurse provides care on the palliative unit of a hospital. Which intervention will support a client who has expressed strong spiritual beliefs?
-Allowing the client to deal with spiritual beliefs in the client's own way -Carefully assessing verbal and nonverbal cues of spiritual needs by the client* -Quickly intervening when the nurse thinks the client has a spiritual need -Attending to the client's spiritual needs when time permits
The nurse admits a new client to the unit for elective surgery. What would be the best way for the nurse to facilitate the practice of religion for this client? Choose all that apply.
-Attempt to meet religious dietary restrictions.* -Respect the need for privacy during periods of prayer.* -Discuss similarities and differences between the nurse's religion and the client's religion. -Arrange for the client's pastor to visit if desired.* -Offer to pray with the client whenever she likes.
A client informs the nurse about being unsure of some of the health practices as a newly practicing Jehovah's Witness. What information can the nurse share with the client regarding cultural beliefs about blood products?
-Church elders will make health care decisions for the client. -Medical professionals know what is best for the client. -Nursing leadership can explain blood transfusion policy to the client. -Spiritual care consultants can provide support to the client.*
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.
-Clear the bedside table; cover with clean towel.* -Have a chair available near the bed.* -Keep the bed curtains open so as to allow others to join in prayer -Complete your work so you may join them. -Clear the room of unnecessary items.*
A client self identifies as a member of the Jewish faith. When discussing diet and food preferences with the client, which assessment would be useful?
-Direct the client to list favorite food selections. -Determine if the client prefers pork or pork products. -Suggest replacing traditional fish with shellfish foods. -Ask the client what diet is followed at home.*
When a nurse supports the client's spiritual needs, the nurse supports which level of the Maslow's hierarchy of needs?
-Ego needs -Self-actualization needs* -Physiologic needs -Security needs
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?
-Encourage Mr. V. to speak with a religious leader to grant a medical exception. -Work with the nutrition staff to provide nutritious meals at off hours.* -Tell Mr. V. he must eat to maintain his health. -Provide liquid nutrition only as this does not interfere with religious practice.
A client attempted to take their life. The nurse identifies the nursing concern of spiritual distress related to crisis of illness as evidenced by loss of meaning in life and overuse of pain medication. Which intervention is appropriate to address this nursing concern for this client?
-Encourage the client to watch movies when alone. -Plan and coordinate a multidisciplinary team conference including the chaplain.* -Explore past negative coping mechanisms used. -Provide client education on negative spiritual implications on suicide.
The nurse is caring for a 55-year-old client admitted to the hospital for liver failure. The client states being an active member of The Church of Jesus Christ of Latter-day Saints. The client tells the nurse about strictly adhering to the religious practices that are condoned by the Church. However, the nurse overhears two health care providers discussing that the client's liver failure is likely due to chronic alcohol use. The nurse suspects that the health care providers are incorrect. Which nursing nursing action is appropriate?
-Engage the client in a discussion about past and present religious practices.* -Accuse the client of lying and find out why the client lied. -Order several laboratory tests looking for genetic defects that affect the liver. -Know that the health care providers are incorrect; the restored gospel of Jesus Christ does not permit alcohol use.
While interviewing a hospitalized client, he states, "The holy days of Ramadan are coming soon. I am not to have any food or drink from sunrise to sunset during this time." Further assessment reveals that the client's request is associated with which religion?
-Hinduism -Judaism -Islam* -Christianity
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?
-Inform the client that the nurse will try to get another nurse to pray for the client. -Tell the client that the nurse is not comfortable praying out loud. -Tell the client the nurse is busy at the moment and hope the client will forget the request. -Read a printed interfaith prayer to the client.*
The nurse is assisting a client with his 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 a member of which religious organization?
-Islamic -Roman Catholic* -Orthodox Jewish -Reform Jewish
Mr. Field is a 45-year-old man who has suffered a myocardial infarction. Mr. Field provided for his family by working in the construction industry, which he will no longer be able to do. He tells his nurse that he fears he will be of no use to anyone now. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?
-Need basic necessities of life -Need for meaning and purpose* -Need for forgiveness -Need for love and relatedness
A client attempted to take their life. The nurse identifies the nursing concern of spiritual distress related to crisis of illness as evidenced by loss of meaning in life and overuse of pain medication. Which intervention is appropriate to address this nursing concern for this client?
-Plan and coordinate a multidisciplinary team conference including the chaplain.* -Provide client education on negative spiritual implications on suicide. -Encourage the client to watch movies when alone. -Explore past negative coping mechanisms used.
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.
-Power -Meaning and purpose* -Formal religion -Love and relatedness* -Forgiveness*
A nurse is developing a plan of care to meet a client's spiritual needs. When identifying appropriate interventions, which concept would the nurse need to integrate as the foundation for all the interventions?
-Prayer -Strength -Religion -Supportive presence*
A nurse is caring for a client with terminal illness who believes that death and reincarnation are the ultimate gifts from a higher power. What would be most appropriate to integrate into this client's plan of care when providing spiritual support?
-Provide support that builds on the client's faith.* -Document "no blood or blood products due to religious beliefs" on the care plan. -Only provide foods that are halal. -Consult the pastoral care department to assist the client.
A client in a long-term care facility has recently begun to refuse to cooperate with the staff, is having difficulty agreeing with the treatment goals suggested by the nurse, and is showing more stress when the family goes home. What is the best response from the nurse?
-Question the client concerning spiritual concerns* -Review the client's medication list for possible side effects -Conduct a focused assessment to eliminate any potential infections -Search the client's room for any drugs or other substances
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.
-Tell the family member you wish you could help but don't know how -Give the family member some spiritual reading materials* -Ignore the family member's concerns -Contact the family church group members for assistance* -Help the family member get relief so church services can be attended*
The nurse is creating a plan of care for a client experiencing spiritual distress. What is the priority outcome for this care plan?
-The client states belief in a higher being. -The client has a sense of optimism and hope from the past. -The client expresses satisfaction with spouse's life circumstances. -The client expresses meaning and purpose in life.*
A client is in the late stages of lung cancer with bone metastases. Since receiving the terminal diagnosis, the client has often made mentioned an estranged child and being a "miserable parent." Which conversation will the nurse have with the client to attend to unfinished business?
-The need for forgiveness* -The need for meaning -The need to find purpose -The need for love
When the client tells the nurse that she believes God's reality is personal, and that God is the creator of all beings, the nurse determines the client is expressing:
-atheism. -agnosticism. -theism.* -deism.
The nurse is caring for a client who states, "No one can understand God." The nurse would document the client's spiritual belief as:
-atheist. -theist. -holistic. -agnostic.*
When the client tells the nurse that she believes God's reality is personal, and that God is the creator of all beings, the nurse determines the client is expressing:
-deism. -theism.* -atheism. -agnosticism.
Individuals who are Christian Scientists may not approve of:
-expensive treatments. -immunizations.* -contraception. -circumcisions.
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should:
-take measures to ensure privacy during the counselor's visit.* -ensure that the counselor is approved by the hospital administration. -ask to be present during the visit in order to explain any medical information or answer questions about the client's care. -ask the spiritual counselor to summarize the visit in the client's medical record.
A terminally ill client tells the nurse that he does not belong to an organized religion. It is safe for the nurse to assume:
-the client is an atheist. -the client has no belief system. -the client is an agnostic. -the client may still be deeply spiritual.*
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 guilt related to inability to live up to devout practices disengagement from faith community.
