Ch 22 Questions – Flashcards

Chapter 22: Spiritual Health MULTIPLE CHOICE 1. The student nurse asks why he needs to assess a patient's spirituality when he can call the chaplain. What response by the nurse is best? a. "This way you learn what is involved in a spiritual assessment." b. "Students need to perform all aspects of patient care." c. "Regulatory organizations list this as a required BSN competence." d. "All patients should have a spirituality assessment." ANS: C Although there is some truth to all options, several regulatory groups list conducting a spiritual assessment as a vital skill for nurses, including the American Association of Colleges of Nursing, the Joint Commission, and the American Nurses Association. DIF: Understanding REF: p. 414 OBJ: 22.1 TOP: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority? a. New mother, older child at home b. Faces terminal diagnosis c. Needs to change medications d. Pleasant but quiet ANS: B There are many cues to alert the nurse that a patient might have unmet spiritual needs, including facing a terminal illness. The nurse should conduct spiritual assessments on all patients, but this one is the priority. DIF: Analyzing REF: p. 420 OBJ: 22.4 TOP: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 3. A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met? a. Observed praying quietly b. Indecisive about treatment c. Asks nurse if God exists d. Executes living will ANS: A Patients may have spiritual distress when facing situations that threaten their meaning and purpose in life, such as in the face of a terminal diagnosis. Patients often express anger, frustration, neediness, or crying. The patient who has worked through this situation and is able to pray has best shown goal attainment. Indecision and questioning do not indicate the resolution of this diagnosis. Executing a living will may be an indication of pragmatism. DIF: Evaluating REF: pp. 420-421 OBJ: 22.5 TOP: Evaluation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 4. The nurse concerned about a patient's spiritual needs can best address this by which action? a. Leaving a note on the chart for other professional b. Calling the chaplain to come see the patient c. Collaborating during interdisciplinary rounds d. Informing the provider of the patient's needs ANS: C Spiritual care must be multidisciplinary in order to be most effective. The nurse best addresses patients' spiritual needs by discussing them during interdisciplinary rounds. DIF: Applying REF: p. 414 | pp. 420-422 OBJ: 22.6 TOP: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 5. A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient? a. Spiritual distress b. Impaired religiosity c. Moral distress d. Decisional conflict ANS: B Impaired religiosity occurs when a patient is unable to maintain religious rituals and practices. The other diagnoses are not related. DIF: Applying REF: p. 421 OBJ: 22.5 TOP: Planning MSC: NCLEX Client Needs Category: Psychosocial Needs NOT: Concepts: Culture 6. A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care? a. Spiritual distress b. Impaired religiosity c. Moral distress d. Decisional conflict ANS: C Moral distress can occur when there is a conflict between medical care and religious beliefs. This is the diagnosis the nurse should consider when planning care. The other diagnoses may exist as well, but they are not manifested by this conflict. DIF: Analyzing REF: p. 421 OBJ: 22.5 TOP: Planning MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 7. A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best? a. Deny the request because of atheistic beliefs. b. Offer to call the chaplain instead. c. Agree to sit with the patient while he prays. d. Ask the patient if he will meditate instead. ANS: C Although the nurse is uncomfortable with the request, the patient's needs (not the nurse's) come first. The nurse should attempt to honor the request while not imposing his/her ideas of religion and spirituality on the patient. The best option is to agree to sit with the patient while he prays himself. This is consistent with caring behaviors and fulfilling the patient's needs. Denying the request does nothing to address the patient's needs. The nurse can offer to call the chaplain in addition to sitting with the patient. Asking the patient to change his practices is unethical. DIF: Applying REF: pp. 422-423 OBJ: 22.7 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 8. A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best? a. Care for own spiritual needs b. Begin a meditation practice c. Consult the chaplain d. Read books on the subject ANS: A To avoid burnout and a decreased ability to attend to the spiritual needs of patients, nurses must take care of their own spiritual needs first. This may include meditation, consultations, and reading, but other activities can guide the nurse into a reflective practice that will allow better spiritual care. DIF: Applying REF: p. 423 OBJ: 22.3 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 9. The student nurse asks why spirituality is important in health care. What response by the registered nurse is best? a. "All people have a spiritual aspect to their beings." b. "Spirituality affects behavior, which also affects health." c. "Knowledge of it is needed to understand a patient holistically." d. "People who are less spiritual have worse outcomes." ANS: B Spirituality affects behavior, which has a direct impact on health. Spirituality is a universal concept, but all people may not recognize it in themselves. Holistic knowledge is indeed based in part on spirituality, but that does not give the student information on a concrete link. Less spiritual people may or may not have worse outcomes. DIF: Understanding REF: p. 414 OBJ: 22.1 TOP: Integrated Process: Teaching/Learning MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 10. A patient who claims to be very involved in church is near death. What action by the nurse is best? a. Get permission to contact the religious leader. b. Allow the family to stay at the patient's bedside. c. Call the hospital chaplain to come to the bedside. d. Ask if the patient and family want to pray. ANS: A Organized religions use rituals to mark important life events such as birth, marriage, and death. This patient would most likely want end-of-life rituals as practiced in his/her church. The nurse's best action is to contact the religious leader (with permission) of that church or institution. Allowing the family to remain at the bedside is important but not the best option to care for the patient's spirituality needs. The hospital chaplain is a valuable resource, but the patient's own religious leader would be better. Praying with the family is always acceptable, but it is best to let the family take the lead in prayer. DIF: Applying REF: p. 415 | p. 420 OBJ: 22.2 TOP: Implementation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 11. A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best? a. Insert a feeding tube and provide enteral feedings. b. Ask the provider about Total Peripheral Nutrition. c. Call the patient's religious leader for advice. d. Tell the patient he has to eat to get better. ANS: C With permission, the nurse should consult with the patient's religious leader on this situation. There may be exceptions to the rule to fast during Ramadan for medical conditions. The other options ignore the patient's religious preferences, and both the tube feeding and parenteral nutrition have potential serious side effects. DIF: Applying REF: p. 418 | p. 420 | p. 422 OBJ: 22.2 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 12. A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting? a. Praying five times a day b. Having privacy c. Personal cleanliness d. Giving alms e. Maintaining modesty ANS: A The five pillars of Islam are: believe in one God, pray five times a day facing Mecca, giving alms to the less fortunate, fasting during Ramadan, and making a pilgrimage to Mecca. The nurse is best able to help the patient maintain the practice of praying five times a day while hospitalized. DIF: Applying REF: p. 418 OBJ: 22.3 TOP: Integrated Process: Caring MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 13. A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best? a. Apply for a job transfer to another unit. b. Consult with the hospital chaplain. c. Make an appointment with Employee Assistance. d. Ask other nurses how they deal with the stress. ANS: B Hospital chaplains are great resources for nurses experiencing burnout, moral distress, or spiritual distress. The nurse can take all options, but a consultation with the chaplain is the best place to start to see if the issue can be resolved. The chaplain has a wider range of perceptions and tools than do the other staff nurses. DIF: Applying REF: pp. 422-423 OBJ: 22.6 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 14. A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others? a. Offering the family written information on grief support groups. b. Asking the family if there is someone the nurse can call for them. c. Having the hospital social worker or chaplain sit with the family. d. Offering to stay with the family during this difficult time. ANS: B Promoting connectedness means recognizing that family and friends are providing at least some of the patient's spiritual care. The nurse best assists when offering to call someone for the patient or family. The other options may be appropriate but are not directly related to connectedness. DIF: Applying REF: p. 422 OBJ: 22.7 TOP: Integrated Process: Communication and Documentation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture 15. The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best? a. No action is necessary for the charge nurse to take. b. Reinforce the nurse's teaching on proper diet. c. Offer to call the dietitian to work with the patient. d. Privately speak to the nurse about this conversation. ANS: D The nurse should not share opinions or religious edicts with patients when those beliefs contradict the patient's. The charge nurse should counsel the new nurse about this practice. The patient may hold deep convictions about being a vegetarian and may feel disapproval from the nurse, which will impact the nurse-patient relationship. The other options are not appropriate, although the charge nurse could suggest the new nurse collaborate with the dietitian and patient to determine high-protein foods the patient finds acceptable.

.11. You are caring for a 65-year-old man with severe heart disease who is awaiting a heart transplant. It is during the Christmas season and he must stay in the hospital until the surgery or his death. His wife and physician consistently reinforce the severity of the situation and that he must stay in the hospital for tests. You are working the p.m. shift and he breaks down crying saying he doesn't want this and just wants to go home. What do you say? a. "If you go home, you will die." b. "What can I do to make your hospital stay better?" c. "You don't have to do this. What do you want to do?" d. "Can I call the chaplain for you?"

Yoost: Fundamentals of Nursing, 1st Edition Chapter 22: Spiritual Health Answer Key for Review Questions (Online-Only) MULTIPLE CHOICE 1. What is spirituality? Practicing religion Expressing meaningful aspects of self Yoga or other meditative practices Spending time with family ANS: B Spirituality is the expression of meaning and purpose in life. People have different methods of expressing this ... do not assume that any one method is universally helpful. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 2. What is transcendence? Out of body experience A meditative state A Higher Power Spiritual growth over time ANS: D Transcendence is moving beyond who you are toward who you will become. By definition, it is spiritual growth over space and time. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 3. If you have a patient of Indian heritage who is Hindu, what religious practices would affect nursing care? Patient will refuse pain medication because pain is due to bad karma Family may bring in hot or cold food and drink from home to help remove toxins Patient may have special head coverings that cannot be removed Religious leaders are usually involved in health care decision making ANS: B Hindus integrate both Western and Eastern medicine. They believe that disease is caused by toxins in the body and medicine helps remove toxins. Headdress and gurus are associated with Sikhism. LO: 22.2 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 4. If you have a Chinese patient, what is an appropriate question to determine religious practices? Are there any religious practices I need to know about to help care for you? What is your religion? Would you like to talk to a chaplain? Tell me about your family. ANS: A Chinese people have diverse religious practices. It is best to inquire what practices affect care. Do not assume a specific religion. LO: 22.2 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 5. What spiritual practices would you incorporate in your care for an American Indian patient from a reservation? Storytelling Native American foods Organic-based medications Native American dance and music ANS: A Storytelling is central to the religion. LO: 22.2 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 6. You have a male patient who is a follower of Islam. How would this affect your care? Integrate prayer times around care. Have the wife present during bathing. Provide for a kosher diet. Maintain the headdress covering. ANS: A Muslims pray 5 times a day facing Mecca with cleansing preparation (providing a washcloth is appropriate). Modesty is important, which implies that it is best to have a male assistant complete the bath. Muslims do not follow kosher diets or use a headdress. LO: 22.2 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 7. How do you best provide spiritual care to an infant? Meet basic feeding needs. Hold and rock the infant. Play with the infant using brightly colored soft objects. Set regular sleeping schedules. ANS: B Spiritual care for an infant is to promote love and compassion. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 8. What is the best way to provide spiritual care to a 2-year-old patient? Read a childhood story about good vs evil. Play hide and go seek and let the child find you every time. Let the toddler play with pretend medical supplies. Talk to the mother about special religious diets. ANS: A Toddlers need concrete examples of good vs evil to better understand meaning. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 9. You are caring for an 8-year-old who is receiving an intramuscular injection. The patient says, "You hurt me all the time. What did I do wrong?" What is your best response? "You didn't do anything wrong." "Why do you think you did anything wrong?" "Who told you that you did something wrong?" "It will only be a little bee-sting." ANS: B This question encourages the child to think about case and effect. . Spiritual care differs according to the patient's developmental age. For the school age child, spiritual growth happens as a result of finding meaning in social relationships and applying principles of ethical and moral reasoning. LO: 22.3 DIF: Applying MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health 10. You are caring for a 28-year-old married man diagnosed with leukemia. He is hospitalized on reverse isolation. It is his anniversary and his wife is planning to visit. What would be appropriate nursing care to promote spiritual health? Assist him in planning a celebration of his anniversary. Ensure he has adequate pain medication to endure the visit. Maintain strict reverse isolation to prevent infection. Congratulate the couple on their anniversary. ANS: A Celebrating their anniversary promotes hope, love, and compassion, while fostering spiritual connections between the husband and wife. LO: 22.1 DIF: Understanding MSC: NCLEX Client Needs: Psychosocial Integrity: Religious and Spiritual Influences on Health .

11. You are caring for a 65-year-old man with severe heart disease who is awaiting a heart transplant. It is during the Christmas season and he must stay in the hospital until the surgery or his death. His wife and physician consistently reinforce the severity of the situation and that he must stay in the hospital for tests. You are working the p.m. shift and he breaks down crying saying he doesn't want this and just wants to go home. What do you say? "If you go home, you will die." "What can I do to make your hospital stay better?" "You don't have to do this. What do you want to do?" "Can I call the chaplain for you?" ANS: C The patient is in spiritual distress looking for meaning and purpose in the situation. The nurse is helping the patient search for meaning

1. The nurse is caring for a 16-year-old boy receiving chemotherapy for testicular cancer. He says that his parents are religious and left a cross next to his bed for "good luck." What is the most appropriate response by the nurse? a. "Would you like to talk with a chaplain?" b. "Sounds like you are not very religious." c. "How well do you get along with your parents?" d. "What helps you get through tough times?"

10. How do people who participate in organized religion differ from nonreligious people? a. Religious people are healthier than spiritual people. b. Religious people are more spiritual than nonreligious people. c. Religious people express their spirituality through faith traditions. d. Religious people have spiritual practices, whereas nonreligious people do not have spiritual practices.

9. The nurse is caring for a Catholic patient who is going to surgery tomorrow. The patient states that she is afraid and asks the nurse to pray with her, although the nurse is not religious. What is the most appropriate response by the nurse? a. "I am not confident praying, but I will think about you tomorrow." b. "I need to take care of other patients right now, but I will be back." c. "I am uncomfortable praying. May I call the chaplain for you?" d. "I don't do that. Nurses are not allowed to do that at our hospital."

8. The nurse is caring for a 45-year-old woman who is a breast cancer survivor. What activity associated with her cancer experience will promote this patient's spiritual well-being? a. Attending church every week b. Ensuring she follows her medication regimen c. Genetic testing on family members d. Speaking about her cancer experience to increase breast cancer awareness

7. When caring for patients who are Jewish, how best can the nurse address their religious needs? a. Order a kosher diet. b. Allow time for prayer before each meal. c. Ask about religious holidays, particularly religious practices around the Sabbath. d. Ask about religious practices affecting care.

6. What is the most important aspect of providing spiritual care in nursing practice? a. Call a chaplain. b. Complete the FICA spiritual assessment and refer as needed. c. Recognize situations and patient behaviors indicating a spiritual need. d. Spend some time in self-reflection.

5. Which statement by a patient best illustrates reflection on a spiritual need? a. "My husband told me what to do about this situation, and I'm sure he's right." b. "There is little I can do now to change my circumstances. I just need to adapt." c. "I need to think a little more about how I feel about undergoing this treatment." d. "Whatever the physician wants to do is fine. I don't have much of an option."

4. A nurse assigned to the neonatal intensive care unit (NICU) has spent most of a day working with a critically ill infant, with the mother standing by. The infant experiences a cardiac arrest and does not survive. The mother spends an hour crying and holding the baby, saying good-bye. Which spiritual care intervention(s) is/are most appropriate for the nurse to implement? (Select all that apply.) a. If desired, briefly hold the baby to say good-bye after the mother leaves. b. Follow procedures to prepare the body for transport to the morgue. c. Visit the mother the next day to see how she is doing. d. Call the family spiritual adviser or the chaplain. e. Ask the mother if you could call a family member or friend to be with her.

3. The nurse has been caring for a patient who just died. The patient's daughter is crying uncontrollably, saying, "She was my best friend. I thought she would make it! I don't know what I am going to do." What is the nurse's best response? a. Express sympathy, and ask if she would like to talk with a chaplain. b. Give the daughter time to cry in her mother's room alone. c. Ask the daughter if her father is still living. d. Inquire if the daughter would like to pray.

2. A Buddhist patient has end-stage pancreatic cancer. In what spiritual practice would this patient most likely engage? a. Reading passages in the Vedas b. Visiting with the patient's guru c. Practicing tai chi d. Meditating on the meaning of life

8. The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.) a. Desire for shaman to be present b. Personal use of herbs and prayers c. Desire to create a living will d. Power of storytelling for healing e. Involvement in church activities

7. When does the nurse assess patients' spirituality? (Select all that apply.) a. Upon admission b. New diagnosis c. Life-changing diagnosis d. When the chaplain makes rounds e. When facing treatment decisions

6. The nurse assessing a patient using the SPIRIT framework would ask which questions? (Select all that apply.) a. "Do you follow a particular religion?" b. "How involved in your church are you?" c. "Are there any practices I can help you with?" d. "How will your religion affect your care?" e. "What gives you hope in bad situations?"

5. The student using the FICA Spiritual Health Assessment will consider which factors? (Select all that apply.) a. Faith and belief b. Focused practices c. Importance of faith d. Faith community involvement e. Address spirituality in care

4. Which actions by a nurse constitute spiritual care? (Select all that apply.) a. Baptizing a critically ill child per the parent's request. b. Leaving the room, giving the patient and family privacy for prayer. c. Considering developmental stage when planning care. d. Notifying the hospital chaplain of a patient's request. e. Praying with patients and families when requested.

3. The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance? (Select all that apply.) a. Catholicism b. Native American c. Hinduism d. Greek Orthodox e. Buddhism

2. The student nurse learns that spirituality consists of practices that lead to connection to which items? (Select all that apply.) a. Other people b. Nature c. Religious institutions d. Oneself e. Higher power

1. The nursing student learns which facts about religion and spirituality? (Select all that apply.) a. Spirituality focuses on the meaning of life to people. b. Religion and spirituality are mutually exclusive. c. Religion implies an organized way of worship. d. Religion provides the structure by which to understand spirituality. e. Spirituality is an individual practice that does not include others.

17. A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown, which can't go in the scanner. What action by the nurse is best? a. Take the icon off the patient's gown until she returns. b. Give the icon to the patient's family for safekeeping. c. Pin the icon to the patient's pillow so it can go to radiology. d. Explain the restriction and ask the patient's preference.

16. A home health care nurse has been working with a patient who has the nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met? a. Ask the patient to what extent he/she feels goals have been met. b. Ask the patient to rate the distress on a scale of 1-10. c. Assess for objective data to support goal attainment. d. Determine if the patient thinks the interventions are helpful.

15. The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best? a. No action is necessary for the charge nurse to take. b.Reinforce the nurse's teaching on proper diet. c.Offer to call the dietitian to work with the patient. d.Privately speak to the nurse about this conversation.

14. A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others? a.Offering the family written information on grief support groups. b.Asking the family if there is someone the nurse can call for them. c.Having the hospital social worker or chaplain sit with the family. d.Offering to stay with the family during this difficult time.

13. A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best? a.Apply for a job transfer to another unit. b.Consult with the hospital chaplain. c.Make an appointment with Employee Assistance. d.Ask other nurses how they deal with the stress.

12. A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting? a.Praying five times a day b.Having privacy c.Personal cleanliness d.Giving alms e.Maintaining modesty

11. A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best? a.Insert a feeding tube and provide enteral feedings. b.Ask the provider about Total Peripheral Nutrition. c.Call the patient's religious leader for advice. d.Tell the patient he has to eat to get better.

10. A patient who claims to be very involved in church is near death. What action by the nurse is best? a.Get permission to contact the religious leader. b.Allow the family to stay at the patient's bedside. c.Call the hospital chaplain to come to the bedside. d.Ask if the patient and family want to pray.

9. The student nurse asks why spirituality is important in health care. What response by the registered nurse is best? a."All people have a spiritual aspect to their beings." b."Spirituality affects behavior, which also affects health." c."Knowledge of it is needed to understand a patient holistically." d."People who are less spiritual have worse outcomes."

8. A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best? a.Care for own spiritual needs b.Begin a meditation practice c.Consult the chaplain d.Read books on the subject

7. A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best? a.Deny the request because of atheistic beliefs. b.Offer to call the chaplain instead. c.Agree to sit with the patient while he prays. d.Ask the patient if he will meditate instead. .

6. A patient is considering a life-saving procedure that is not accepted by his faith community. What nursing diagnosis is a priority as the nurse plans care? a.Spiritual distress b.Impaired religiosity c.Moral distress d.Decisional conflict

5. A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient? a.Spiritual distress b.Impaired religiosity c.Moral distress d.Decisional conflict

4. The nurse concerned about a patient's spiritual needs can best address this by which action? a. Leaving a note on the chart for other professional b. Calling the chaplain to come see the patient c. Collaborating during interdisciplinary rounds d. Informing the provider of the patient's needs

3. A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met? a.Observed praying quietly b.Indecisive about treatment c.Asks nurse if God exists d.Executes living will

2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority? a.New mother, older child at home b.Faces terminal diagnosis c.Needs to change medications d.Pleasant but quiet

10. You are caring for a 28-year-old married man diagnosed with leukemia. He is hospitalized on reverse isolation. It is his anniversary and his wife is planning to visit. What would be appropriate nursing care to promote spiritual health? a. Assist him in planning a celebration of his anniversary. b. Ensure he has adequate pain medication to endure the visit. c. Maintain strict reverse isolation to prevent infection. d. Congratulate the couple on their anniversary.

9. You are caring for an 8-year-old who is receiving an intramuscular injection. The patient says, "You hurt me all the time. What did I do wrong?" What is your best response? a. "You didn't do anything wrong." b. "Why do you think you did anything wrong?" c. "Who told you that you did something wrong?" d. "It will only be a little bee-sting."

8. What is the best way to provide spiritual care to a 2-year-old patient? a. Read a childhood story about good vs evil. b. Play hide and go seek and let the child find you every time. c. Let the toddler play with pretend medical supplies. d. Talk to the mother about special religious diets.

7. How do you best provide spiritual care to an infant? a. Meet basic feeding needs. b. Hold and rock the infant. c. Play with the infant using brightly colored soft objects. d. Set regular sleeping schedules.

6. You have a male patient who is a follower of Islam. How would this affect your care? a. Integrate prayer times around care. b. Have the wife present during bathing. c. Provide for a kosher diet. d. Maintain the headdress covering.

5. What spiritual practices would you incorporate in your care for an American Indian patient from a reservation? a. Storytelling b. Native American foods c. Organic-based medications d. Native American dance and music

4. If you have a Chinese patient, what is an appropriate question to determine religious practices? a. Are there any religious practices I need to know about to help care for you? b. hat is your religion? c. Would you like to talk to a chaplain? d. Tell me about your family.

3. If you have a patient of Indian heritage who is Hindu, what religious practices would affect nursing care? a. Patient will refuse pain medication because pain is due to bad karma b. Family may bring in hot or cold food and drink from home to help remove toxins c. Patient may have special head coverings that cannot be removed d. Religious leaders are usually involved in health care decision making

2. What is transcendence? a. Out of body experience b. A meditative state c. A Higher Power d. Spiritual growth over time