Spiritual Health – Flashcards
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A nursing instructor is preparing a class presentation on spiritual care. What would the instructor include as an essential component? Select all that apply.
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• Empathy
• Trust
• Self-awareness
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While admitting a client who is having elective surgery tomorrow, the nurse asks if he has a preferred religion or faith. The client indicates that he does not believe in a higher power and therefore has no preferred religion. The nurse knows that which of the following terms describes the client's feelings about religion?
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Atheist
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The nurse is differentiating beliefs of atheists from agnostics. Which statement is accurate?
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Both are guided by a philosophy of living that does not include a religious faith.
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A college foreign exchange student is living with a family in England and is confused about the daily Catholic prayers and rituals of the family. The student longs for the comfort of her fundamentalist Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress?
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Spiritual alienation
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What factor is necessary to express and experience spirituality?
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Connectedness with other people
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A nurse is assisting a terminally ill female client with bathing. The client tells the nurse that she has great respect and faith in a particular spiritual leader. The nurse interprets this information as fulfilling which need for the client?
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sense of security for present and future
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A nurse overhears a client telling a family member that a belief in God is the only thing helping in the fight against a terminal illness. Which of the following is this client demonstrating?
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Faith
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Which nursing actions are appropriate when caring for a patient who participates in the Hindu religion? (Select all that apply.)
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• Consider the patient to be open to new ideas in health care practices.
• Anticipate many dietary restrictions, conforming to individual sect doctrine.
• Accommodate certain rites to be practiced following death.
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A nurse has developed a plan of care to meet the needs of a client with the nursing diagnosis of Spiritual Distress. What would be an expected outcome?
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Identify factors in life that challenge spiritual beliefs.
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A nurse is caring for an infant who requires a treatment procedure. What would be most important for the nurse to do to help support the infant's spiritual needs?
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Encourage parents to be present during the treatment.
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The son of a dying female client 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?
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Contact the chaplain to arrange a visit with the client
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Which of the following group of terms best defines spiritual distress?
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Alienation, despair
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The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. The nurse informs the parents that the development of a child's spirituality is best accomplished by ...
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educating through parental behaviors
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A nurse is caring for a terminally ill client who believes that death and reincarnation are the ultimate gifts from God to mankind. What would be most appropriate to integrate into this client's plan of care when providing spiritual support?
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Provide support that builds on the client's faith
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A dying client 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 client?
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The nurse should select a formal prayer or Bible passage to use to pray aloud.
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A client tells a nurse that he does not think he can have the recommended heart surgery because transfusions are against his religion. What is the best response of the nurse in this situation?
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Obtain all the information needed for the client to make an informed decision.
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A nurse caring for a client of the Jewish faith knows the importance of asking about any food preferences when discussing diet. This is important for which of the following reasons?
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Religious practices and beliefs can directly influence a client's self-care practices.
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A geriatric nurse practitioner is completing a health history for a newly admitted resident of a long-term care facility. Which of the following questions will elicit information about the patient's spirituality?
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"Are you angry at God for allowing you to be here?"
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A nurse is caring for a hospitalized client. What intervention can the nurse use to help the client continue normal spiritual practices?
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Request dietary consultation for the client's dietary restrictions.
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The nurse is caring for a patient who asks that his special undergarments not be removed for an upcoming procedure. The nurse is aware that these undergarments are related to the patient's religion. This religion is which of the following?
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Mormon
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A nurse is reviewing the role of religion and spirituality in health care choices. These issues become most significant when:
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a client fails to seek timely medical care.
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A nurse is completing a spiritual assessment of a client using the FICA assessment tool. Which question would the nurse most likely ask first?
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"Do you consider yourself a spiritual person?"
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A nurse assessing children for spirituality keeps in mind which central themes in children's descriptions of God, based on David Heller's study? (Select all that apply.)
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• Children have a notion of a God who works through human intimacy.
• Children believe in the interconnectedness of human lives.
• Children show considerable anxiety in the face of God's power.
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As the nurse admits a new client to the unit for elective surgery, the nurse should facilitate the practice of religion by doing which of the following? Choose all that apply.
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• Respect the need for privacy during periods of prayer
• Attempt to meet religious dietary restrictions
• Arrange for the client's pastor to visit if desired
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A man age 79 years is in the late stages of lung cancer with bone metastases. Since receiving his terminal diagnosis, the client has often made mention of the fact that he has a long-estranged daughter and that he was a "miserable father." The client has recently asked for the social worker's assistance in locating his daughter before his death. What spiritual need likely underlies the client's request?
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Need for forgiveness
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Today you are caring for Mary Snow, who is preparing to undergo a left mastectomy. As you perform your physical assessment, she informs you that she is unable to accept blood products as treatment due to her religion. You interpret this as a belief of which of the following religions?
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Jehovah's Witness
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A client who is scheduled to begin chemotherapy for cancer is overheard telling a family member that everything will eventually be okay and the cancer will be in remission. This client is demonstrating which of the following?
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Hope
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A recently graduated nurse is talking to the charge nurse about spirituality and tells the nurse that it is difficult to understand why people have a hard time giving spiritual care to clients. The charge nurse identifies a lack of understanding when the new nurse makes which statement?
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"Spirituality and religion are the same thing."
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A nurse is preparing a client's room to accommodate a visit from a spiritual counselor. Which of the following is a recommended practice?
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Remove any unnecessary equipment
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Then nurse is caring for a hospice client who tells the nurse that she is worried about how she has treated a younger sister. She asks the nurse how to make things right. The nurse recognizes this as which of the following spiritual needs?
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Forgiveness
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While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying to the nurse which of the following?
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The client's faith.
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A client states that his life has meaning and purpose, he feels loved, and has experienced forgiveness in his life. What is the term that describes this state of spirituality?
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Spiritual health
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A nursing instructor, while teaching a class on spiritual health, identifies which of the following to be spiritual needs common to all people? Select all that apply.
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• Need for meaning and purpose
• Need for love and relatedness
• Need for forgiveness
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A nurse is caring for a client who claims to be spiritual but is addicted to drugs. Which of the following factors contribute to the spiritual health of a client? Select all that apply.
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• Appropriate religious education
• Adaptable belief system
• Firm spiritual identity
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A client who is admitted for a debilitating disease is talking to the nurse. She relates that family is the only thing that matters, stating that family helps fulfill all the spiritual needs by first fulfilling the most basic of all needs, which is what?
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Love
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Which of the following client statements most clearly suggests the potential of a nursing diagnosis of Spiritual Anxiety?
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"Now that I'm nearing the end, I'm worried that God won't think I lived a good enough life."
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A client expresses confidence in his traditional healer to relieve symptoms of an illness. What is the client demonstrating?
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Faith