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WorksheetsChapter 46 Spirituality
Total questions: 35
Worksheet time: 19mins
Which of the following group of terms best defines spiritual distress?
Spirituality, religion
Alienation, despair
Faith, prayer
Forgiveness, purpose
What spiritual need is believed to underlie all religious traditions and is common to all people?
Love and relatedness
Physical hygiene
Religious education
Church services
Nurses provide care to meet needs in all the human dimensions. What is one intervention nurses can implement to meet spiritual needs?
Refer all questions to a spiritual advisor.
Remind clients that nurses are not ministers.
Avoid any discussion of religion or spirituality.
Offer a compassionate presence.
A client expresses confidence in his traditional healer to relieve symptoms of an illness. What is the client demonstrating?
Hope
Spirituality
Faith
Charity
A client tells the nurse, “I am an atheist. I do not believe in God.” What would be an appropriate response by the nurse?
“Well, I believe in God and you should, too.”
“I respect what you choose to believe in.”
“How can you deny the existence of God?”
“What makes you think you are an atheist?”
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?
Spiritual belief
Spiritual alienation
Spiritual health
Spiritual bliss
What factor is necessary to express and experience spirituality?
Quiet time in isolation from others
Membership in an organized religion
Long-term suffering and pain
Connectedness with other people
While reviewing the chart for an assigned client before beginning care, a student notes that the client does not belong to a specific religion. Based on this information, what should the student interpret about the client?
A person may be deeply spiritual but not profess a religion.
Belonging to an organized religion is essential to spirituality.
The student will not have to consider the spiritual dimension.
The client should be referred for spiritual counseling.
Which of the following health care practices may be influenced by a young woman’s religion?
Yearly mammograms
Annual physicals
Birth-control measures
Health assessments
How can religious, life-affirming influences be compared with basic human needs?
Life-affirming influences encourage self-actualization.
Life-affirming influences enhance life.
Life-affirming influences meet basic physiologic needs.
Life-affirming influences cultivate wisdom.
Some religious beliefs may conflict with prevalent health care practices. For example, what type of treatment is prohibited by the doctrine of Jehovah’s Witnesses?
Using narcotics to treat pain
Administering blood transfusions
Minor surgical procedures
Diagnostic x-ray examinations
Each of the major religions has several characteristics in common. What is one of those characteristics?
Ministers are addressed as “Reverend.”
An ethical code defines right and wrong.
Communion is delivered the same way.
Men and women are viewed as equals.
A nurse fills the following roles in the community: health educator, personal health counselor, referral agent, trainer of volunteers, developer of support groups, integrator of faith and health, and health advocate. What is the term for this type of nurse?
Parish nurse
Religious nurse
Visiting nurse
Home health nurse
A nurse is caring for a hospitalized child. What would the nurse consider to meet the spiritual needs of the child?
Nothing; children do not have a spiritual self.
Complete information from the child’s parents.
Only terminally ill children believe in God.
Children have definite perceptions of God.
The parents of an infant are members of a faith-healing group. They refuse to give the baby antibiotics for meningitis. What does the American Academy of Pediatrics recommend for cases such as this?
Respect for the parents’ wishes, even if the baby dies
Exemption from child abuse charges
Application of child abuse and neglect statutes
Refusal to treat the child no matter how ill
A nurse is using Anandarajah and Hight’s (2001) HOPE acronym to assess a client’s spirituality and religious beliefs. Which of the following is a component of this acronym?
H = heaven
O = openness
P = personal spirituality
E = eternity
A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?
These behaviors are expected before major surgery.
These behaviors are signs of spiritual distress.
Family members live far away and the client is lonely.
The client is naturally emotional and reactive.
A client verbalizes to a mental health counselor that his life is meaningless since his wife divorced him and that he no longer wants to live. What nursing diagnosis, resulting from his spiritual distress, would be appropriate?
Sexual Dysfunction
Fear
Powerlessness
Risk for Self-Directed Violence
A nurse is caring for a hospitalized client. What intervention can the nurse use to help the client continue normal spiritual practices?
Discuss the nurse’s own religious beliefs with the client.
Tell the client that spiritual practices can be resumed later.
Request dietary consultation for the client’s dietary restrictions.
Request medication from the physician to calm the client.
Which of the following statements by a nurse would nurture spirituality by promoting love and relatedness?
“I know you are angry about your diagnosis.”
“Tell me about what you do in your job.”
“Tell me about how you get along with others.”
“How often do you read the Bible each day?”
What statement or question is useful for a nurse if a client asks the nurse to pray with him or her?
“I’m sorry, I am just too busy.”
“How would you like us to pray?”
“You will have to talk to your minister.”
“Why would you want me to do that?”
A nurse is preparing a client’s room to accommodate a visit from a spiritual counselor. Which of the following is a recommended practice?
Dim or turn off the lights.
Place a candle on the bedside table.
Remove any unnecessary equipment.
Place a cross on the bedside table.
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?
Tell the client that the surgery is necessary to keep him alive and is the only choice.
Obtain all the information needed for the client to make an informed decision.
Prepare the client for a visit from his spiritual advisor.
Have the client sign a form stating his refusal of the treatment.
The nurse’s role is to assist the client in obtaining the information needed to make an informed decision and to support the client’s decision making. Because what the nurse says, and the way it is said, may powerfully influence the client’s decision, it is important to maintain objectivity. Conflicts that resist resolution may be referred to an ethics committee or consult team.
Judaism
Mormons
Buddhism
Christian Scientist
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?
Identify factors in life that challenge spiritual beliefs.
Attend church services on a weekly basis.
Share feelings about religion with other health care providers.
Commit to reading passages from the Bible daily.
The U.S. Religious Landscape Survey of 35,000 Americans by the Pew Research Center’s Forum on Religion & Public Life (2008) finds that most Americans are religious and they have a nondogmatic approach to faith. Which of the following statements accurately describes religion in America? Select all that apply.
A majority of Americans who are affiliated with a religion believe their religion is the only way to salvation.
More than half of Americans rank the importance of religion very highly in their lives, attend religious services regularly, and pray daily.
A plurality of adults who are affiliated with a religion want their religion to adjust to new circumstances or adopt modern beliefs and practices.
Significant minorities across nearly all religious traditions see a conflict between being a devout person and living in a
modern society.
Sixty percent of adults believe that God is a person with whom people can have a relationship; but one out of four—
including about half of Jews and Hindus—see God as an impersonal force.
While admitting a clilent 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?
Atheist
Jehovah’s Witness
Agnostic
Spiritualist
This is the nurse’s third day of caring for a client who recently underwent a colectomy that resulted in a colostomy. As the nurse goes about the physical assessment, a discussion about spirituality develops. The client tells the nurse that his
religion believes in a basic harmony between religion and science. You interpret this as which of the following groups?
Buddhism
Baha’i International Community
Mormon
Jehovah’s Witness
Then nurse is caring for a female client today. As the nurse is giving the client her morning medications, she begins a conversation about her belief in a higher power. The nurse knows that this can be interpreted as which of the following?
Choose all that apply.
Faith
Spirituality
Religion
God
Atheism
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?
Meaning
Forgiveness
Purpose
Love
The nurse’s client today informs her that he receives regular visits from a parish nurse, who helps him with his diet-controlled diabetes. The nurse is aware that parish nurses do which of the following? Choose all that apply.
Provide medicine at no charge
Refer clients to appropriate resources
Perform physical assessments
Promote personal responsibility for health
Provide health education
The nurse is caring for a client today who asks to have the coffee removed from his tray. The client informs the nurse that his religion precludes the intake of caffeine. The nurse is aware that religions often guide daily living habits in which of the following ways? Choose all that apply.
Diet
Medical treatments
Clothing
Education
Automobile makes
A client informs the nurse that her physician has planned a procedure that may be in conflict with the client’s personal spiritual belief. The client asks the nurse for assistance. The nurse is aware that her role should include assisting the client to do which of the following?
Confront the physician and refuse to undergo the procedure.
Explore and research alternative medicine therapies.
Poll other physicians about alternate treatment options.
Obtain accurate information in order to make a good decision.
A client requests the nurse not touch his lips when administering his oral medications. Based on the nurse’s understanding of the major religions, the nurse identifies this request as reflecting which of the following?
Judaism
Christianity
Islam
Hinduism
The nurse caring for a Native American client should inquire if the client utilizes which of the following?
Medicine man or woman
Priest
Rabbi
Preacher
