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52 Cards in this Set

  • Front
  • Back
In a case where a patient suffers from spiritual distress, what patient feelings should the nurse be aware of? Select all that apply.
A feeling of doubt



A feeling of loneliness




A feeling of loss of faith

When treating a patient who is Muslim by religion, what factors should the nurse keep in mind? Select all that apply.

They do not eat pork




During Ramadan they eat only after sunset.

The nurse tries to calm a patient diagnosed with cancer. The nurse asks the patient to have faith in God; however, the patient turns out to be an atheist. What does an atheist believe?
God does not exist.
Which health care system enables the nurse to continually measure the spiritual health of a patient?
Likert system
When caring for a Sikh patient, which religious practices should the nurse expect to affect the care of the patient? Select all that apply.
Need to maintain modesty



Use of a turban head covering




Restrictions regarding shaving

The nurse is caring for a patient who claims to be an agnostic. What should the nurse understand about the patient’s spiritual belief?
That existence of a God is not known
A mother of three teenage daughters is diagnosed with a brain tumor and is scheduled to undergo major brain surgery. The patient says, "My daughters are my strength. When they are with me, nothing is going to happen to me." What nursing diagnosis can be attributed to this patient?
Readiness for enhanced spiritual well-being
The nurse is caring for a Native American who has been diagnosed with renal failure and practices a traditional faith. Which person would the patient prefer to have at the bedside to help in the healing process?

Shaman

A nurse evaluates a patient for achievement of goals related to spiritual well-being and finds that the patient does not display positive outcomes. What questions should the nurse ask to develop an appropriate continued care plan for such a patient? Select all that apply.
"What is holding you back, and what can I do to help restore hope?"



"Do you want me to ask your wife to talk to you?

A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I are yet to tour the world." What kind of spiritual belief does this patient exhibit?

Hope

The nurse is caring for a pregnant patient who is Muslim. What measures should the nurse take to ensure that the patient is comfortable during the birth and subsequent stay at the health care facility? Select all that apply.
Provide the patient privacy for prayer.



Refrain from including pork in the diet.




Arrange for care by female caregivers.

The nurse is caring for a patient who is an atheist. The nurse identifies a need for spiritual intervention. What action would not be appropriate for the nurse to perform to meet the spiritual needs of this patient?
Arranging for a clergy person to visit the patient.
Which of the following questions would best assess a patient's level of connectedness?
Who do you consider to be the most important person in your life at this time?
A senior nurse is discussing with student nurses about spirituality. What are conceptual elements in spirituality? Select all that apply.
Transcendence



Faith




Hope




Meaning and purpose in life




Connectedness

While caring for a Muslim female patient, which religious beliefs and practices should the nurse keep in mind? Select all that apply.
Privacy for prayer
Women prefer female health care providers.
During the month of Ramadan, they do not eat until sundown.
The nurse considers the patient’s age and the developmental phase of faith when including spiritual care in the plan of care. Arrange the developmental phases of faith in the order in which they occur according to Fowler’s Theory of Faith Development.

Primal Faith




Intuitive projective faith




Mythic-literal faith




Synthetic-conventional faith




Individuative-reflective faith




Conjunctive faith




Universalizing faith



A patient is brought to the emergency room with multiple burn injuries. What nursing actions suggest trust-building and a caring presence? Select all that apply.
The nurse holds the patient’s hand while talking to provide emotional support.



The nurse informs the patient that the injuries can be treated but will take time.




The nurse remains calm and calls for the appropriate healthcare team to treat the patient.

A nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice?

Islam

A patient just gave birth to a beautiful baby. The mother says, "It’s like a miracle. I don’t have words to explain this feeling. My baby is perfect, like something out of this world. Thank you, God." What kind of feeling did the patient just experience?
Transcendence
Which statements describe the role of a parish nurse? Select all that apply.
The parish nurse develops support groups within the community.



The parish nurse works as a health educator and a health adviser.




The parish nurse serves as a liaison to faith and community resources.

A patient is scheduled for a chemotherapy treatment and asks the nurse to pray. What is the best intervention by a nurse who is not accustomed to praying?
Maintain a respectful silence and allow the patient to lead all the prayers.
The nurse was caring for a Buddhist patient who died. What intervention should the nurse provide for the family in accordance with Buddhist tradition?
Allow the family to stay with the deceased patient for 2 hours.
Which behavioral characteristic of a patient indicates hopelessness?
Failing to follow medical recommendations
The nurse is caring for a patient receiving chemotherapy for cancer. The patient does not complain despite the challenges faced. The patient is looking forward to a positive outcome. What term should the nurse use to define this attitude?
Hope
The nurse is caring for a patient that practices the life belief, exercises, and treatment methods mentioned in the table. The patient is a member of which culture? 
The nurse is caring for a patient that practices the life belief, exercises, and treatment methods mentioned in the table. The patient is a member of which culture?

Chinese

A Muslim patient is scheduled for transplant surgery. The patient asks the nurse to postpone the operation for an hour so that the evening prayers can be completed before the operation. How should the nurse respond to such a request?
Agree to the patient’s request and postpone surgery.
A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient’s family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply.
The nurse can motivate the family to perform religious rituals as needed.



The nurse can talk to the children and instill hope about the patient’s condition.




The nurse should make sure a female healthcare provider is treating the patient.

The nurse is caring for a patient who is highly spiritual. What should the nurse consider as spiritual practices in this patient? Select all that apply.
Spending time in prayer



Talking to family members




Pondering life experiences

Which of the following statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse?
"I have been unable to talk with my children lately."
A Hindu patient is admitted to the hospital. The nurse prepares a diet plan for the patient. What should the nurse do to appropriately plan the patient’s diet? Select all that apply.
Determine whether the patient consumes non-vegetarian food.



Ask if the patient is observing a fast.




Ask if the patient has any particular food preferences.




Ask the patient to talk to the dietician about preferences.

The nurse is caring for an elderly patient with Alzheimer’s disease. What signs does the nurse identify as a need for spiritual care interventions for the spouse? Select all that apply.
The spouse has removed all religious ornaments and jewelry.



The spouse has turned over the family pictures from the bedside table.

A parent of a 10-year-old boy diagnosed with cancer is tearful in the hospital lobby. The nurse comforts the parent, who says that life would be meaningless without the child. What trait is the parent exhibiting?
Spiritual distress
The nurse is providing spiritual care for an adolescent. What are the characteristics of the faith development stage of an adolescent according to Fowler’s Theory of Faith Development? Select all that apply.
The patient may reject rules set by tradition or family.



The patient is trying to develop a sense of self-identity.




The patient is seeking meaning within his or her own faith.

When caring for a patient who is suffering from a serious illness, a nurse encourages the patient to follow his spiritual activities. How does spirituality help in healing? Select all that apply.
It increases the pain threshold of the patient.



It decreases stress and increases the immune response.




It reduces perception of pain and anxiety

A nurse wants to include spiritual care when planning care for a sick patient. What actions should the nurse perform? Select all that apply.
Allow time for religious readings.



Allow the patient to play religious music.




Allow family members to plan a prayer session.

A patient with a nursing diagnosis of spiritual distress comes for a follow-up. What observations by the nurse indicate positive outcomes in the patient? Select all that apply.
he patient expresses increased hope of becoming healthy.



The patient’s relationship with his partner is satisfactory.




The patient is compliant with his medication regimen.

The nurse is caring for a patient who has been diagnosed with leukemia. Which questions asked by the nurse are appropriate while doing a spiritual assessment? Select all that apply.
Would you like the hospital chaplain to visit today?"



"Do you want your faith community to be notified?"




"How do you manage to cope with your diagnosis?"




"Do you belong to a faith or a religious community?"

An elderly patient who is a devout Christian is admitted to the hospital with partial paralysis. The patient’s son visits the patient daily and is very supportive. What nursing actions demonstrate a caring presence of the nurse? Select all that apply.
The nurse offers to read the Bible to the patient.

The nurse discusses physical therapy options with the patient’s son.




The nurse answers the patient’s questions promptly and appropriately.

The nurse is caring for a patient with breast cancer. What signs or behaviors of spiritual distress might the nurse identify in the patient? Select all that apply.
The patient is angry and expresses a lack of faith in God.



The patient is disturbed and expresses an inability to pray.




The patient does not wish to speak to friends and family.

What are the positive effects of spirituality on an individual? Select all that apply.
Behaviors



Quality of life




Lifestyle

Which statement made by a patient receiving chemotherapy demonstrates the best expression of hope?
"I will attend my daughter’s graduation ceremony in 6 months."
Which health practices should the nurse expect to find among Chinese patients? Select all that apply.
Use of the mugwort herb



External suction therapy




Practice of Gua-sha therapy

A patient suffering from a stomach ache was diagnosed with stomach cancer. What are the health promoting measures that a nurse may adopt? Select all that apply.
Establishing presence



Mobilizing hope for the patient




Helping the patient to use social and spiritual resources

A devoutly religious Christian patient suffers from an anxiety disorder. What type of information should a nurse avoid providing to the patient pertaining to the religious aspect of connectedness?
Impersonal
Which of the following nursing interventions support(s) a healing relationship with a patient? Select all that apply.
Praying with the patient



Helping a patient see positive aspects related to a chronic illness

The nurse is caring for a patient who has just been diagnosed with cancer. The patient is highly spiritual and prays often. What kind of responses should the nurse expect from this patient during the course of the treatment? Select all that apply.
Increased levels of well-being



Increased levels of social functioning




Increased levels of treatment compliance

The nurse is caring for a Catholic patient who is terminal. What spiritual care should the nurse provide for this patient?
Ensure that the patient receives the sacrament of anointing of the sick.
A patient who was severely injured in a motorcycle accident underwent surgery for multiple bone fractures 3 days ago. The nurse teaches the patient interventions that will help the patient recover while instilling hope and support. What are the interventions that the nurse should mention? Select all that apply.
Dietary therapies



Meditation




Offer prayers in a group or with famil

A 62-year-old male patient has just been told he has a terminal illness. Which of the following statements supports a nursing diagnosis of spiritual distress related to diagnosis of terminal illness?
"I have nothing to live for now."
A patient was diagnosed with cervical cancer and underwent a hysterectomy. During assessment in the recovery room, the patient tells the nurse, "I don’t believe in God anymore. I can’t believe I can never have a child. Why me? I can never be the same person again." What does this reaction suggest?
Spiritual distress due to loss of purpose in life.
The nurse is caring for a critically ill infant. Which is the best intervention by the nurse to help the mother to bond with the dying infant?
Allow the mother to hold the infant and pray.
The nurse is providing culturally competent care. Which culture is known to practice the health beliefs, life beliefs, and rituals mentioned in the table? 
The nurse is providing culturally competent care. Which culture is known to practice the health beliefs, life beliefs, and rituals mentioned in the table?
Native Americans