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Spiritual Health

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Question 1
Free
Multiple Choice

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?

Choose correct answer/s
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."

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Question 2
Free
Multiple Choice

The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?

Choose correct answer/s
A

New mother, older child at home

B

Faces terminal diagnosis

C

Needs to change medications

D

Pleasant but quiet

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Question 3
Free
Multiple Choice

A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met?

Choose correct answer/s
A

Observed praying quietly

B

Indecisive about treatment

C

Asks nurse if God exists

D

Executes living will

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Question 4
Free
Multiple Choice

The nurse concerned about a patient's spiritual needs can best address this by which action?

Choose correct answer/s
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

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Question 5
Free
Multiple Choice

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?

Choose correct answer/s
A

Spiritual distress

B

Impaired religiosity

C

Moral distress

D

Decisional conflict

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Question 6
Multiple Choice

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?

Choose correct answer/s
A
Spiritual distress
B
Impaired religiosity
C
Moral distress
D
Decisional conflict
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Question 7
Multiple Choice

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?

Choose correct answer/s
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.
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Question 8
Multiple Choice

A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best?

Choose correct answer/s
A
Care for own spiritual needs
B
Begin a meditation practice
C
Consult the chaplain
D
Read books on the subject
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Question 9
Multiple Choice

The student nurse asks why spirituality is important in health care. What response by the registered nurse is best?

Choose correct answer/s
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."
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Question 10
Multiple Choice

A patient who claims to be very involved in church is near death. What action by the nurse is best?

Choose correct answer/s
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.
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Question 11
Multiple Choice

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?

Choose correct answer/s
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.
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Question 12
Multiple Choice

A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting?

Choose correct answer/s
A
Praying five times a day
B
Having privacy
C
Personal cleanliness
D
Giving alms
E
Maintaining modesty
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Question 13
Multiple Choice

A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best?

Choose correct answer/s
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.
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Question 14
Multiple Choice

A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?

Choose correct answer/s
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.
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Question 15
Multiple Choice

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?

Choose correct answer/s
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.
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Question 16
Multiple Choice

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?

Choose correct answer/s
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.
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Question 17
Multiple Choice

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?

Choose correct answer/s
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.
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Question 18
Multiple Choice

The nursing student learns which facts about religion and spirituality? (Select all that apply.)

Choose correct answer/s
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.
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Question 19
Multiple Choice

The student nurse learns that spirituality consists of practices that lead to connection to which items? (Select all that apply.)

Choose correct answer/s
A
Other people
B
Nature
C
Religious institutions
D
Oneself
E
Higher power
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Question 20
Multiple Choice

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.)

Choose correct answer/s
A
Catholicism
B
Native American
C
Hinduism
D
Greek Orthodox
E
Buddhism
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