Fundamentals of Nursing

Nursing

Quiz 41 :

Spirituality

Quiz 41 :

Spirituality

Question Type
search
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." What data suggest that Terry may be experiencing spiritual distress?
Free
Essay
Answer:

Answer:

Spiritual distress is described as "disturbances in the value system or belief, which imparts the relief, ambition, meaning, and strength of life". The NANDA (North American Nursing Diagnosis Association) International classifies the characteristics of spiritual distress.
They use the criterion, whether they reflect an impaired connection with others, self, art, nature, literature, or power than greater than self. Some of the characteristics can be mentioned as follows:
1. The individual expresses a lack of desire, inadequate acceptance of the self, and meaning of life.
2. The individual expresses the feeling of being abandoned.
3. The individual shows reluctance to interact with other people.
4. The individual exhibits certain and sudden changes in the spirituality.
5. The individual makes a request or refuses to meet a spiritual leader.
6. The individual exhibits no interest in nature or spirituality.
In the given case, the client is expressing a lack of hope and meaning of life. He is thinking that his life is useless now. He thinks that he is being punished for his non-religious beliefs.
Therefore, these feelings of the client suggest that he is suffering from the spiritual distress. It is obvious for him to be spiritually distressed when he knows that AIDS (Acquired Immune Deficiency Syndrome) has no cure, and he can only prolong his life with extra precautions and medications.

Tags
Choose question tag
close menu
arrow
An 88-year-old woman has just been admitted to a skilled nursing facility. She tells the nurse that she has been a Sunday school teacher and volunteers for many of her church's projects. Which of the following NANDA diagnoses is most appropriate? 1) Risk for Spiritual Distress 2) Risk for Impaired Religiosity 3) Readiness for Enhanced Spiritual Well-Being 4) Impaired Religiosity
Free
Multiple Choice
Answer:

Answer:

Older people are found to be more religious in comparison to the young generations. They feel more comforted and stress-free under religious environment. If a person's spiritual well-being is good, it is directly proportional to the good mental health. Being spiritual gives you peace of mind. Impaired religiosity, spiritual distress, and readiness for enhanced spiritual well-being, all do not fall under the problem raised by the client.
Hence, the options 1, 3 and 4 are incorrect.
To provide an ultimate care a nurse must not only look after a client's physical needs but also take care of the client inner soul and self. There is an ample amount of evidence to relate physical health to spiritual health. Here, the client will be included in the risk for impaired religiosity diagnosis.
Hence, the correct answer is option
img .

Tags
Choose question tag
close menu
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." How might illness affect one's spiritual beliefs? Religious beliefs?
Free
Essay
Answer:

Answer:

Assuming that everyone is spiritual in some or the other way, most clients would be spiritual. Therefore, they would require spiritual nursing care. The need of spiritual nursing care is important, because the health depends to the spirituality and vice versa.
The need of spirituality is increased in the case of illness or health problem. The worse the illness is, the more the spiritually distress would be. The clients often find the lack of trust in their own beliefs after being challenged by a health problem.
Many times, the client even changes their beliefs after the suffering due to the illness. However, some might adhere to their belief system even more during the health problems. Magyar-Russell et. al. also found the similar observations in a study, which proved that 58% of patients experienced religious struggle.
Some clients may express gratitude or joy, or continue with the inner spirituality. The characteristics that are related to the correlation of illness with spirituality or religion can be mentioned as follows:
1. Sudden changes in spirituality.
2. Request or refusal to meet the spiritual or religious leader.
3. No interest in religion or spirituality.

Tags
Choose question tag
close menu
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." How might a spiritual assessment be of benefit to both you and Terry?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." What questions might be helpful to ask to further understand Terry?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
The mother of a pediatric client states, "I can't understand God would allow this to happen to my innocent child!" Which NANDA diagnosis is most accurate? 1) Spiritual Distress related to search for meaning of child' illness 2) Impaired Religiosity related to anger at God 3) Ineffective Coping related to anger 4) Risk for Spiritual Distress related to threatened sense of hope
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A dying client states, "Part of what makes dying hard is that I don't know for sure where I'm going. Nurse, what do you believe happens in the hereafter?" Which ethical guideline should guide your response? 1) Never share personal spiritual beliefs. 2) Share all spiritual beliefs, favoring none. 3) Share only your beliefs. 4) First assess for what prompts the client's question.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Which of the following thoughts made by a nurse illustrate a "wounded healer"? 1) "I didn't need that much analgesic when I had abdominal surgery." 2) "No pain, no gain!" 3) "If clients would choose a more positive attitude, they'd feel better." 4) "I felt scared when I had surgery; maybe this client feels similarly."
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A client reports, "Cancer was the best thing that happened to me! It is making me appreciate life so much more." This statement fits best with which NANDA diagnosis? 1) Spiritual Distress 2) Risk for Spiritual Distress 3) Readiness for Enhanced Spiritual Well-Being 4) Cognitive Denial
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." Terry stated that he was "not very religious." Does that mean that he is not spiritual? Explain.
Essay
Answer:
Tags
Choose question tag
close menu
arrow
A client is experiencing severe pain that cannot be controlled by analgesics. An appropriate intervention is full presencing, which involves which of the following? 1) Physical presence 2) Physical presence with mental awareness of the client 3) Physical, mental, and emotional presence 4) Physical, mental, emotional, and spiritual presence
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A client's wife asks the nurse to pray for her. What would be the best initial response for a nurse who believes in prayer? 1) "May I call the chaplain to come and pray with you?" 2) "I know your faith is important to you. It is to me, too. Let's pray." 3) "I'm happy to do that. For what would you like me to pray?" 4) "Isn't it wonderful that we have a God with whom we can share our concerns?"
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A client in the emergency department needs a transfusion of red blood cells. The client tells the nurse that, as a Jehovah's Witness, blood transfusions are not permitted. Which statement would most likely lead to a resolution for this conflict? 1) You must accept the transfusion or else leave. 2) Don't worry, you can ask for pardon after taking the blood. 3) May I please call a representative of your religion so that I can understand your position better? 4) I understand your position; I'll be here with you as you die.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Research evidence that supports providing spiritual care to older adults suggests that 1) Older adults are not very religious, but are very spiritual. 2) Older adults who are more religious have more illness. 3) Spiritual health and mental health are correlated. 4) Increased spiritual well-being is found among older adults with depression.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, "I might as well die right now because I'm not going to get well. My folks were Methodist, but I guess I'm being punished because I'm not very religious." What might you say to show Terry empathy?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
When planning care for an older client residing in your skilled nursing facility who is searching to make life meaningful, which nursing action would be most beneficial? 1) Assess for depression. 2) Diagnose and document that the client has "spiritual distress." 3) Keep the client busy with social activities. 4) Explore with the client desired legacy.
Multiple Choice
Answer:
Tags
Choose question tag
close menu