Question 1

A patient refuses to remove a religious headscarf when being bathed.Which is appropriate action of the nurse?

Accepted Answer

To care for and meet the spiritual needs of your patients,it is essential to respect each patient's personal beliefs.People experience the world and find meaning in life in different ways and the spiritual garment has meaning for the patient.Caring for your patients' spiritual needs requires you to be compassionate and remove any personal biases or misconceptions.You need to recognize that not all patients have spiritual problems.Patients bring certain spiritual resources that help them assume healthier lives,recover from illness,or face impending death.

Question 2

Which nursing interventions are appropriate for a terminally ill patient who is a devout Jew?

Accepted Answer

Sabbath services are very important for people of Jewish faith so the nurse should attempt to facilitate bedside Sabbath services for the patient and the family members.Constant vigil at the bedside is also very important so the nurse should allow the patient's family to maintain a vigil throughout the day and night.Life support is often discouraged within the Jewish faith and the nurse must respect the wishes of the patient and family.It would only be appropriate for the nurse to arrange for a minister to provide the sacrament of anointing of the sick when the patient is Catholic and requests to receive the sacrament.Muslims do not eat anything from dawn until sunset during the month of Ramadan.Providing snacks and meals for the patient and family only from sunset until dawn would be inappropriate for a Jewish patient and family.

Question 3

The patient is distressed because hospitalization has prevented participation in church services and adherence to important prayer rituals.Which nursing diagnosis is most appropriate for this patient?

Accepted Answer

Impaired religiosity is an appropriate diagnosis for this patient because hospitalization has prevented participation in the patient's religious services.Nothing in the scenario indicates that the patient is noncompliant,has experienced discrimination,or is delirious.

Question 4

The nurse is caring for a patient with the nursing diagnosis impaired religiosity related to inability to participate in religious services while hospitalized.Which nursing intervention is most appropriate for this patient?

Accepted Answer

The patient is distressed because of the inability to participate in religious services while hospitalized.The best way for the nurse to address the religious need of the patient is to call the patient's religious leader to coordinate bedside services for the patient.This will facilitate meeting the patient's religious needs.Helping the patient to list values and using therapeutic touch will not meet the patient's religious needs.Encouraging the patient to focus on physical healing before meeting spiritual needs minimizes the patient's priorities and may be seen as condescending.

Question 5

A nurse is caring for a patient who survived cardiopulmonary resuscitation after almost drowning.How can the nurse best help the patient to deal with the aftereffects of the experience?

Accepted Answer

After patients have survived a near-death experience (NDE),promote spiritual well-being by remaining open,giving patients a chance to explore what happened,and supporting patients as they share the experience with significant others.Patients who have an NDE are often reluctant to discuss it,thinking family or caregivers will not understand.Isolation and depression often occur.Furthermore,not all NDEs are positive experiences.However,individuals experiencing an NDE who discuss it openly with family or caregivers find acceptance and meaning from this powerful experience.

Question 6

Which assessment finding leads the nurse to include hopelessness as a nursing diagnosis in the patient's plan of care?

Accepted Answer

Hope is energizing,giving individuals a motivation to achieve and the resources to use toward that achievement.The patient experiences hopelessness when there is no motivation or resources to achieve any life goals.Religion refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality.Faith involves a belief in a higher power,spirit guide,God,or Allah.Spirituality offers a sense of connectedness.Spirituality is unique for each person.It is a unifying theme in life and a state of being.

Question 7

A patient who survived a near-death experience tells the nurse about feeling a deep sense of peace,light,and unconditional love while watching the health care providers perform resuscitation procedures.Which is the best response of the nurse?

Accepted Answer

Patients who survive near-death experiences relate comparable experiences during resuscitation efforts.The nurse should reassure the patient that similar to those reported by others who have survived near-death experiences.The patient's experiences were not hallucinations or due to side effects of medications.The patient does not show any evidence of fearing suffering associated with the dying process.

Question 8

Which action by the nurse is appropriate for a family with a terminally ill newborn?

Accepted Answer

Nurses need to differentiate their personal spiritual beliefs from those of the patients and their families.The nurse's role is not to solve the spiritual problems of patients,but to provide an environment for your patients to express their spirituality.Having the baby baptized or calling the rabbi indicates that the nurse is applying personal spiritual values on the patient and family.Calling the chaplain assumes that the patient and family value a religious denomination.

Question 9

The nurse is caring for a patient who expresses anger about being abandoned and unloved by God since becoming ill.Which nursing diagnosis is appropriate for this patient?

Accepted Answer

The nursing diagnosis spiritual distress related to perceived alienation from God is appropriate for this patient due to feelings of alienation from God since becoming ill.The patient scenario does not indicate social or physical isolation,impaired memory,or hallucinations.Feeling abandoned by God is not a hallucination.

Question 10

The nurse feels a deep sense of altruism and wonderment after successfully resuscitating a young athlete who suddenly collapsed in cardiac arrest.Which term best describes the sensation experienced by the nurse?

Accepted Answer

Self-transcendence refers to connecting to your inner self,which allows you to go beyond yourself to understand the meanings of experiences,whereas transcendence is the belief that there is a positive force outside of and greater than oneself that allows you to develop new perspectives that are beyond physical boundaries.Spiritual distress is suffering due to lack of connectedness with a faith system.The nurse did not experience holy conviction or divine expectation.

Question 11

Which term is used to describe a person who does not believe in the existence of a higher power but has had a meaningful life by contributing to the lives of others?

Accepted Answer

An atheist is a person who does not believe in the existence of a higher power or Supreme Being.Atheists search for meaning in life through their work and relationships with others.A humanist is devoted to the study of human nature and human welfare.A fatalist believes that all events were predetermined.A deist believes that God created the world but does not control how it functions.

Quiz 22: Spiritual Health