A 76 year old patient has just been admitted to the nursing unit
with terminal cancer of the liver. The nurse is assessing the
patient's spiritual needs and responds best by saying:
a. "What do you believe happens to your spirit when you die?"
b. "We would allow members of your church to visit you
whenever you desire"
c. "I notice you have a Bible- is that a source of spiritual
strength to you?"
d. Has your terminal condition made you lose your faith or
beliefs" Correct Answer c. "I notice you have a Bible- is that a
source of spiritual strength to you?"
A Catholic patient receives a meal tray on the Friday before
Easter. Which food item would the nurse offer to substitute?
a. Applesauce
b. Cheese and crackers
c. Spaghetti with meat sauce
d. Tossed salad with ranch dressing Correct Answer c.
Spaghetti with meat sauce
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 would the nurse respond to such a request?
a. Ask the patient to finish his prayers early.
b. Offer to pray on his behalf so the operation is on time.
c. Ask the family to persuade the patient to be on time for
surgery.
,d. Agree to the patient's request and postpone surgery. Correct
Answer d. Agree to the patient's request and postpone surgery.
A nurse assigned to the neonatal intensive care unit (NICU) has
spent most of a day working with a critically ill infant, with the
mother standing by. The infant experiences a cardiac arrest and
does not survive. The mother spends an hour crying and holding
the baby, saying good-bye. Which spiritual care interventions
are most appropriate for the nurse to implement? Select all that
apply.
a. If desired, briefly hold the baby to say good-bye after the
mother leaves
b. Follow procedures to prepare the body for transport to the
morgue
c. Visit the mother the next day to see how she is doing
d. Call the family spiritual adviser or the chaplain
e. Ask the mother if you could call a family member or friend to
be with her Correct Answer a, d, and e
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." Which kind of
spiritual belief does this patient exhibit?
a. Hope
b. Self-transcendence
c. Transcendence
d. Agnosticism Correct Answer a. Hope
,A patient is scheduled for a chemotherapy treatment and asks
the nurse to pray. Which intervention would be appropriate for a
nurse who is not accustomed to praying?
a. Arrange for the chaplain to pray with the patient since the
nurse is busy.
b. Ask the family members to pray with the patient instead of
the nurse.
c. Ask if there is anything else that can be done for the patient at
this time.
d. Maintain a respectful silence and allow the patient to lead all
the prayers. Correct Answer d. Maintain a respectful silence
and allow the patient to lead all the prayers.
A patient states, "My religion does not permit me to bathe
today." Which nursing action would be appropriate?
a. Tell the patient that the health care provider has prescribed a
bath today.
b. Insist that a bath be taken because it is the patient's scheduled
bath day.
c. Call an appropriate clergyperson and ask whether the patient
is telling the truth.
d. Request a clarification of the patient's beliefs and adapt a plan
for bathing accordingly Correct Answer d. Request a
clarification of the patient's beliefs and adapt a plan for bathing
accordingly
A patient suffering from a stomachache was diagnosed with
stomach cancer. Which actions are health-promoting measures
that a nurse may adopt? Select all that apply.
a. Establishing presence
b. Mobilizing hope for the patient
, c. Solving the patient's problems with quick remedies
d. Helping the patient use social and spiritual resources
e. Misinterpreting the illness to make it acceptable to the patient
Correct Answer a, b, and d
A patient was diagnosed with cervical cancer and underwent a
hysterectomy. During recovery, the patient states, "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." Which reality
does this reaction suggest?
a. Atheism due to illness
b. Spiritual distress due to loss of purpose in life
c. Awareness about loss of uterus
d. Risk of spiritual distress due to surgery Correct Answer b.
Spiritual distress due to loss of purpose in life
A patient who is a Jehovah's Witness was brought to the
emergency room and requires a blood transfusion. Which
nursing action would be taken in such a situation?
a. An immediate blood transfusion should be started.
b. The patient's family should be notified of the situation.
c. Only red blood cells should be transfused.
d. The patient should be asked to decide about the transfusion.
Correct Answer d. The patient should be asked to decide about
the transfusion.
agnostic Correct Answer one who believes that the existence of
a god can be neither proven nor disproven
Although not all members of a religion will always practice in
the same way, the nurse realizes that there are some
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