NRSG 312: Taylor Ch. 46 NCLEX
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A hospice nurse is caring for a patient who is dying of pancreatic cancer. The patient tells the nurse
"I feel no connection to God" and "I'm worried that I find no real meaning in life." What would be the
nurse's best response to this patient?
a. Give the patient a hug and tell him that his life still has meaning.
b. Arrange for a spiritual adviser to visit the patient.
c. Ask if the patient would like to talk about his feelings.
d. Call in a close friend or relative to talk to the patient. ANS✔✔ c
A nurse who was raised as a strict Roman Catholic but who is no longer a practicing Catholic stated
she couldn't assist patients with their spiritual distress because she recognizes only a "field power" in
each person. She said, "My parents and I hardly talk because I've deserted my faith. Sometimes I feel
real isolated from them and also from God—if there is a God." Analysis of these data reveals which
unmet spiritual need?
a.Need for meaning and purpose
b.Need for forgiveness
c. Need for love and relatedness
d.Need for strength for everyday living ANS✔✔ C
A nurse is performing spirituality assessments of patients living in a long-term care facility. What is
the best question the nurse might use to assess for spiritual needs?
a.Can you describe your usual spiritual practices and how you maintain them daily?
b.Are your spiritual beliefs causing you any concern?
c.How can I and the other nurses help you maintain your spiritual practices?
d.How do your religious beliefs help you to feel at peace? ANS✔✔ c
, 2024/2025
A patient whose last name is Goldstein was served a kosher meal ordered from a restaurant on a
paper plate because the hospital made no provision for kosher food or dishes. Mr. Goldstein became
angry and accused the nurse of insulting him: "I want to eat what everyone else does—and give me
decent dishes." Analysis of these data reveals what finding?
a. The nurse should have ordered kosher dishes also.
b. The staff must have behaved condescendingly or critically.
c. Mr. Goldstein is a problem patient and difficult to satisfy.
d. Mr. Goldstein was stereotyped and not consulted about his dietary preferences. ANS✔✔ D
A nurse working in an emergency department assesses how patients' religious beliefs affect their
treatment plan. With which patient would the nurse be most likely to encounter resistance to
emergency lifesaving surgery?
a. A patient of the Adventist faith
b. A patient who practices Buddhism
c. A patient who is a Jehovah's Witness
d. A patient who is an Orthodox Jew ANS✔✔ C
The Roman Catholic family of a baby who was born with hydroencephalitis requests a baptism for
their infant. Why is it imperative that the nurse provides for this baptism to be performed?
a. Baptism frequently postpones or prevents death or suffering.
b. It is legally required that nurses provide for this care when the family makes this request.
c. It is a nursing function to assure the salvation of the baby.
d. Not having a Baptism for the baby when desired may increase the family's sorrow and suffering.
ANS✔✔ d
A nurse is caring for patients admitted to a long-term care facility. Which nursing actions are
appropriate based on the religious beliefs of the individual patients? Select all that apply.
a.The nurse dietitian asks a Buddhist if he has any diet restrictions related to the observance of holy
days.
b. A nurse asks a Christian Scientist who is in traction if she would like to try nonpharmacologic
pain measures.
c.A nurse administering medications to a Muslim patient avoids touching the patient's lips
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