Exam (elaborations)
Chapter 22 Spiritual Health
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 22 Spiritual Health
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DAWITChapter 22: Spiritual Health
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. 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?
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.‖
ANS: C
Although there is some truth to all options, several regulatory groups list conducting a
spiritual assessment as a vital skill for nurses, including the American Association of Colleges
of Nursing, The Joint Commission, and the American Nurses Association.
DIF: Understanding OBJ: 22.3 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs
as a priority?
a. New mother, older child at home.
b. Faces terminal diagnosis.
c. Needs to change medicatN . I G B.C M
ionsR
d. Pleasant but quiet. U S N T O
ANS: B
There are many cues to alert the nurse that a patient might have unmet spiritual needs,
including facing a terminal illness. The nurse should conduct spiritual assessments on all
patients, but this one is the priority.
DIF: Analyzing OBJ: 22.3 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
3. A patient has the Nursing diagnosis Spiritual Distress. What assessment by the patient best
indicates that an important goal has been met?
a. Observed praying quietly.
b. Indecisive about treatment.
c. Asks nurse if God exists.
d. Executes living will.
ANS: A
Patients may have spiritual distress when facing situations that threaten their meaning and
purpose in life, such as in the face of a terminal diagnosis. Patients often express anger,
frustration, neediness, or crying. The patient who has worked through this situation and is able
to pray has best shown goal attainment. Indecision and questioning do not indicate the
resolution of this diagnosis. Executing a living will may be an indication of pragmatism.
NURSINGTB.COM
, DAWIT
DIF: Evaluating OBJ: 22.5 TOP: Evaluation
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
4. The nurse concerned about a patient‘s spiritual needs can best address this by which action?
a. Leaving a note on the chart for other professionals
b. Calling the chaplain to come see the patient
c. Collaborating during interdisciplinary rounds
d. Informing the provider of the patient‘s needs
ANS: C
Spiritual care must be multidisciplinary to be most effective. The nurse best addresses
patients‘ spiritual needs by discussing them during interdisciplinary rounds.
DIF: Applying OBJ: 22.6 TOP: Communication and Documentation
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
5. A patient is hesitating to accept a blood transfusion as a course of treatment. What Nursing
diagnosis is most appropriate for this patient?
a. Spiritual distress
b. Anxiety
c. Moral distress
d. Decisional conflict
ANS: C
Moral distress is cultural conflict between medical treatment and religious beliefs, expressions
of concern about rejection by religious community, hesitation in accepting blood transfusion.
The other diagnoses are not related.
N R I G B.C M
DIF: Applying OBJ: 22.5U S N TOP: T Planning
O
MSC: NCLEX Client Needs Category: Psychosocial Needs NOT: Concepts: Culture
6. A patient is finding conflict when trying to maintain personal beliefs while making health care
decisions. What Nursing diagnosis is a priority as the nurse plans care?
a. Spiritual distress
b. Impaired religiosity
c. Moral distress
d. Decisional conflict
ANS: D
Decisional conflict is unclear personal beliefs, questioning of personal beliefs while making
decisions, delayed decision making. The other diagnoses may exist as well, but they are not
manifested by this conflict.
DIF: Analyzing OBJ: 22.5 TOP: Planning
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture
7. 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?
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.
NURSINGTB.COM
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