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NUR 108 ( LATEST 2024 / 2025 ) CH 46 SPIRITUALITY | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 108 ( LATEST 2024 / 2025 ) CH 46 SPIRITUALITY | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 108 Ch 46 Spirituality1. A college foreign exchange student is living with a family in England and is confused about
the daily Catholic prayers and rituals of the family. The student longs for the comfort of her
fundamentalist Protestant practices and reports to the campus nurse for direction. The nurse
recognizes the student is experiencing which type of spiritual distress?
Spiritual alienation
Spiritual guilt
Spiritual anger
Spiritual loss
Answer
Spiritual alienation
Explanation
Spiritual alienation occurs when an individual is separated from one's faith community.
Spiritual guilt is the failure to live according to religious rules. Spiritual anger
is the inability to accept illness. Spiritual loss occurs when one is not able to find comfort in
religion.
2. A dying client requests that the nurse pray with him. The nurse is not accustomed to praying
aloud but is comfortable praying silently. What is the best approach for this nurse to follow to
pray with this client?
The nurse should select a formal prayer or Bible passage to use to pray aloud.
The nurse shoulddefer the client's request to pray.
The nurse should inform the client that she will pray for the client but not with him.
The nurse should ask the client's roommate to pray with the client.
Answer
The nurse should select a formal prayer or Bible passage to use to pray aloud.
Explanation
A nurse unaccustomed to praying aloud or in public may find it helpful to have a Bible passage or
formal prayer readily available for praying. If the nurse is not comfortable praying with the client,
they should call the hospital chaplain or find another individual who is comfortable.
,3. Mr. Baker is an 81-year-old patient who can no longer live alone safely and is being
admitted to a long-term-care facility. He grew a large garden every summer and took pleasure
in sharing the produce with neighbors. He now tells the nurse that he feels he is of no use to
anyone. The nurse knows that this is related to which of the following spiritual needs believed to
be common to all people?
Need for meaning and purpose
Need for love and relatedness
Need for basic necessities of life
Need for forgiveness
Answer
Need for meaning and purpose
Explanation
According to Shelly and Fish (1988), the three spiritual needs underlying all religious traditions
and common to all people are the need for meaning and purpose, the need for love and relatedness,
and the need for forgiveness. The client is experiencing the need for meaning and purpose. The
garden provided a needed element for the client to provide for others. The need for love and
relatedness is have a sense of companionship. The need for forgiveness is reconciling with
others. Basic necessities are something necessary or indispensable such as food, water, and
shelter.
4. The nurse is on the third day of caring for a client who recently underwent a colectomy.
During the physical assessment, a discussion about spirituality develops. The client reports
feeling some guilt about being in the hospital because her religion opposes modern science,
including medicine. The nurse recognizes this as a belief of which of the following groups?
Buddhism
Baha'i International
Community Mormon
Jehovah's Witnesses
Answer
Jehovah's Witnesses
Explanation
Jehovah's Witnesses oppose the "false teachings" of other sects; opposition often extends to
modern science, including medicine. The Baha'i International Community believes in a
, basicharmony between religion and science. Buddhists believe in the Four Noble Truths
and the Noble Eightfold Path. Mormons believe in divine healing through the "laying on of
hands".
5. The nurse is caring for Mr. Z., a 55-year-old man admitted to the hospital for liver failure. He
is an active member in the Latter-Day Saints (Mormon) church. Mr. Z. tells the nurse that he
strictly adheres to the religious practices that are condoned by the church. However, the nurse
overhears two of his physicians discussing that Mr. Z.'s liver failure is likely due to chronic
alcohol use. The nurse suspects that they are wrong. Which of the following is an appropriate
nursing activity?
Know that the physicians are wrong; the Mormon faith does not permit alcohol use.
Engage Mr. Z. in a discussion about past and present religious practices.
Accuse Mr. Z. of lyingand find out why he lied.
Order several laboratory tests looking for genetic defects that affect the liver.
Answer
Engage Mr. Z. in a discussion about past and present religious practices.
Explanation
A client's current religious practice is not necessarily indicative of lifelong practices.
Talk with Mr. Z about his lifelong religious practice. As a result, useful information may be
uncovered that will help to guide the plan of care.
6. To obtain subjective data related to a 16-year-old client's spirituality, the nurse should
ask the client's parents if the client attends services.
observe whether the client reads religiousmaterial.
ask the client if religion or a higher being is significant.
document the number of times a minister visits.
Answer
ask the client if religion or a higher being is significant.
Explanation
In a spiritual assessment, the nurse may ask if religion or God is significant to the client.
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