Exam 6: Spiritual Issues

A group of nurses disagrees about whether or not to make spirituality a part of the assessment. Which statement provides a compelling argument in favor of including spiritual assessment?

What information about a patient's perceptions and values would the nurse obtain by using questions from the HOPE tool? Select all that apply.

A patient tells the nurse, "I make decisions each day that have a positive effect on my life." This statement is most closely related to the spiritual construct of:

A nurse provides spiritual care for a patient awaiting a liver transplant. The nurse should anticipate that the patient's most likely response will be:

A patient says, "I am a Christian." The nurse understands that Christianity includes which groups? Select all that apply.

What is the predominant religious tradition in the United States?

The spouse of a psychiatric patient says, "This mental illness should not have happened. I tried to teach the importance of professing faith in God and getting converts, but my partner rejected them. Those practices keep me well. It's the only way to live." The nurse can assess that the spouse is demonstrating:

A depressed patient expresses feelings of hopelessness, helplessness, and powerlessness. The patient's spiritual distress is related to an inability to:

The patient says, "I know I'm very sick right now, but I trust that God will make me better." Based on this statement, the nurse can assess the patient's spirituality as being based in:

Which statement by a mentally ill patient best exemplifies sick religiosity?

An African-American caregiver says, "Both of my parents have dementia. I find it so difficult to care for them because of their disabilities. I get depressed and hopeless thinking about it. Can you give me any suggestions for coping?" Before making suggestions, the nurse should assess:

A patient with major depression shows the nurse a passage in the Bible and says, "How do you think this verse relates to me?" The nurse is unfamiliar with the verse and unsure how to respond. Select the nurse's best action.

A patient diagnosed with schizophrenia complains of demon voices coming through the television. Which statement by the nurse providing spiritual care would be most comforting to the patient?

A patient moans, "God wants me to suffer, but I don't know why. I feel like an outcast. I should have never been born." Which nursing diagnosis applies?

A new nurse asks the mentor, "How can I help meet patients' spiritual needs?" Select the mentor's best responses. "Patients have reported that what they want most is for a spiritual care provider to (select all that apply):

A patient says, "I know I need religion in my life, but I don't know how to find God. I feel I have been abandoned." The nurse should assess for a childhood history of:

A patient diagnosed with schizophrenia, paranoid type, has been suspicious of staff since admission. The patient visits with a chaplain but then tells the nurse, "Don't send any more preachers." What is the most likely reason for the patient's reaction?

A patient diagnosed with schizophrenia says, "I am a reincarnation of Jesus. I can raise the dead." The most qualified person for the nurse to refer the patient would be a:

On the admission papers, a patient checked the box labeled "No religious affiliation." What meaning can the nurse draw from this information? The patient: