Question 1

A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best?

Accepted Answer

A)  Apply for a job transfer to another unit. 
B)  Consult with the hospital chaplain. 
C)  Make an appointment with Employee Assistance. 
D)  Ask other nurses how they deal with the stress. 
A)  Apply for a job transfer to another unit. 
B)  Consult with the hospital chaplain. 
C)  Make an appointment with Employee Assistance. 
D)  Ask other nurses how they deal with the stress. B

Question 2

The student nurse learns that spirituality consists of practices that lead to connection to which items?

Accepted Answer

A)  Other people 
B)  Nature 
C)  Religious institutions 
D)  Oneself 
E)  Higher power 
A)  Other people 
B)  Nature 
C)  Religious institutions 
D)  Oneself 
E)  Higher power A, D, E

Question 3

A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting?

Accepted Answer

A)  Praying five times a day 
B)  Having privacy 
C)  Personal cleanliness 
D)  Giving alms 
E)  Maintaining modesty 
A)  Praying five times a day 
B)  Having privacy 
C)  Personal cleanliness 
D)  Giving alms 
E)  Maintaining modesty A

Question 4

The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?

Accepted Answer

A)  New mother, older child at home. 
B)  Faces terminal diagnosis. 
C)  Needs to change medications. 
D)  Pleasant but quiet. 
A)  New mother, older child at home. 
B)  Faces terminal diagnosis. 
C)  Needs to change medications. 
D)  Pleasant but quiet.

Question 5

A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best?

Accepted Answer

A)  Care for own spiritual needs. 
B)  Begin a meditation practice. 
C)  Consult the chaplain. 
D)  Read books on the subject. 
A)  Care for own spiritual needs. 
B)  Begin a meditation practice. 
C)  Consult the chaplain. 
D)  Read books on the subject.

Question 6

A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?

Accepted Answer

A)  Offering the family written information on grief support groups. 
B)  Asking the family if there is someone the nurse can call for them. 
C)  Having the hospital social worker or chaplain sit with the family. 
D)  Offering to stay with the family during this difficult time. 
A)  Offering the family written information on grief support groups. 
B)  Asking the family if there is someone the nurse can call for them. 
C)  Having the hospital social worker or chaplain sit with the family. 
D)  Offering to stay with the family during this difficult time.

Question 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?

Accepted Answer

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. 
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.

Question 8

A home health care nurse has been working with a patient who has the Nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met?

Accepted Answer

A)  Ask the patient to what extent he/she feels goals have been met. 
B)  Ask the patient to rate the distress on a scale of 1 to 10. 
C)  Assess for objective data to support goal attainment. 
D)  Determine if the patient thinks the interventions are helpful. 
A)  Ask the patient to what extent he/she feels goals have been met. 
B)  Ask the patient to rate the distress on a scale of 1 to 10. 
C)  Assess for objective data to support goal attainment. 
D)  Determine if the patient thinks the interventions are helpful.

Question 9

The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance?

Accepted Answer

A)  Catholicism 
B)  Native American 
C)  Hinduism 
D)  Greek Orthodox 
E)  Buddhism 
A)  Catholicism 
B)  Native American 
C)  Hinduism 
D)  Greek Orthodox 
E)  Buddhism

Question 10

A patient who claims to be very involved in church is near death. What action by the nurse is best?

Accepted Answer

A)  Get permission to contact the religious leader. 
B)  Allow the family to stay at the patient's bedside. 
C)  Call the hospital chaplain to come to the bedside. 
D)  Ask if the patient and family want to pray. 
A)  Get permission to contact the religious leader. 
B)  Allow the family to stay at the patient's bedside. 
C)  Call the hospital chaplain to come to the bedside. 
D)  Ask if the patient and family want to pray.

Question 11

The student nurse asks why spirituality is important in health care. What response by the registered nurse is best?

Accepted Answer

A)  "All people have a spiritual aspect to their beings." 
B)  "Spirituality affects behavior, which also affects health." 
C)  "Knowledge of it is needed to understand a patient holistically." 
D)  "People who are less spiritual have worse outcomes." 
A)  "All people have a spiritual aspect to their beings." 
B)  "Spirituality affects behavior, which also affects health." 
C)  "Knowledge of it is needed to understand a patient holistically." 
D)  "People who are less spiritual have worse outcomes."

Question 12

A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best?

Accepted Answer

A)  Insert a feeding tube and provide enteral feedings. 
B)  Ask the provider about Total Peripheral Nutrition. 
C)  Call the patient's religious leader for advice. 
D)  Tell the patient he has to eat to get better. 
A)  Insert a feeding tube and provide enteral feedings. 
B)  Ask the provider about Total Peripheral Nutrition. 
C)  Call the patient's religious leader for advice. 
D)  Tell the patient he has to eat to get better.

Question 13

Which actions by a nurse constitute spiritual care?

Accepted Answer

A)  Baptizing a critically ill child per the parent's request 
B)  Leaving the room, giving the patient and family privacy for prayer 
C)  Considering developmental stage when planning care 
D)  Notifying the hospital chaplain of a patient's request 
E)  Praying with patients and families when requested 
A)  Baptizing a critically ill child per the parent's request 
B)  Leaving the room, giving the patient and family privacy for prayer 
C)  Considering developmental stage when planning care 
D)  Notifying the hospital chaplain of a patient's request 
E)  Praying with patients and families when requested

Question 14

The nurse who incorporates the HOPE framework assesses a Native American patient for which of the following?

Accepted Answer

A)  Desire for shaman to be present 
B)  Personal use of herbs and prayers 
C)  Desire to create a living will 
D)  Power of storytelling for healing 
E)  Involvement in church activities 
A)  Desire for shaman to be present 
B)  Personal use of herbs and prayers 
C)  Desire to create a living will 
D)  Power of storytelling for healing 
E)  Involvement in church activities

Question 15

The nursing student learns which facts about religion and spirituality?

Accepted Answer

A)  Spirituality focuses on the meaning of life to people. 
B)  Religion and spirituality are mutually exclusive. 
C)  Religion implies an organized way of worship. 
D)  Religion provides the structure by which to understand spirituality. 
E)  Spirituality is an individual practice that does not include others. 
A)  Spirituality focuses on the meaning of life to people. 
B)  Religion and spirituality are mutually exclusive. 
C)  Religion implies an organized way of worship. 
D)  Religion provides the structure by which to understand spirituality. 
E)  Spirituality is an individual practice that does not include others.

Question 16

The nurse assessing a patient using the SPIRIT framework would ask which questions?

Accepted Answer

A)  "Do you follow a particular religion?" 
B)  "How involved in your church are you?" 
C)  "Are there any practices I can help you with?" 
D)  "How will your religion affect your care?" 
E)  "What gives you hope in bad situations?" 
A)  "Do you follow a particular religion?" 
B)  "How involved in your church are you?" 
C)  "Are there any practices I can help you with?" 
D)  "How will your religion affect your care?" 
E)  "What gives you hope in bad situations?"

Question 17

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?

Accepted Answer

A)  Spiritual distress 
B)  Impaired religiosity 
C)  Moral distress 
D)  Decisional conflict 
A)  Spiritual distress 
B)  Impaired religiosity 
C)  Moral distress 
D)  Decisional conflict

Question 18

A patient is hesitating to accept a blood transfusion as a course of treatment. What Nursing diagnosis is most appropriate for this patient?

Accepted Answer

A)  Spiritual distress 
B)  Anxiety 
C)  Moral distress 
D)  Decisional conflict 
A)  Spiritual distress 
B)  Anxiety 
C)  Moral distress 
D)  Decisional conflict

Question 19

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?

Accepted Answer

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." 
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."

Question 20

The student using the FICA Spiritual Health Assessment will consider which factors?

Accepted Answer

A)  Faith and belief 
B)  Focused practices 
C)  Importance of faith 
D)  Faith community involvement 
E)  Address spirituality in care 
A)  Faith and belief 
B)  Focused practices 
C)  Importance of faith 
D)  Faith community involvement 
E)  Address spirituality in care

Exam 22: Spiritual Health

A nurse works in a pediatric oncology unit and is feeling depressed and discouraged. What initial action by the nurse is best?

The student nurse learns that spirituality consists of practices that lead to connection to which items?

A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting?

The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?

A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best?

A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?

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 home health care nurse has been working with a patient who has the Nursing diagnosis Spiritual Distress. After a few weeks of implementing the care plan, what method is best for the nurse to determine if goals have been met?

The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance?

A patient who claims to be very involved in church is near death. What action by the nurse is best?

The student nurse asks why spirituality is important in health care. What response by the registered nurse is best?

A patient, who is an adherent Muslim, is in a burn unit with severe burns. The patient has high caloric requirements but is refusing to eat during Ramadan. What action by the nurse is best?

Which actions by a nurse constitute spiritual care?

The nurse who incorporates the HOPE framework assesses a Native American patient for which of the following?

The nursing student learns which facts about religion and spirituality?

The nurse assessing a patient using the SPIRIT framework would ask which questions?

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 patient is hesitating to accept a blood transfusion as a course of treatment. What Nursing diagnosis is most appropriate for this patient?

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?

The student using the FICA Spiritual Health Assessment will consider which factors?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception Through Adolescence

Human Development: Young Adult Through Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Public Health, Community-Based, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

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