Exam 30: Spirituality

The nurse is assessing a client's spirituality.Which findings indicate the client is experiencing spiritual strength? Select all that apply.

The nurse is admitting a client to the medical unit who was brought to the emergency department by a neighbor.The client states,"I ran out of my medication last week.I don't have any family or close friends to help me." Upon assessment,the nurse notes the following findings: oxygen saturation of 93% on room air,breath sounds reveal crackles bilateral bases,P 110 bpm,R 22 breaths per min,BP 110/60 mmHg.Which is the priority psychosocial nursing diagnosis for this client?

A client,learning that her baby has died in utero,is planning to carry the baby until natural delivery because abortion is against her religion.Which is the client demonstrating based on this data?

A client,who received a kidney from a young victim of a car accident,states,"Life is so unfair.Why did this young person have to die so that I could receive a kidney to live!" Which observations demonstrate the client has resolved the moral dilemma? Select all that apply.

While helping a client with the evening meal,the nurse observes the client close his eyes,bow his head,and murmur words of thanks and praise.What does this behavior indicate to the nurse?

A client is abstaining from meat and dairy products during Lent and refuses to select these items when making meal choices.Which actions by the nurse support the client's nutritional and religious needs? Select all that apply.

While hospitalized,a client learns that a dear friend has died as a result of an accident.The client is crying and asking God,"Why?" The nurse realizes the client is demonstrating which type of spiritual distress?

The family members of a critically ill client tells the nurse,"We believe in the power of prayer.We will continue to pray that our loved on recovers." Based on this data,which does the nurse realize that the family is demonstrating?

The nursing student is reviewing communication techniques with the instructor.The nursing student is practicing assessment questions regarding spiritual or religious beliefs.Which questions would the nursing instructor identify as appropriate for the nursing student to ask when assessing spiritual beliefs? Select all that apply.

A nurse is admitting a client to the oncology unit.During the admission assessment,when the nurse asks the client about religious preference,the client states,"I am an atheist." The nurse is aware that the client holds which belief?

The family of a terminally ill client requests that the client not be informed of the diagnosis.Which moral principle does the request violate?

While assessing a client's spiritual needs,the nurse asks,"What spiritual beliefs are important to you?" This question represents which step of the FICA assessment model?

A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?

When providing nursing care the client states,"I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body." Which action by the nurse is appropriate when providing care to this client?

The nurse is providing care to a client diagnosed with type 2 diabetes mellitus.The client wishes to take Communion but must fast for one hour prior to receiving it.Which action by the nurse is most appropriate?

The nurse caring for a Muslim client is developing the plan of care.Which intervention would the nurse anticipate to be a priority for this client?

The nurse is preparing to discharge a client from a medical-surgical unit.Which actions by the client indicate that religious needs were met during the hospitalization? Select all that apply.

The nurse is providing care to a Catholic client.Which treatment option may cause this client spiritual distress?

Prior to being discharged,a client tells the nurse,"I think the prescribed treatment is going to work and I am looking forward to celebrating another holiday season in a few months." Which is the client demonstrating with the current behavior?

A client who was raped tells the nurse that she is planning to have an abortion because she cannot raise a child who was conceived this way; however,abortion is against her religion.Which action by the nurse is the most appropriate?