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Review Questions: Spiritual Health

Terms in this set (10)

The nurse is caring for a patient who has just had a near-death experience (NDE) following a cardiac arrest. Which intervention by the nurse best promotes the spiritual well-being of the patient after the NDE?

1. Allowing the patient to discuss the experience
2. Referring the patient to pastoral care
3. Having the patient talk to another patient who had an NDE
4. Offering to pray for the patient
Allowing the patient to discuss the experience
What does FICA stand for?
F—Faith: Tell me if you have a higher power or authority that helps you act on your beliefs.

I—Importance of spirituality: Your illness has kept you from attending church. Is that a problem for you?

C—Community: To whom do you go for support in times of difficulty?

A—Address spiritual needs: Describe which activities give you comfort spiritually.
Which statement made by a patient who is recovering after recently experiencing third-degree burns shows connectedness?

1. "My pain medicine helps me feel beer."
2. "I know I will get beer if I just keep trying."
3. "I see God's grace and become relaxed when I watch the sun set at night."
4. "I feel so much closer to God after I read my Bible and pray."
"I feel so much closer to God after I read my Bible and pray."
A nurse is caring for a patient who is Muslim and has diabetes. Which of the following items does the nurse need to remove from the meal tray when it is delivered to the patient?

1. Small container of vanilla ice cream
2. A dozen red grapes
3. Bacon and eggs
4. Garden salad with ranch dressing
Bacon and eggs
A 44-year-old male patient has just been told that his wife and child were killed in an auto accident while coming to visit him in the hospital. Which of the following statements are assessment findings that support a nursing diagnosis of Spiritual Distress related to loss of family members? (Select all that apply.)

1. "I need to call my sister for support."
2. "I have nothing to live for now."
3. "Why would my God do this to me?"
4. "I need to pray for a miracle."
5. "I want to be more involved in my church."
"I have nothing to live for now."

"Why would my God do this to me?"
A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. The nurse has been caring for her for only 2 hours but has a good relationship with her. What is the most appropriate intervention for support of her spiritual well-being at this time?

1. Make a referral to a professional spiritual care adviser.
2. Sit down and talk with the patient; have her discuss her feelings and listen attentively.
3. Move the patient's Bible from her bedside cabinet drawer to the top of the over-bed table.
4. Ask the patient whether she would like to learn more about the implications of having this type of tumor.
Sit down and talk with the patient; have her discuss her feelings and listen attentively.
A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation. Which of the following strategies are appropriate? (Select all that apply.)

1. Encourage family members to participate in the exercise.
2. Have patient identify a quiet room in the home that has minimal interruptions.
3. Suggest the use of a quiet fan running in the room.
4. Explain that it is best to meditate about 5 minutes 4 times a day.
5. Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer.
Have patient identify a quiet room in the home that has minimal interruptions,
Suggest the use of a quiet fan running in the room,
Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer.
A nursing student is developing a plan of care for a 74-year-old- female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.)

1. Older adults do not routinely use complementary medicine to cope with illness.
2. Older adults dislike discussing the afterlife and what might have happened to people who have passed on.
3. Older adults achieve spiritual resilience through frequent expressions of gratitude.
4. Have the patient determine whether her husband left a legacy behind.
5. Offer the patient her choice of rituals or participation in exercise.
Older adults achieve spiritual resilience through frequent expressions of gratitude.

Have the patient determine whether her husband left a legacy behind.

Offer the patient her choice of rituals or participation in exercise.
A nurse used spiritual rituals as an intervention in a patient's care. Which of the following questions is most appropriate to evaluate its efficacy?

1. Do you feel the need to forgive your wife over your loss?
2. What can I do to help you feel more at peace?
3. Did either prayer or meditation prove helpful to you?
4. Should we plan on having your family try to visit you more often in the hospital?
Did either prayer or meditation prove helpful to you?
The nurse is caring for a 50-year-old woman visiting the outpatient medicine clinic. The patient has had type 1 diabetes since age 13. She has numerous complications from her disease, including reduced vision, heart disease, and severe numbness and tingling of the extremities. Knowing that spirituality helps patients cope with chronic illness, which of the following principles should the nurse apply in practice? (Select all that apply.)

1. Pay attention to the patient's spiritual identity throughout the course of her illness.
2. Select interventions that you know scientifically support spiritual well-being.
3. Listen to the patient's story each visit to the clinic, and offer a compassionate presence.
4. When the patient questions the reason for her long-time suffering, try to provide answers.
5. Consult with a spiritual care adviser, and have the adviser recommend useful interventions.
Pay attention to the patient's spiritual identity throughout the course of her illness.

Listen to the patient's story each visit to the clinic, and offer a compassionate presence.
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