PrepU chapter 46 Spirituality

While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying:

his faith.
his values.
his culture.
his spirituality.
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While interviewing a client, a nurse is told that the client practices Catholicism. This client is identifying:

his faith.
his values.
his culture.
his spirituality.
his faith.

Faith is a term also used to describe a cultural or institutional religion such as Judaism, Islam, Catholicism, or Confucianism. Spirituality refers to anything that pertains to a person's relationship with a higher power or force. Values refer to those beliefs most meaningful to a person. Culture pertains to a person's background.
According to Shelly and Fish (1988), which of the following are spiritual needs underlying all religious traditions that are common to all people? Select all that apply.

Forgiveness
Love and relatedness
Formal religion
Power
Meaning and purpose
Meaning and purpose
Love and relatedness
Forgiveness

According to Shelly and Fish (1988), there are three spiritual needs underlying all religious traditions and common to all people: need for meaning and purpose, need for love and relatedness, and need for forgiveness.
When conducting a spiritual assessment, the nurse must be sensitive to the client's personal beliefs. Which questions should the nurse ask? Select all that apply.

"Is there anyone from your church you would like to talk to?"
"Do you feel your faith is helpful to you?"
"Why do you still not believe in God?"
"Is religion or God significant to you?"
"Why can't you share your feelings with me? I am your nurse."
"Is religion or God significant to you?"
"Do you feel your faith is helpful to you?"
"Is there anyone from your church you would like to talk to?"

Several nurses have developed spiritual assessment tools. Stoll's (1979) Guidelines for Spiritual Assessment is an early widely recognized spiritual assessment tool. This tool is built around a definition of spirituality that encompasses religion and belief in a higher power. It identifies four areas and suggests questions for each: (a) concept of God or deity, (b) source of hope and strength, (c) religious practices and rituals, and (d) relationship between spiritual beliefs and state of health. "Is religion or God significant to you?" is a question asking about the concept of God or deity. "Do you feel your faith is helpful to you?" focuses on the relationship between spiritual beliefs and state of health. "Is there anyone from your church you would like to talk to?" asks about their source of hope and strength. Asking the client why they do not believe in God and why they will not share their belief are questions focusing on belittling and degrading the client.
A client who is admitted to the ER with severe right-sided abdominal pain is diagnosed with appendicitis. The surgeon is called and proceeds to explain the procedure to the client and asks her to sign the consent. The client refuses and informs the doctor that her husband needs to be called to do this. Which of the following religions does this client likely practice?

Islam
Catholicism
Hinduism
Judaism
Islam
Explanation:
Some Muslim women are not allowed to make independent decisions; husbands may need to be present when consent is sought. The other religions, Hinduism, Catholicism, and Judaism, do not restrictions on women to make independent health care decisions.
A bedridden hospitalized client expresses a belief that missing weekly church service is a failure to live by the church's rules. The notes not missing a service in the past 50 years. Which is an appropriate nursing diagnosis for this client?

Dysfunctional Grieving related to inability to attend church services as a result of his medical condition
Spiritual Need as evidenced by verbalizations and distress at missing Methodist church services
Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt
Potential for Enhanced Spiritual Well-Being related to distress at missing Methodist church services
Spiritual Distress related to inability to attend church services evidenced by verbal states of guilt
Explanation:
Persons suffering spiritual dysfunction or distress may verbalize such distress or express a need for help.
While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements?

Spirituality is the behavioral manifestation of religious beliefs.
Religion and spirituality are synonymous.
Spirituality is a recently developed alternative to traditional religious belief.
Religion is a collection of spiritual beliefs and practices.
Religion is a collection of spiritual beliefs and practices.
Explanation:
Spirituality may or may not include religion, which is a codified system of spiritual beliefs. The two terms are not interchangeable, and spirituality is not solely concerned with outward behavior. Spirituality is not necessarily an "alternative" to religion; nor is it a recent development.
A new client is on the hospital unit. He was recently diagnosed with metastatic pancreatic cancer and was told that any treatment would be palliative. He tells a nurse that there is no God that he knows of who would subject someone to this. The client's statement is most reflective of:

depression.
separation from spiritual ties.
spiritual crisis.
change in beliefs.
spiritual crisis.
Explanation:
A spiritual crisis can occur with an acute illness, sudden loss, or a new challenging diagnosis. These turning points often result in the questioning of one's beliefs.
When preparing for a spiritual counselor to visit a hospitalized client, the nurse should:

ask the spiritual counselor to summarize the visit in the client's medical record.
ask to be present during the visit in order to explain any medical information or answer questions about the client's care.
ensure that the counselor is approved by the hospital administration.
take measures to ensure privacy during the counselor's visit.
take measures to ensure privacy during the counselor's visit.
Explanation:
Visits between a client and a spiritual counselor require privacy. The details of the meeting are not typically documented in the client's chart, though the fact that the visit took place is often noted. The nurse may be present during the meeting, but this should take place at the client's request. Spiritual counselors do not require administrative approval; clients and their families are normally able to seek spiritual help from whomever they prefer.
A nurse is assisting a terminally ill female client with bathing. The client tells the nurse that she has great respect and faith in a particular spiritual leader. The nurse interprets this information as fulfilling which need for the client?

living a longer life
power to perform miracles
sense of security for present and future
financial strength and support
sense of security for present and future
Explanation:
Whatever the spiritual or religious beliefs the person holds and practices, these beliefs contribute to a sense of security for the present and future; give meaning to life, illness, other crises, and death; guide daily living habits; drive acceptance or rejection of other people; furnish psychosocial support within a group of like-minded people; provide strength in meeting life's crises; and give healing strength and support. However, spiritual beliefs do not guarantee that a person gains financial power and strength, the power to perform miracles, or the ability to live longer.
A nurse is assessing children for spirituality and identifies which central themes in children's descriptions of God, based on David Heller's study? Select all that apply.

Children believe that God is a constant deity that limits self-change and transformation.
Children believe in the interconnectedness of human lives.
Children have a notion of a God who works through human intimacy.
Children show considerable anxiety in the face of God's power.
An image of darkness surrounds the spiritual world of the child.
Children believe that God's power is limited and has little effect on their lives.
Children have a notion of a God who works through human intimacy.
Children believe in the interconnectedness of human lives.
Children show considerable anxiety in the face of God's power.

Studies have shown that the central themes in all the children's descriptions of their beliefs in God included the following:· Notion of a God who works through human intimacy and the interconnectedness of lives· Belief that God is involved in self-change and growth and transformations that make the world fresh, alive, and meaningful· Attributing to God tremendous and expansive power and then showing considerable anxiety in the face of this power· Image of light
The nurse is performing the initial assessment on a client admitted with pneumonia. The client tells the nurse, "Last time I was here, the nurse gave me the wrong medication!" Which statement by the nurse will help establish trust with the client? Tell the client the nurse has no control over what happened last time. Actively listen to the client and allow expression of negative feelings. Call and report the client's behaviors to the hospital's legal team. Reply that the nurse is not the nurse last time and will not make a mistake.Actively listen to the client and allow expression of negative feelings. Explanation: Active listening and permitting expression of feelings allows the client to communicate about experiences and feelings in a nonjudgmental environment. This will foster a nurse-client relationship based on trust. Replying that the nurse is not the nurse when the problem occurred dismisses the client's concerns. Telling the client the nurse has no control over what happened last time may make the client feel defensive and cause more distrust. Calling and reporting the client's behaviors to the legal team is not addressing the client's needs.A nurse overhears a client telling a family member that a belief in God is the only thing helping in the fight against a terminal illness. What is this client demonstrating? Faith Hope Love ReligionFaith Explanation: Faith refers to a confident belief in something for which there is no proof or material evidence. It can involve a person, idea, or thing, and it is usually followed by action related to the ideals or values of that belief. Hope is a feeling of expectation and desire for a certain thing to happen. Love is an intense feeling of deep affection. Religion is a particular system of faith and worship.An older adult client who is very sick but very spiritual and has a deep faith asks the nurse to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse? Take the lead from the client by asking, "How would you like us to pray?" Inform the client that they will try to get another nurse to pray with the client. Tell the client that they are not comfortable praying out loud. Tell the client the nurse is busy at the moment and hope the client will forget.Take the lead from the client by asking, "How would you like us to pray?" Explanation: Because there are many forms of prayer—quiet reflection, silent communion with God or a higher power, reading or recitation of formal prayers, silent or loud calling on God or a higher power or conversation with God or a higher power, lamentations, or reading a holy book or other religious materials—the nurse can take the lead from the client by asking, "How would you like us to pray?" Consider the client's religious background along with the type of prayers that have been meaningful in the past. Ask whether the client has a particular prayer request. A nurse unaccustomed to praying aloud or in public may find it helpful to have a Bible passage or formal prayer readily available. The prayer may also be a simple expression aloud of the client's needs and hopes. The other options are not therapeutic.The family members of a dying client have asked for the hospital chaplain's help in having a member of the clergy come to the client's bedside to perform the anointing of the sick. The nurse who is providing care for the client should recognize that the family is likely which religion? Jewish Jehovah's Witnesses Christian Scientist Roman CatholicRoman Catholic Explanation: Among the sacraments of the Roman Catholic Church is the anointing of the sick or the sacramental anointing with blessed oil. This specific rite is not a component of Jehovah's Witnesses, Christian Science, or Judaism.The nurse's client states that his pastor is coming in a few hours to pray with him and offer sacrament. The nurse plans to do the following things in preparation for this. Select all that apply. Complete your work so you may join them. Clear the bedside table; cover with clean towel. Clear the room of unnecessary items. Keep the bed curtains open so as to allow others to join in prayer Have a chair available near the bed.Clear the bedside table; cover with clean towel. Have a chair available near the bed. Clear the room of unnecessary items. When expecting a visit from a client's spiritual counselor, preparations may vary, but the following are usually recommended:• The room should be orderly and free of unnecessary equipment and items.• There should be a seat for the religious counselor at the bedside or near the client so that both can be comfortable.• The bedside table should be free of items and covered with a clean, white cover if a sacrament is to be administered.• The bed curtains should be drawn for privacy if the client can't be moved to a more private setting.The nurse should not expect or plan to join a private group such as described.A client informs the nurse about being unsure of some of the health practices as a newly practicing Jehovah's Witness. What information can the nurse share with the client regarding cultural beliefs about blood products? Spiritual care consultants can provide support to the client. Medical professionals know what is best for the client. Nursing leadership can explain blood transfusion policy to the client. Church elders will make health care decisions for the client.Spiritual care consultants can provide support to the client. Explanation: Jehovah's Witnesses do not accept blood transfusions. If the client is unsure of what decision to make regarding blood transfusions, the nurse may request a spiritual care consult. The spiritual care team can give the client support needed to make an informed decision. The medical team can offer the client information regarding risks and benefits, but ultimately, the client decides what is best. Although church elders may provide support, they cannot legally make decisions for the client. Hospital policies do not force a client to make a decision without regarding cultural or religious preferences.The nurse is performing the intake assessment for a 16-year-old adolescent in the emergency department. Which question by the nurse will assist in understanding the adolescent's spirituality? "How many times per week do you attend religious services?" "What are your spiritual beliefs?" "What religion do you practice?" "What religion do you want me to write down in your medical record?""What are your spiritual beliefs?" Explanation: The purpose of a spiritual assessment is to determine the beliefs and practices of the client to provide high-quality, individualized care. Spirituality is an important aspect of providing holistic health care. Asking the adolescent about spiritual beliefs and what things have meaning to the client is the best way to determine the adolescent's spirituality. Asking what religion is practiced is limiting the client's choices and the client's spirituality may not be practiced in a traditional fashion. Assuming the client goes to religious services may result in a poor nurse-client relationship, as the client may see the nurse as judgmental based on church attendance. Asking what religion to list in the medical record is not demonstrating the importance of this information in the overall health and well-being of the client.The client states "I have lifted my cancer to God and am accepting of God's plan for me." This is an example of an adaptive expression of spiritual needs labeled: forgiveness. love and relatedness. faith. trust.faith. Explanation: The nurse should be aware of adaptive behaviors of faith. These include: Faith depends on divine wisdom/God; faith is motivated toward growth; faith expresses satisfaction with explanation of life after death; faith expresses a need to enter into and/or understand the larger drama of human history; faith expresses a need for the symbolic, or ritual; faith expresses a need for sense of a shared faith/community. In this case, the client believes that he will depend on the divine wisdom of God for guidance. Trust is believing in the truth. Forgiveness is seeking out peace between two people. LoveThe nurse is assessing a 27-year-old Navajo male who is being admitted for surgery. The client requests a visit from the spiritual healer. Which is the best response from the nurse? "Would you like me to contact the hospital chaplain to come and visit with you?" "Do you have a preference as to which spiritual leader you would like to visit?" "I will get a phone number for you so you can call a healer to ask for a visit." "I will see who is available and ask him or her to come by and visit with you.""Do you have a preference as to which spiritual leader you would like to visit?" Explanation: Although many Native Americans and many Southeast Asian groups seek spiritual leadership from a traditional tribal healer, the nurse should not assume that this is true with each client. The other choices would be inappropriate and not provide the best nursing care.The nurse is taking care of a client who is scheduled for a mastectomy. The client tells the nurse that the client is apprehensive about the operation and asks the nurse to read a passage from the Koran to help prepare the client for surgery. Which action by the nurse is the most appropriate? Attempt to find someone on staff who is the same religion as the client. Ask the client whether it would be okay to call a minister to pray with client. Gently inform the client that nurses cannot practice religion with clients. Read the Koran passage to the client.Read the Koran passage to the client. Explanation: According to Maslow's hierarchy, self-actualization is a need related to the spiritual and intellectual dimension of a client. Reading a religious passage to a client is not practicing a religion, and asking to call a minister or another staff member to address this spiritual need is deferring the client's needs to someone else.When the client tells the nurse that she believes God's reality is personal, and that God is the creator of all beings, the nurse determines the client is expressing: deism. atheism. theism. agnosticism.theism. Explanation: Theism is the belief that God's reality is personal, without a body, perfect in all things, and creator and sustainer of the universe.A middle-aged female client visits the clinic to confirm pregnancy. "I cannot believe this is happening. I cannot be pregnant. My parents will kill me. I was raised in a strict Roman Catholic home. I was not supposed to get pregnant before marriage." Complete the following sentence by choosing from the lists of options. The client is exhibiting signs of spiritual_______related to the ______guilty/inability to live up to devout practices failure to accept the possibility of pregnancy The client is exhibiting spiritual guilt related to the inability to live up to devout practices. Because the Roman Catholic doctrine prohibits getting pregnant before marriage, the client feels that they have betrayed their family and their religion.Spiritual anger pertains to feelings of outrage or frustration against an ultimate or higher power. Spiritual alienation refers to feelings of separation or estrangement from a supreme power or being. Clients experiencing spiritual alienation may feel that they are detached from their faith source. Birth control and abortion are prohibited in the Roman Catholic religion. These rules may make the client feel disengaged from their faith if this situation is making the client reconsider their options related to pregnancy. The feeling of questioning their belief and value systems is characteristic of spiritual anxiety. The client's comments indicate that the client has not yet fully accepted the pregnancy. The client is displaying risk factors characteristic of spiritual pain because the client is unable to reconcile being pregnant before marriage and the religious teachings.The nurse receives a "do not resuscitate" (DNR) order for a dying client. What should the nurse do next? Inform the family that this order does not keep the nurse from doing her job. Avoid talking about suicide and its effects. Inform the client that a priest will be in to see her very soon. Assess the client's spiritual needsAssess the client's spiritual needs Explanation: Conducting a spiritual assessment is an essential aspect of maintaining health and providing holistic and sensitive nursing care especially in a DNR. Following the spirituality assessment, if the client has additional questions or concerns related to spirituality, the nurse may suggest follow-up with a chaplain or a priest, but there is no indication the client requested spiritual guidance. A nurse should not discuss suicide and its affects as that is inappropriate. The order may impact the nurse's interventions but this is not the priority at this point.A client who has suffered a debilitating stroke asks the nurse, "Why did God allow this to happen to me?" What question would the nurse ask to promote a conversation with the client about the client's spiritual needs? "Do you think you are going to die from this illness?" "Why do you think God allowed you to have a stroke?" "Would you like to see a spiritual advisor?" "In the past, what has given you strength during a crisis?""In the past, what has given you strength during a crisis?" Explanation: A client who is angry at or questioning God is in spiritual distress. Asking what has given the client strength in the past to deal with crises is a good way to begin the conversation about spiritual needs. The client may not be ready to see a spiritual advisor. Asking "Why" questions are not therapeutic. The client in this scenario has not mentioned the possibility of dying.An older adult client is spiritual and has a deep faith. The client asks the nurse to say a prayer for the client. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse? Tell the client the nurse is busy at the moment and hope the client will forget the request. Tell the client that the nurse is not comfortable praying out loud. Read a printed interfaith prayer to the client. Inform the client that the nurse will try to get another nurse to pray for the client.Read a printed interfaith prayer to the client. Explanation: A nurse unaccustomed to praying aloud or in public may find it helpful to have a printed interfaith prayer readily available. Interfaith prayers are designed for use regardless of the client's faith. The other action are not therapeutic.Mr. V. is recovering from pneumonia. The nurse understands that a well-balanced diet will help him to recover. However, Mr. V. informs the nurse that it is Ramadan and he must fast from sunrise to sunset. What is the nurse's most appropriate nursing action? Encourage Mr. V. to speak with a religious leader to grant a medical exception. Work with the nutrition staff to provide nutritious meals at off hours. Provide liquid nutrition only as this does not interfere with religious practice. Tell Mr. V. he must eat to maintain his health.Work with the nutrition staff to provide nutritious meals at off hours. Explanation: The most appropriate action is to work with Mr. V to maintain practice that is important to him. If Mr. V decided to suspend religious practice for medical reasons, it would be appropriate to support this decision. Asking to speak with a religious leader to grant a medical exception disregards Mr. V's religious practice. Liquid nutrition may interfere with the fasting rules. Telling Mr. V to eat despite his religious convictions is inappropriate and not empathetic.A client in a long-term care facility has recently begun to refuse to cooperate with the staff, is having difficulty agreeing with the treatment goals suggested by the nurse, and is showing more stress when the family goes home. What is the best response from the nurse? Search the client's room for any drugs or other substances Question the client concerning spiritual concerns Conduct a focused assessment to eliminate any potential infections Review the client's medication list for possible side effectsQuestion the client concerning spiritual concerns Refusing to cooperate with staff, not forming goals and being stressed or worried when separated from loved ones are signs of maladaptive behavior of spiritual needs and should be addressed by the nursing staff. These findings would not suggest an infection is occurring, nor are they signs of an addiction or use of a substance.A nurse is educating staff members about the importance of meeting the spiritual needs of clients on the unit. What spiritual needs should be met in the delivery of care? Select all that apply. need for love and relatedness need for complete health and freedom need for forgiveness need for meaning and purpose need for comfort and moneyneed for meaning and purpose need for love and relatedness need for forgiveness There are three spiritual needs that underlie all religious traditions and are common to all people: need for meaning and purpose, need for love and relatedness, and need for forgiveness. Need for comfort and money, as well as need for complete health and freedom, are nice but are not part of spirituality.The nurse is performing the initial assessment on a client admitted with pneumonia. The client tells the nurse, "Last time I was here, the nurse gave me the wrong medication!" Which statement by the nurse will help establish trust with the client? Tell the client the nurse has no control over what happened last time. Actively listen to the client and allow expression of negative feelings. Reply that the nurse is not the nurse last time and will not make a mistake. Call and report the client's behaviors to the hospital's legal team.Actively listen to the client and allow expression of negative feelings. Explanation: Active listening and permitting expression of feelings allows the client to communicate about experiences and feelings in a nonjudgmental environment. This will foster a nurse-client relationship based on trust. Replying that the nurse is not the nurse when the problem occurred dismisses the client's concerns. Telling the client the nurse has no control over what happened last time may make the client feel defensive and cause more distrust. Calling and reporting the client's behaviors to the legal team is not addressing the client's needs.The nurse is caring for a client who states, "No one can understand God." The nurse would document the client's spiritual belief as: holistic. theist. agnostic. atheist.agnostic. Explanation: Beliefs may range from atheism (denial of God's existence) to agnosticism (belief that God's reality is unknown and unknowable) to theism (belief that God's reality is personal, without a body, perfect in all things, and creator and sustainer of the universe).When the client tells the nurse that she believes God's reality is personal, and that God is the creator of all beings, the nurse determines the client is expressing: atheism. theism. deism. agnosticism.theism. Explanation: Theism is the belief that God's reality is personal, without a body, perfect in all things, and creator and sustainer of the universe.The nurse is caring for a client that practices Islam in the hospital. When dietary brings the client a food tray for supper, which food on the tray should the nurse remove that is against the dietary laws for a practicing Muslim? A baked potato with butter and sour cream A fresh fruit salad A salad with balsamic vinaigrette dressing A pork chopA pork chop Explanation: For practitioners of Islamic religion, Koranic law and customs influence diet; eating pork and drinking alcohol are forbidden. The nurse should remove the pork chop from the tray and have the meat replaced with beef, chicken, or fish as the protein.The nurse overhears a client, who is scheduled to begin chemotherapy, tell a family member that everything will eventually be okay and the cancer will be in remission. Which question will the nurse ask to begin a conversation about hope with the client? "What is the most important thing in your life right now?" "What role does a higher power play in your life?" "What provides you with strength to deal with this health situation?" "What has the health care provider told you about your treatment?""What provides you with strength to deal with this health situation?" Explanation: Hope is demonstrated by a positive outlook. It enables a person to consider a future and to work to actively bring that future into being. Asking the client, "What provides you strength?..." is an open-ended question and allows a conversation to begin about hope. Asking what the health care provider has told the client is seeking information, not initiating a conversation about hope. Asking about the most important thing in the client's life is beginning a discussion about meaning and purpose and not specifically about hope. Asking about the role of a higher power would begin a discussion on faith.Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What bestdescribes Allen's situation? Spiritual crisis Separation from spiritual ties Change in beliefs DepressionSeparation from spiritual ties Explanation: Separation from spiritual ties occurs when an individual changes location and does not have access to spiritual services, or feels uncomfortable joining a new group. This separation can be temporary or permanent.A client who is admitted for a debilitating disease is talking to the nurse. The client relates that family is the only thing that matters, stating that family helps fulfill all the spiritual needs by first fulfilling the most basic of all needs. What is this basic need? Self-reliance Autonomy Belonging LoveLove Explanation: Love develops from the basic human need to love and be loved, and we cannot be spiritually whole, spiritually healthy, unless this need is met. Autonomy is freedom from external control or influence. Self reliance is reliance on one's own powers and resources rather than those of others. Autonomy and self reliance are higher level of needs. A sense of belonging is a human need, just like the need for food and shelter but love is more important.The nursing diagnosis Spiritual Distress related to crisis of illness as evidenced by loss of meaning in life and overuse of pain medication is created for a client who attempted to take his life. Which intervention is appropriate for these problems?Plan and coordinate a multidisciplinary team conference including the chaplain. The nurse should facilitate a care-planning conference involving the social support network including family and friends. Initiating a multidisciplinary social network of conferences facilitates a sense of acceptance, love, and belonging. The nurse should work with the client to explore and build on past positive coping mechanisms, which helps enhance a sense of self-control and self-esteem. Encouraging the client to watch movies when alone does not allow the client to interact and find positive elements of his or her life. Although spiritual review can be helpful, the nurse should not "scare" the client away from action by mentioning negative spiritual outcomes. Reference:The nurse admits a new client to the unit for elective surgery. What would be the best way for the nurse to facilitate the practice of religion for this client? Choose all that apply. Attempt to meet religious dietary restrictions. Respect the need for privacy during periods of prayer. Arrange for the client's pastor to visit if desired. Discuss similarities and differences between the nurse's religion and the client's religion. Offer to pray with the client whenever she likes.Arrange for the client's pastor to visit if desired. Attempt to meet religious dietary restrictions. Respect the need for privacy during periods of prayer. The following are means the nurse can use to help the client continue normal spiritual practices in the unfamiliar environment of the hospital or care center:• Familiarize the client with the religious services and materials available within the institution.• Respect the client's need for privacy or quiet during periods of prayer.• Assist the client to obtain devotional objects and protect them from loss or damage.• Arrange for the client wishing to receive the sacraments to do so.• Attempt to meet the client's religious dietary restrictions.• Arrange for the client's minister, priest, or rabbi to visit if the client so wishes.Proselytizing is never acceptable in professional settings. Addressing spiritual issues should not be coercive. Praying with clients should not be initiated by the nurse unless there is no pastoral care available and the client requests it. Comparing and contrasting religious beliefs is not likely to benefit the client.The nurse is caring for a Roman catholic client who is dying. What would be an appropriate action for the nurse? Ensure that a person of the same sex as the deceased clean the body. Contact a local priest to provide special care to the body after death. Contact a local priest to complete the anointing of the sick ritual. After death, place the client's body on the floor to facilitate the soul's journey.Contact a local priest to complete the anointing of the sick ritual. Explanation: Roman Catholics believe that people should have the anointing of the sick, as well as the Eucharist and penance, by a priest before death. There are no special care rituals for the body after death.An older adult client is spiritual and has a deep faith. The client asks the nurse to say a prayer for the client. The nurse, who is not very comfortable praying out loud, wants to honor the client's request. What would be the best action by the nurse? Tell the client that the nurse is not comfortable praying out loud. Read a printed interfaith prayer to the client. Tell the client the nurse is busy at the moment and hope the client will forget the request. Inform the client that the nurse will try to get another nurse to pray for the client.Read a printed interfaith prayer to the client. Explanation: A nurse unaccustomed to praying aloud or in public may find it helpful to have a printed interfaith prayer readily available. Interfaith prayers are designed for use regardless of the client's faith. The other action are not therapeutic.A client who has suffered a debilitating stroke asks the nurse, "Why did God allow this to happen to me?" What question would the nurse ask to promote a conversation with the client about the client's spiritual needs? "In the past, what has given you strength during a crisis?" "Why do you think God allowed you to have a stroke?" "Do you think you are going to die from this illness?" "Would you like to see a spiritual advisor?""In the past, what has given you strength during a crisis?" Explanation: A client who is angry at or questioning God is in spiritual distress. Asking what has given the client strength in the past to deal with crises is a good way to begin the conversation about spiritual needs. The client may not be ready to see a spiritual advisor. Asking "Why" questions are not therapeutic. The client in this scenario has not mentioned the possibility of dying. Reference:While studying religion and spirituality, the nursing student exhibits an understanding of the concepts when making which of the following statements? Spirituality is a recently developed alternative to traditional religious belief. Religion and spirituality are synonymous. Religion is a collection of spiritual beliefs and practices. Spirituality is the behavioral manifestation of religious beliefs.Religion is a collection of spiritual beliefs and practices. Explanation: Spirituality may or may not include religion, which is a codified system of spiritual beliefs. The two terms are not interchangeable, and spirituality is not solely concerned with outward behavior. Spirituality is not necessarily an "alternative" to religion; nor is it a recent development.The nurse is assisting a client with his meal selection for the next day. The client states, "I can't have meat tomorrow, it's a Holy Day." The nurse recognizes that the client is a member of which religious organization? Reform Jewish Roman Catholic Islamic Orthodox JewishRoman Catholic Explanation: Roman Catholics observe fasting and abstinence from meat on certain Holy Days. Reference:A nurse is conducting a spiritual assessment on a client recently admitted to the hospital unit. Which questions would be appropriate to ask the client about his religious and spiritual practices? Select all that apply. "Is religion a significant part of your life?" "Are there any spiritual practices that you would like to continue while hospitalized?" "You would like the priest to come and visit you, right?" "Does the present situation interfere with any spiritual or religious practice?""Is religion a significant part of your life?" "Are there any spiritual practices that you would like to continue while hospitalized?" "Does the present situation interfere with any spiritual or religious practice?" A spiritual and religious assessment attempts to identify and document any practices or beliefs that are important for the client to maintain or that may alter medical or nursing treatment. Reference:Which question would be appropriate for the F in the FICA spiritual assessment tool? "Do you use your church family for support? "How would you like me to address this issue in your health care?" "Are you actively involved with a church community? "Do you consider yourself a spiritual person?""Do you consider yourself a spiritual person?" "F" is for questions of faith. Some examples of questions to ask would include the following: Do you consider yourself a spiritual person? What gives your life meaning? "I" represents the importance of this resource in the client's life. Assessment questions might include asking how often the client attends worship services. Do your beliefs strongly influence your decisions with regards to your medical practices? "C" is for community. Are you actively involved with a church community, and do you use this as a support? "A" is for the practitioner to address these concerns with the client, such as to ask, how would you like me to address these issues in your health care?The nurse enters a client's room as the client and family are praying. Which is the most appropriate action of the nurse? Walk up to the client's bedside and stand quietly. Stand quietly by the inside the room until the prayer is finished. Walk up to the client's bedside and join in the prayer. Step outside the door until the prayer is finished.Step outside the door until the prayer is finished. By stepping outside the door, the family and client will not be rushed to finish the prayer. Stepping up to the bedside may distract the client and or family.A nurse is preparing a presentation for a group of staff nurses about spirituality and the importance of meeting clients' spiritual needs. As part the presentation, the nurse plans to address the major religious groups. Which characteristic would the nurse identify as being common to the major religions? Select all that apply. Ideas related to after death Ethical code for right and wrong Absence of a source of power or authority Involvement of a sacred word or scripture An identity as a groupInvolvement of a sacred word or scripture Ideas related to after death Ethical code for right and wrong An identity as a group Each of the major religious groups shares several characteristics, including basis of authority or source of power; a scripture or sacred word; an ethical code that defines right and wrong; a psychology and identity, so that its adherents fit into a group, and the world is defined by the religion; aspirations or expectations; and ideas about what follows death.According to Shelly and Fish (1988), which of the following are spiritual needs underlying all religious traditions that are common to all people? Select all that apply. Love and relatedness Meaning and purpose Power Formal religion ForgivenessA nurse working in a facility that cares for clients with Alzheimer's includes spirituality in client care. A family caregiver tells the nurse that faith has been broken and asks about help in getting through the day. What approaches can the nurse use to help the family member? Select all that apply. Help the family member get relief so church services can be attended Tell the family member you wish you could help but don't know how Give the family member some spiritual reading materials Contact the family church group members for assistance Ignore the family member's concernsA recently graduated nurse is working with a client who is suffering from excruciating pain with no relief. The client tells the nurse that religion and spirituality are a big part of her life. The nurse wants to help nurture this client's spirituality and can do so in which of the following ways? Select all that apply. promoting love and relatedness promoting meaning and purpose promoting pain relief promoting forgiveness promoting independenceA nurse is educating staff members about the importance of meeting the spiritual needs of clients on the unit. What spiritual needs should be met in the delivery of care? Select all that apply. need for comfort and money need for complete health and freedom need for forgiveness need for meaning and purpose need for love and relatednessAn appropriate goal for the client with a nursing diagnosis of Spiritual Distress related to intense pain and suffering as verbalized by the client would be that the client will: express feelings of anger and despair to God. meet with a minister daily. participate in supportive spiritual practices. reflect on past accomplishments in life.participate in supportive spiritual practices.A client recently diagnosed with cancer informs the nurse that they value faith and finds comfort in their faith. The nurse is aware that faith is best defined as: a positive outlook even in the bleakest moments. a belief in something for which there is no proof or material evidence. practices associated with all aspects of a person's life. an organized belief system about a higher power.A client who is admitted for a debilitating disease is talking to the nurse. The client relates that family is the only thing that matters, stating that family helps fulfill all the spiritual needs by first fulfilling the most basic of all needs. What is this basic need? Self-reliance Autonomy Love BelongingA nurse is conducting online research for information related to spiritual needs and religious traditions. The nurse demonstrates understanding of the information by identifying which need as common to all? Select all that apply. Forgiveness Love Punishment Ritual MeaningForgiveness Love Meaning Three spiritual needs underlie all religious traditions and are common to all people: need for meaning and purpose; need for love and relatedness; and the need for forgiveness. Reference:A nursing student is studying spirituality and completing a report on The Church of Jesus Christ of Latter-day Saints. Which fact about this faith should the student include in the report? Latter-day Saints are not allowed to practice birth control. Latter-day Saints are not allowed to use tobacco or alcohol. Latter-day Saints are not allowed to have blood transfusions. Latter-day Saints are not allowed to have a health care provider of a different sex.Latter-day Saints are not allowed to use tobacco or alcohol. Explanation: The restored gospel of Jesus Christ directs Latter-day Saints to avoid using alcohol, tobacco, and caffeinated beverages. Jehovah's Witnesses are not allowed to have blood transfusions. Roman Catholics do not adhere to birth control measures. Muslims do not allow opposite sexed health care providers to care for them, especially women.The nurse is caring for a client who asks that the special undergarments not be removed for an upcoming procedure. The nurse is aware that these undergarments are related to the client's religion. This religion is: Christian Scientist. Adventist. The Church of Jesus Christ of Latter-day Saints. Islam.The Church of Jesus Christ of Latter-day Saints. Members of the Church of Jesus Christ of Latter-Day Saints wear a special undergarment that should only be removed in emergencies, or when absolutely necessary. The other religions have no special undergarments related to their beliefs.Allen is an 82-year-old retiree who recently relocated to senior apartments. The apartments are not affiliated with any religious beliefs. Allen was raised in the Roman Catholic church and has attended mass every Sunday since childhood. He has not attended mass for 3 weeks. What best describes Allen's situation? Change in beliefs Spiritual crisis Depression Separation from spiritual tiesSeparation from spiritual ties Explanation: Separation from spiritual ties occurs when an individual changes location and does not have access to spiritual services, or feels uncomfortable joining a new group. This separation can be temporary or permanent.An appropriate goal for the client with a nursing diagnosis of Spiritual Distress related to intense pain and suffering as verbalized by the client would be that the client will: meet with a minister daily. participate in supportive spiritual practices. express feelings of anger and despair to God. reflect on past accomplishments in life.participate in supportive spiritual practices. Explanation: The goal for the client should focus on supporting the client's strengths.