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NUR 168 CHAPTER 46: SPIRITUALITY: QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 168 CHAPTER 46: SPIRITUALITY: QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 168 CHAPTER 46: SPIRITUALITY: QUESTIONSWITH COMPLETE SOLUTIONS
*Common Characteristics of Religions*: Correct Answers
•Basis of authority or source of power
•Portion of scripture or sacred word
•Ethical code defining right or wrong
•A psychology and identity
•Aspirations or expectations
•Some ideas about what follows death
*Room Preparation for Spiritual Counselor Visit*: Correct
Answers •Make sure the room is orderly and free of
unnecessary equipment.
•Provide a seat for the counselor near the patient's bed.
•Clear the top of the bedside table and cover with a clean white
cloth for sacraments.
•Draw the bed curtains if the patient cannot be moved to a
private setting.
1. A hospice nurse is caring for a patient who is dying of
pancreatic cancer. The patient tells the nurse "I feel no
connection to God" and "I'm worried that I find no real meaning
in life." What would be the nurse's best response to this patient?
A) Give the patient a hug and tell him that his life still has
meaning.
B) Arrange for a spiritual adviser to visit the patient.
C) Ask if the patient would like to talk about his feelings.
D) Call in a close friend or relative to talk to the patient. Correct
Answers C) Ask if the patient would like to talk about his
feelings.
,10. A nurse who is comfortable with spirituality is caring for
patients who need spiritual counseling. Which nursing action
would be most appropriate for these patients?
A) Calling the patient's own spiritual adviser first
B) Asking whether the patient has a spiritual adviser the patient
wishes to consult
C) Attempting to counsel the patient and, if unsuccessful,
making a referral to a spiritual adviser
D) Advising the patient and spiritual adviser concerning health
options and the best choices for the patient Correct Answers B)
Asking whether the patient has a spiritual adviser the patient
wishes to consult
11. A nurse performing a spiritual assessment collects
assessment data from a patient who is homebound and unable to
participate in religious activities. Which type of spiritual distress
is this patient most likely experiencing?
A) Spiritual Alienation
B) Spiritual Despair
C) Spiritual Anxiety
D) Spiritual Pain Correct Answers A) Spiritual Alienation
12. A patient states she feels so isolated from her family and
church, and even from God, "in this huge medical center so far
from home." A nurse is preparing nursing goals for this patient.
Which is the best goal for the patient to relieve her spiritual
distress?
A) The patient will express satisfaction with the compatibility of
her spiritual beliefs and everyday living.
,B) The patient will identify spiritual beliefs that meet her need
for meaning and purpose.
C) The patient will express peaceful acceptance of limitations
and failings.
D) The patient will identify spiritual supports available to her in
this medical center. Correct Answers D) The patient will
identify spiritual supports available to her in this medical center.
13. A man who is a declared agnostic is extremely depressed
after losing his home, his wife, and his children in a fire. His
nursing diagnosis is Spiritual Distress: Spiritual Pain related to
inability to find meaning and purpose in his current condition.
What is the most important nursing intervention to plan?
A) Ask the patient which spiritual adviser he would like you to
call.
B) Recommend that the patient read spiritual biographies or
religious books.
C) Explore with the patient what, in addition to his family, has
given his life meaning and purpose in the past.
D) Introduce the belief that God is a loving and personal God.
Correct Answers C) Explore with the patient what, in addition
to his family, has given his life meaning and purpose in the past.
14. After having an abortion, a patient tells the visiting nurse, "I
shouldn't have had that abortion because I'm Catholic, but what
else could I do? I'm afraid I'll never get close to my mother or
back in the Church again." She then talks with her priest about
this feeling of guilt. Which evaluation statement shows a
solution to the problem?
, A) Patient states, "I wish I had talked with the priest sooner. I
now know God has forgiven me, and even my mother
understands."
B) Patient has slept from 10 PM to 6 AM for three consecutive
nights without medication.
C) Patient has developed mutually caring relationships with two
women and one man.
D) Patient has identified several spiritual beliefs that give
purpose to her life. Correct Answers A) Patient states, "I wish I
had talked with the priest sooner. I now know God has forgiven
me, and even my mother understands."
15. Mr. Brown's teenage daughter had been involved in
shoplifting. He expresses much anger toward her and states he
cannot face her, let alone discuss this with her: "I just will not
tolerate a thief." Which nursing intervention would the nurse
take to assist Mr. Brown with his deficit in forgiveness?
A) Assure Mr. Brown that many parents feel the same way.
B) Reassure Mr. Brown that many teenagers go through this
kind of rebellion and that it will pass.
C) Assist Mr. Brown to identify how unforgiving feelings
toward others hurt the person who cannot forgive.
D) Ask Mr. Brown if he is sure he has spent sufficient time with
his daughter. Correct Answers C) Assist Mr. Brown to identify
how unforgiving feelings toward others hurt the person who
cannot forgive.
2. A nurse who was raised as a strict Roman Catholic but who is
no longer a practicing Catholic stated she couldn't assist patients
with their spiritual distress because she recognizes only a "field
power" in each person. She said, "My parents and I hardly talk
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