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concepts of nursing
spirituality EAQ
| Question | Answer |
|---|---|
| which member of the interprofessional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional and spiritual needs of the client? | Nurse |
| A client who is in the advanced stages of illness asks the nurse to contact pastoral services for support. According to the macmillan model, what is the best nursing intervention in this situation? | Immediately involve pastoral services while caring for the patient. |
| Before effectively responding to a sexually abused victim on the phone, it is essential that the nurse in the rape crisis center do what? | Be aware of any personal bias about sexual assault. |
| After determining that the nurses on the psychiatric unit are uncomfortable caring for clients who are from different cultures than their own, the nurse manager establishes a unit goal that by the next annual review the unit will have achieved what? | Increased cultural competence |
| A client who has a hemoglobin of 6 gm/dL (60 mmol/L) is refusing blood because of religious reasons. What is the most appropriate action by the nurse? | Notify the primary healthcare provider of the client's refusal of blood products. |
| mother of a preschool-age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, what does the school nurse include that preschool-age children view death as? | A form of sleep |
| A public health nurse is working with a family with three school-aged children as the unit of service. What should the nurse consider when caring for this family? | Certain members of the family may be capable of giving more support than the nurse. |
| How should nurses provide effective nursing care to clients from different cultural backgrounds? | By providing care that fits the clients' cultural beliefs |
| A nurse working in a Catholic hospital discourages clients from using contraceptives per hospital policy. Which category of ethics is the nurse following? | Organizational ethics |
| A nurse is with the parents of a 3-year-old child who has just died. What is the most therapeutic question for the nurse to ask the parents? | "Can I be of any help with traditional practices that are important to you?" |
| nurse discussing psychiatric care w/an older adult, client says, "When I was growing up I was taught to accept my lot in life and not complain. I'm proud of the fact that despite my issues I can still function independently. I don't want to be just put aw | Attitudes and beliefs |
| A resident in a nursing home recently immigrated to the United States (Canada) from Italy. How does the nurse plan to provide emotional support? | By offering choices consistent with the client's heritage |
| Which behavior is seen in children at the undifferentiated stage of spiritual development, as propounded by Fowler? | Children have no concept of right or wrong to guide their behaviors. |
| A client proclaims that he is "the second son of God." What type of delusion does the nurse identify? | Religious |
| Which nursing interventions are examples of the nurse as a caregiver? Select all that apply. | Encouraging the client to exercise daily Setting goals for the client to reduce weight Arranging for the client to meet a spiritual adviso |
| A nurse notices that a client is in spiritual distress. Which nursing action establishes the nurse as a caregiver? | The nurse provides therapeutic treatment to the client. |
| Which carative factor is involved in creating a healing environment at all levels, physical and non-physical, according to Watson's Transpersonal Caring? | Providing for a supportive, protective, and/or spiritual environment |
| The nurse is caring for an African American client with renal failure. The client states that the illness is a punishment for sins. Which cultural health belief does the client communicate? | Magicoreligious belief |
| During survey, community nurse meets a client who hasnt visited a gynecologist after the birth of her second child. client says that her mother or sister never had annual gynecologic examinations. Which factor is influencing the client's health practice? | Family practices |
| When caring for a client who adheres to a kosher diet, which important thing should the nurse make sure to exclude from the client's meals? | Pork and shellfish |
| The nurse starts a new job and recognizes that the client population is very diverse. What action will help the nurse to provide culturally competent care? | Increase self-awareness of cultural identity, cultural knowledge, and potential biases. |
| A client with a terminal illness is grateful for the care received in the hospital and has slowly started to come to terms with imminent death. The nurse recognizes that the client's behavior and attitude is most consistent with which cultural group? | Somalian culture |
| A school nurse works with adolescents who recently immigrated to the U.S. and are adjusting to life in the public schools. What characteristics help the nurse differentiate students who are assimilating from students who are acculturating? | Students who assimilate abandon all aspects of their original culture. |
| a client who has been diagnosed with HIV tells the nurse, "I have taken this as a challenge, and i will be able to fight this tough battle. This is an example of which concept of spiritual health? | Hope |
| a nurse is assessing the grief response of a family member whosse relative has died. What must the nurse consider first about the family to conduct an effective assessment? | cultural background |
| A hospice nurse is caring for a dying client and the client's family members during the developing awareness stage of grief. What is the most important thing about the family that the nurse should assess before providing care? | Cultural background |
| pregnant client, first child Down syndrome, about to undergo amniocentesis. client tells nurse she doesnt know what will do if fetus has diagnosis. The client asks the nurse, "Do you think abortion is the same as killing?" How should the nurse respond? | "I really can't answer that question. Are you ambivalent about abortion?" |
| which nurse statement reflects positive cultural sensitivity to help reduce potential health disparities? | "What type of food do you usually eat at home?" |
| when assessing a client who is receiving palliative care, which question regarding spiritual health is most appropriate? | What is your source of spiritual strength during hard times? |
| a client with terminal pancreatic cancer states that suffering is caused by nonhuman spirits invading the body. Which religion might the nurse expect this client to be practicing? | Buddhism |
| A client dies during surgery, and the family members ask that the hospital not conduct autopsy examinations. Which religion might the nurse expect this family to practice? | Islam |
| Which nursing assessment questions assess the faith, belief, fellowship, and community aspect of a client's spirituality? Select all that apply. | A) "What gives meaning to your life?" B) "What is your source of power, hope, and belief during difficult times?" C) "In what way do your beliefs help or strengthen you for coping with illness?" |
| During an assessment which client statement may indicate to the nurse that the client is experiencing spiritual distress? | "I deserve a better life than this. I don't understand why God decided to make me ill." |
| A client who has liver failure says, "I have complete trust in God and I am sure he will take care of my family even if I am not here." Which concept does this most exemplify? | FAITH |
| Which nursing interventions can help a terminally ill client cope with feelings related to death? Select all that apply. | C) Helping the client to find meaning and purpose in life by listening to his or her concerns D) Allowing time for religious readings, spiritual visitations, or attendance at religious services |
| E) Encouraging the client to pray if he or she wishes by facilitating privacy and a proper environment | |
| victim of car crash tells nurse, "I dont believe in God anymore now that im paralyzed". nurse asks client to discuss how condition has affected his/her ability to express what is important to him/her. What aspect of spiritual does this question address? | Vocation |
| A client in the intensive care unit tells the nurse, "No matter how much you try, I will not be able to recover. No one can change my destiny." Which religion might the nurse expect the client to practice? | Islam |
| Alternative therapy measures have become increasingly accepted within the past decade, especially in the relief of pain. Which methods qualify as alternative therapies for pain? | 1.Prayer 2.Hypnosis 4.Aromatherapy 5.Guided imagery |
| older client, family has visited in psychiatric unit is visibly angry & says to nurse, "My daughter in law says they cant take me home until the doctor lets me go. She desnt understand how important this is; shes not our culture. What should nurse do? | Say, "You feel she doesn't want you at home." |
| A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? | "Values vary among clients and develop and change over time." "The values that an individual holds reflect cultural and social influences." "To discuss differences in opinions and values, the nurse should be clear about his or her own values. |
| nurse understands effects of different variables on client's beliefs & practices can help providers to plan & deliver individualized care. Which statement by client should nurse consider an influence of client's intellectual background ? | "Don't include eggs in my diet because eggs contribute to excess body heat." |
| nurse understands effects of different variables on client's health beliefs & practices can help providers to plan & deliver individualized care. Which statements made by client should the nurse consider as an influence of spirituality on health beliefs? | "My faith prohibits the use of a donor's sperm." "Don't administer nasal drops now because it will break my fast." "I do not believe in surrogacy because this is not permitted in our community." |
| a nurse is caring for a client who believes that surgery contaminates the sould unless proper cleansing rituals are performed. Whic nursing activity adheres to the quality and safety education for nurses competency patient centered care? | Coordinating with appropriate spiritual practitioners to help perform the cleansing ritual before the client's surgery |
Created by:
colby.caswell