Chapter 20 Spiritual Health

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Chapter 20  Spiritual Health

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Gerry is a student nurse who is caring for a 78-year-old hospice patient. As the patient is dying, he begins talking to loved ones who have died before him. Gerry feels a sense of peace as his patient quietly dies. What is the best term for this feeling of peace?
A.
Self-transcendence
B.
Faith
C.
Atheism
D.
Connectedness

ANS: A
Self-transcendence refers to the belief that there is a positive force outside of and greater than oneself. This force allows a person to develop new perspectives that are beyond physical boundaries.

PTS: 1 DIF: Cognitive Level: Application REF: 551
OBJ: Describe the relationship between faith, hope, and spiritual well-being
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. A student nurse is caring for a 54-year-old patient who has been diagnosed with terminal liver cancer. The patient states that he does not believe God, but he has had a meaningful life by contributing to the lives of those around them. This person is most likely which of the following?
A.
Catholic
B.
Jewish
C.
Agnostic
D.
Atheist

ANS: D
Atheists search for meaning in life through their work and relationships with others.

PTS: 1 DIF: Cognitive Level: Application REF: 552
OBJ: Assess a patient’s spirituality and spiritual health
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

3. A nurse recently transferred to a cardiac surgery unit. She is caring for a 64-year-old patient who has survived cardiopulmonary resuscitation after a triple coronary artery bypass graft surgery. To help this patient cope with this experience, what is the best thing for the nurse to do?
A.
To avoid upsetting the patient, this should not be discussed.
B.
Discuss the episode if the patient brings it up.
C.
Talk to the family about near-death experiences.
D.
Explore what happened with the patient.

ANS: D
After patients have survived a near death experience, promote spiritual well-being by remaining open and giving patients a chance to explore what happened and support patients as they share the experience with significant others.

PTS: 1 DIF: Cognitive Level: Analysis REF: 555
OBJ: Discuss nursing interventions designed to promote spiritual health
TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity

4. A nurse who works in a neonatal intensive care unit is caring for a critically ill infant with a poor prognosis. She is Christian and feels responsible to care for both the physical and spiritual needs of the infant and his parents. What is the best statement for the nurse to make to the parents of the infant?
A.
“You should have the child baptized so that its soul will be saved.”
B.
“Would you like me to call the chaplain to christen your child at the bedside?”
C.
“What can I do to support your spiritual needs?”
D.
“I have asked my pastor to stop by and talk to you.”

ANS: C
A nurse should exhibit integrity and realize the importance of refraining from expressing personal opinions about religion or spirituality when they may conflict with that of the patient.

PTS: 1 DIF: Cognitive Level: Application REF: 556
OBJ: Discuss nursing interventions designed to promote spiritual health
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity

5. A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that faith would guide her healing. The nurse knows that faith can best be defined as a(n):
A.
awareness of one’s inner self and sense of connection.
B.
belief that gives a person meaning and purpose in life.
C.
system of organized beliefs and worship.
D.
multidimensional concept that gives comfort while a person endures hardship.

ANS: B
Spirituality is defined as awareness to one’s inner self and a sense of connectedness to a higher being or nature or purpose greater than self. Religion refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality. Hope is a multidimensional concept that gives comfort while a person endures hardship and personal challenges.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 552
OBJ: Describe the relationship between faith, hope, and spiritual well-being
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

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