Chapter 22 Spiritual Health

Chapter 22  Spiritual Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The student nurse asks why he needs to assess a patient’s spirituality when he can call the chaplain. What response by the nurse is best?
a.
“This way you learn what is involved in a spiritual assessment.”
b.
“Students need to perform all aspects of patient care.”
c.
“Regulatory organizations list this as a required BSN competence.”
d.
“All patients should have a spirituality assessment.”

ANS: C
Although there is some truth to all options, several regulatory groups list conducting a spiritual assessment as a vital skill for nurses, including the American Association of Colleges of Nursing, the Joint Commission, and the American Nurses Association.

DIF: Understanding REF: p. 414 OBJ: 22.1
TOP: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: Concepts: Culture

2. The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?
a.
New mother, older child at home
b.
Faces terminal diagnosis
c.
Needs to change medications
d.
Pleasant but quiet

ANS: B
There are many cues to alert the nurse that a patient might have unmet spiritual needs, including facing a terminal illness. The nurse should conduct spiritual assessments on all patients, but this one is the priority.

DIF: Analyzing REF: p. 420 OBJ: 22.4 TOP: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture

3. A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met?
a.
Observed praying quietly
b.
Indecisive about treatment
c.
Asks nurse if God exists
d.
Executes living will

ANS: A
Patients may have spiritual distress when facing situations that threaten their meaning and purpose in life, such as in the face of a terminal diagnosis. Patients often express anger, frustration, neediness, or crying. The patient who has worked through this situation and is able to pray has best shown goal attainment. Indecision and questioning do not indicate the resolution of this diagnosis. Executing a living will may be an indication of pragmatism.

DIF: Evaluating REF: pp. 420-421 OBJ: 22.5 TOP: Evaluation
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture

4. The nurse concerned about a patient’s spiritual needs can best address this by which action?
a.
Leaving a note on the chart for other professional
b.
Calling the chaplain to come see the patient
c.
Collaborating during interdisciplinary rounds
d.
Informing the provider of the patient’s needs

ANS: C
Spiritual care must be multidisciplinary in order to be most effective. The nurse best addresses patients’ spiritual needs by discussing them during interdisciplinary rounds.

DIF: Applying REF: p. 414 | pp. 420-422 OBJ: 22.6
TOP: Communication and Documentation
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Culture

5. A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient?
a.
Spiritual distress
b.
Impaired religiosity
c.
Moral distress
d.
Decisional conflict

ANS: B
Impaired religiosity occurs when a patient is unable to maintain religious rituals and practices. The other diagnoses are not related.

DIF: Applying REF: p. 421 OBJ: 22.5 TOP: Planning
MSC: NCLEX Client Needs Category: Psychosocial Needs NOT: Concepts: Culture