Chapter 24 Spirituality

Chapter 24  Spirituality

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse would include an assessment of a client’s spirituality because it:
a.
will describe the client’s culture.
b.
will explain the client’s religion.
c.
explains the relationship to self, to others, and to a higher power.
d.
is a factor that enables one to cope with distressing events.

ANS: C
Spirituality is multidimensional in that it refers to one’s relationship with one’s self, a sense of connection with others, and a relationship with a higher power or divine source. Spirituality does not describe the client’s culture nor does it explain the client’s religion. Hope is a factor that enables one to cope with distressing events.

PTS: 1 DIF: Application REF: Spirituality Defined

2. A client tells the nurse that she follows a particular religion and believes in God. Religion is best defined as a(n):
a.
organized system of worship.
b.
belief in a higher power.
c.
harmony with the universe.
d.
focus on the purpose and meaning of life.

ANS: A
Religion refers to a set of beliefs and practices associated with a particular religious organization. Spirituality can be defined as a belief in a higher power, harmony with the universe, or a focus on the purpose and meaning in life.

PTS: 1 DIF: Analysis
REF: Spirituality Defined| Table 24-1 Comparison of Religion and Spirituality

3. When learning of the diagnosis of a deep vein thrombosis, a client states, “If it is God’s will, I will get better.” Which would be the most important nursing intervention in order to provide spiritually competent care?
a.
Notify the physician immediately.
b.
Convey respect for the client’s belief.
c.
Tell the client they shouldn’t give up.
d.
Further assess the client’s knowledge of the disease.

ANS: B
When providing spiritually competent care, the nurse needs to respect the client’s beliefs. This would be the most important intervention for the nurse to provide to this client. The nurse should not notify the physician, tell the client they shouldn’t give up, or further assess the client’s knowledge of the disease since these interventions would not support spiritually competent care.

PTS: 1 DIF: Application REF: Nursing Checklist: Providing Spiritual Care

4. A Jewish client confesses to the nurse that he fears he will never walk again following back surgery. He feels his lack of health stems from punishment for past sins. What goal has the highest priority for this client?
a.
Enhancing relationships with support people
b.
Walking within 3 days of surgery to enhance coping
c.
Restoring spiritual well-being
d.
Praying the rosary for forgiveness

ANS: C
The client is fearful that he is going to be punished for past sins. The goal with the highest priority for this client would be to restore spiritual well-being. Enhancing relationships with support people will not help with the belief of being punished for past sins. Walking within 3 days of surgery will not help with the belief of being punished for past sins. Clients of the Jewish faith do not use the rosary.

PTS: 1 DIF: Application REF: Planning and Outcome Identification

5. The major goal of providing spiritually congruent nursing care is to enable the nurse to:
a.
be aware of their own spiritual beliefs and values.
b.
change their beliefs to meet the client’s needs.
c.
provide care in a spiritually sensitive manner.
d.
refrain from making judgments when clients are wrong.

ANS: C
Spiritual care is an essential component of holistic care. The nurse who provides spiritually congruent care will provide care in a spiritually sensitive manner. The goal of providing spiritually congruent care is not to be aware of individual spiritual beliefs or to change beliefs to meet the client’s needs. The goal of spiritually congruent care is not to refrain from making judgments when clients are wrong.

PTS: 1 DIF: Analysis
REF: Nursing Process and Spirituality| Planning and Outcome Identification