Concepts for Nursing Practice 2nd Edition by Giddens PHD RN FAAN – Test Bank

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Sample Questions Posted Below

Concept 05: Spirituality

Giddens: Concepts for Nursing Practice, 2nd Edition

MULTIPLE CHOICE

1.The nurse is assessing a patient’s spirituality and observes the patient meditating before any treatments. What is the nurse’s best action?

ANS: C

The nurse can best promote the patient’s spirituality practices by arranging for the patient to be left alone when possible to meditate. Meditation is an exemplar of spirituality, not necessarily of the Christian faith. The bible is most often read by believers in the Christian faith. Meditation does not imply that the patient is not religious. Time for meditation should not be limited, whenever possible.

REF:Page 41

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Health Promotion and Maintenance

2.When conducting a spiritual assessment of a hospitalized patient, the nurse should remain aware of which potential barrier to effective communication?

ANS: B

Several barriers may result in the nurses’ inability to be totally present and communicate effectively with the patient. First, the nurse may be distracted by other things and may not pay attention to the patient. Multi-tasking while trying to listen to a patient may be a barrier to effective communication. Second, the nurses may miss the meaning of the patient’s message because of failure to clarify the meaning of a word, a phrase, or a facial expression. Third, the nurse may interject personal feelings and reactions into the patient’s situation rather than allow the patient to explore and discuss his own feelings and reactions. The last barrier occurs when the nurse is busy formulating a response while the patient is still talking. In this instance, the nurse never hears the patient’s message.

REF:Page 42

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity

3.A patient uses rosary beads and attends mass once a week. This expression of spirituality is best described with which term?

ANS: A

There are a few similar and related terms to spirituality worth mentioning to provide distinction and clarification. Faith, as defined by Dyess, refers to an “evolving pattern of believing, that grounds and guides authentic living and gives meaning in the present moment of inter-relating.” Religiosity, another similar term, is an external expression (public or private), in the form of practicing a belief or faith, whereas spirituality is an internalized spiritual identity (or experiential). Specifically, religiosity is defined as “the adherence to religious dogma or creed, the expression of moral beliefs, and/or the participation in organized or individual worship, or sacred practices.”

REF:Page 43

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity

4.When developing a plan of care, the nurse should consider which attribute of the concept of spirituality?

ANS: D

The attributes of the concept of spirituality in the context of nursing care are described below.

REF:Page 42

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity

MULTIPLE RESPONSE

1.When completing the FICA tool for spiritual assessment, which questions should the nurse ask the patient? (Select all that apply.)

ANS: A, B, C, E

The FICA tool for spiritual assessment stands for Faith or beliefs, Importance and influence, Community, and Address. “When was the last time you have been to church?” is not a question included in the FICA assessment. The patient may attend community activities, besides church, that foster his/her spiritual well-being.

REF: Page 41 OBJ: NCLEX® Client Needs Category: Health Promotion and Maintenance

2.Which are true statements about the definition of spirituality in nursing? (Select all that apply.)

ANS: A, C, E

The concept of Spirituality is an elusive concept to define. Authors that write about spirituality in nursing advocate the position that a patient’s quality of life, health, and sense of wholeness are affected by spirituality, yet still the profession of nursing struggles to define it. Why? There are a number of explanations for this. One explanation is that spirituality represents “heart” not “head” knowledge and “heart” knowledge is difficult to encapsulate into words. A second explanation is that spirituality is unique to each person so a precise definition is somewhat elusive. The definitions of spirituality encompass the following: a principle, an experience, attitudes and belief regarding God, a sense of God, the inner person. Most descriptions of spirituality include not only transcendence but also the connection of mind, body, and spirit, plus love, caring, and compassion and a relationship with the Divine.

REF:Page 39

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Health Promotion and Maintenance

3.The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)

ANS: A, B, C, E

The meaning and significance of the event might only be experienced by one individual; others who might be participants in the event might be left virtually untouched and unchanged. These life changing spiritual events include just about any occurrence that has intense and personal relevance to those involved in the event. Examples of spiritually life changing events include births, deaths, weddings, divorces, illnesses, diagnoses, and loss of abilities, loss of independence, death and so many more. These events, having the power to change individuals and families, also have the power to draw people towards the transcendent – for many people that transcendent is known as God but this is not universal. Day to day activities are not the best examples of spiritually life changing events.

REF:Page 40

OBJ: NCLEX® Client Needs Category: Safe and Effective Care Environment: Psychosocial Integrity