ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 47 : Spirituality Questions
Question 1 of 5
A nurse is caring for patients in a long-term care facility. Which nursing actions are appropriate based on the religious beliefs of these patients? Select all that apply.
Correct Answer: A,B,D,F
Rationale: The nurse should ask a Buddhist if they have any diet restrictions related to the observance of holy days. Since Christian Scientists avoid the use of pain medications, the nurse should offer nonpharmacologic pain relief measures. A nurse should ask a Roman Catholic if they would like to attend Mass on Sunday. The nurse would appropriately consult with the medicine man of a Native American patient and incorporate their suggestions into the care plan.
Question 2 of 5
A nurse who is caring for patients on a pediatric unit is assessing children's spiritual needs. Which is the most important source of learning for a child's own spirituality?
Correct Answer: C
Rationale: Children learn most about their own spirituality from how their parents behave in relationship to one another, their children, others, and God (or a higher being). What parents say about God and religion, the family's spiritual advisor, and the child's church or religious organization are less important sources of learning.
Question 3 of 5
A nursing student is caring for a patient admitted with chest pain related to aortic valve stenosis. The student notes the patient, who had been calm and cooperative the day before, has become contemplative and withdrawn, stating, "I've never thought much about dying, but my chances of making it through tomorrow's surgery are 50-50." How does the student best respond when the clinical professor asks the student why this behavior likely surfaced later in the patient's admission?
Correct Answer: D
Rationale: Illness may increase spiritual concerns, which many patients find difficult to initially express. The other options presume patients are purposefully secretive or must speak with a spiritual advisor, friends, or family to promote discussion of spiritual concerns.
Question 4 of 5
A nurse who is comfortable with spirituality is caring for a patient who needs spiritual counseling. What action will the nurse take first?
Correct Answer: B
Rationale: Even when a nurse feels comfortable discussing spiritual concerns, they should always determine whether the patient has a spiritual advisor they would like to consult. Calling the patient's spiritual advisor may be premature if it is a matter the nurse can handle.
Question 5 of 5
A patient states they feel very isolated from their family and church, and even from God, "in this huge medical center so far from home." When preparing expected outcomes for this patient, which most appropriately measures relief of the patient's spiritual distress?
Correct Answer: D
Rationale: Each of the four options represents appropriate spiritual goals, but identifying spiritual supports available to this patient in this medical center at this point in time, is the most appropriate and realistic.