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 surgeon tells a patient who is a Jehovah's Witness that they need emergency surgery to repair an aortic aneurysm, which will require blood transfusions. The patient states, "If I receive blood, I will not go to paradise. It is against my religion." What nursing response to the patient is appropriate?
Correct Answer: A
Rationale: Patients who practice the Jehovah's Witness faith believe blood transfusions violate God's laws and do not allow them. The nurse supports the patient's beliefs. It is disrespectful of the nurse to attempt to coerce a decision or impose their beliefs on the patient.
Question 2 of 5
The Roman Catholic family of an infant born with hydrocephalus requests a baptism for their infant. The nurse advocates for the family's wishes to be honored for which reason?
Correct Answer: D
Rationale: Failure to ensure that an infant baptism is performed when parents desire it may greatly increase the family's sorrow and suffering. Whether baptism postpones or prevents death and suffering is a religious belief that is insufficient to bind all nurses. There is no legal requirement regarding baptism, and although some nurses may believe part of their role is to ensure the salvation of the infant, this function could be rejected by many.
Question 3 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 4 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 5 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.