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Exam 30: Spirituality

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Question 1

Multiple Choice

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The nurse recognizes that a client is experiencing spiritual distress due to the need to receive a blood transfusion.The nurse should also identify the need to provide interventions for what other nursing diagnosis?

A) Decisional Conflict
B) Chronic Confusion
C) Acute Pain
D) Self Neglect

E) B) and C)
F) B) and D)

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Question 2

Multiple Choice

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The nurse is caring for an 8-year-old client who has been in the hospital repeatedly due to complications from leukemia.The nurse understands that the family is very religious,and the client often speaks about God's care for her.Which age-appropriate nursing intervention should the nurse implement that can help the child express her spirituality?

A) Help the child reminisce about fun experiences earlier in life.
B) Provide the child with tools to draw and color pictures.
C) Provide the child with tools to produce a music video.
D) Support parent-child bonding to encourage attachment.

E) None of the above
F) A) and C)

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Question 3

Multiple Choice

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While assessing a client's spiritual needs,the nurse asks,"What spiritual beliefs are important to you?" This question represents which step of the FICA assessment model?

Prior to being discharged,a client tells the nurse,"I trust you and the rest of the medical team,and I think the prescribed treatment is going to work.I'm ready to embrace life,and I'm looking forward to celebrating the holiday season in a few months." This statement suggests that the client is experiencing which of the following?

While hospitalized,a client learns that a close friend has died suddenly.The client is crying and asking,"Why,God?" The nurse should correctly identify that the client is demonstrating which type of spiritual distress?

The nurse is caring for an older adult client with advanced dementia.The family often mentions that the client was very spiritual earlier in life and loved to sing.What could the nurse suggest to the family to help support the client's religious needs?

When receiving nursing care,the client states,"I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body." Which action by the nurse is appropriate when providing care to this client?

While helping a client with the evening meal,the nurse observes the client close his eyes,bow his head,and murmur words of thanks and praise.What should this behavior suggest to the nurse?

The nurse is assessing a client's spirituality.Which of the following findings would suggest that the client experiences spirituality as a source of strength? Select all that apply.

The nurse is caring for a client in spiritual distress.The client has met with the hospital chaplain but did not find it beneficial.The nurse recognizes that outside assistance from the client's own spiritual advisor may be helpful.What should the nurse do before making an appointment with the advisor?

Which questions are appropriate for the nurse to ask when assessing the spiritual beliefs of a client? Select all that apply.

The nurse is caring for a client who is actively engaged in an organized religion.Based on this statement,the nurse knows that which of the following statements is most likely true?

A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?

The nurse is providing care to a client who has just received a diagnosis of cancer.Which findings would suggest that the client is experiencing spiritual distress? Select all that apply.

The nurse is providing care to a Catholic client who describes herself as "extremely devout." Which treatment option is most likely to cause spiritual distress for this client?

The nurse is planning care for a hospitalized client.Which activities should the nurse identify as appropriate to support the client's spiritual needs through presencing? Select all that apply.

The nurse is performing a holistic assessment of a client.Which observations indicate that the client is experiencing spiritual distress? Select all that apply.

A nurse is caring for a client who was recently diagnosed with a terminal illness.Which statement made by the client would indicate to the nurse that the client is in spiritual distress?

The nurse is preparing to discharge a client from the hospital.Which actions by the client indicate that her religious needs were met during the hospitalization? Select all that apply.

A client is abstaining from meat and dairy products during Lent and refuses to select these items when making meal choices.Which actions by the nurse support the client's nutritional and religious needs? Select all that apply.