Chapter 21: Spiritual Health

Chapter 21: Spiritual Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. An elderly patient is dying, and begins talking to loved ones who have died before him. The nurse feels a sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace?

a.	Self-transcendence
b.	Intrapersonal connectedness
c.	Interpersonal connectedness
d.	Transpersonal connectedness

 

 

ANS:   A

Self-transcendence refers to connecting to your inner self, which allows you to go beyond yourself to understand the meanings of experiences, whereas transcendence is the belief that there is a positive force outside of and greater than oneself that allows you to develop new perspectives that are beyond physical boundaries. Examples of transcendent moments include the feelings of awe when holding a new baby or watching the sun rise over the mountains. Spirituality offers a sense of connectedness intrapersonally (connected with oneself), interpersonally (connected with others and the environment), and transpersonally (connected with God, the unseen, or a higher power).

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    548

OBJ:    Describe the relationship among faith, hope, and spiritual well-being.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

2. The nurse is caring for a patient who states that he does not believe in the existence of God. The nurse realizes that this person:

a.	is not a spiritual person.
b.	is an agnostic.
c.	believes that people bring meaning into the world.
d.	finds meaning in life through work and relationships.

 

 

ANS:   D

Atheists search for meaning in life through their work and relationships with others. Spirituality exists in all people regardless of their religious beliefs and it gives people the energy needed to maintain health and cope with difficult situations. Spirituality is an important concept for individuals who either do not believe in the existence of God (atheist) or who believe that any ultimate reality is unknown or unknowable (agnostic). It is important for agnostics to discover meaning in what they do or how they live because they find no ultimate meaning for the way things are. They believe that we, as people, bring meaning to what we do.

 

PTS:    1                      DIF:    Cognitive Level: Understanding (Comprehension)

REF:    549

OBJ:    Describe the relationship among faith, hope, and spiritual well-being.

TOP:    Nursing Process: Diagnosis               MSC:   NCLEX: Psychosocial Integrity

 

3. A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that faith would guide her healing. The nurse knows that faith can best be defined as a:

a.	system of organized beliefs and worship.
b.	relationship with a higher power, authority, or spirit.
c.	source of energy needed to cope with difficult situations.
d.	multidimensional concept that gives comfort while a person endures hardship.

 

 

ANS:   B

Faith is a relationship with a divinity, higher power, authority, or spirit that incorporates a reasoning faith (belief) and a trusting faith (action). Religion refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality. Spirituality exists in all people regardless of their religious beliefs and it gives people the energy needed to maintain health and cope with difficult situations. Hope is multidimensional and gives comfort while a person endures hardship and personal challenges.

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    549

OBJ:    Describe the relationship among faith, hope, and spiritual well-being.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

4. A patient has been diagnosed with a terminal disease. Hope may be used effectively with this type of patient. Nurses can support a patient’s use of hope because hope provides a:

a.	system of organized beliefs and worship.
b.	belief in a higher power, spirit guide, God, or Allah.
c.	cultural connectedness, structure, and guidance in difficult times.
d.	motivation to achieve and the resources to use toward that achievement.

 

 

ANS:   D

Hope is energizing, giving individuals a motivation to achieve and the resources to use toward that achievement. Religion refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality. Faith involves a belief in a higher power, spirit guide, God, or Allah. Spirituality offers a sense of connectedness. Spirituality is unique for each person. It is a unifying theme in life and a state of being.

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    550

OBJ:    Describe the relationship among faith, hope, and spiritual well-being.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity