Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 13- Spirituality
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | An older female patient tells the nurse that even though she believes in a higher power she is not interested in information on the hospital’s chaplaincy services since she has never been religious. What does the nurse recognize as the relationship between religion and spirituality? | |
| A) | Some people are religious, while others are spiritual. | |
| B) | Religion is a particular, structured way of expressing spirituality. | |
| C) | Religion is the essence of our being that connects us with the Divine. | |
| D) | All human beings have an innate desire for religious structure and spiritual fulfillment. | |
| Ans: | B | |
| Feedback: | ||
| Spirituality differs from religion, which consists of human-created structures, rituals, symbolism, and rules for relating to the Divine. Religion is a significant expression of spirituality, but highly spiritual individuals may not identify with a specific religion. Not everyone identifies a need for religion, and religion and spirituality are not mutually exclusive. Spirituality, not religion, is defined as the essence of our being that connects us with the divine. | ||
| Origin: Chapter 13- Spirituality, 2
Chapter: 13 Client Needs: C Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 162, Spiritual Needs |
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| 2. | The nurse manager of a geriatric medicine unit learns that spiritual care services are underutilized by patients and their families. Which phenomenon explains this finding? | |
| A) | While spiritual needs are a universal part of the human condition, many people do not acknowledge these needs. | |
| B) | The high-stress environment of a hospital is incompatible with the solace and quiet necessary for addressing spiritual needs. | |
| C) | Spiritual needs are less apparent during times of immediate and tangible need, such as acute illness requiring hospital treatment. | |
| D) | Many older adults who have experienced a lifetime of self-sufficiency and practical resourcefulness do not have spiritual needs. | |
| Ans: | A | |
| Feedback: | ||
| All humans have spiritual needs regardless of whether they realize or acknowledge them. Some of these needs become relevant in late life when the high prevalence of chronic illness and the reality of death are evident. While a hospital does provide a high-stress environment, this is not mutually exclusive with identifying and providing for patients’ spiritual needs. | ||
| Origin: Chapter 13- Spirituality, 3
Chapter: 13 Client Needs: C Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 1 Page and Header: 162, Meaning and Purpose |
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| 3. | The nurse is aware of the spiritual dimension in Erikson’s conceptualization of the older adult’s growth and development. When applying Erikson’s theory to the care of older patients, what does the nurse realize as being a spiritual component of Erikson’s final development task? | |
| A) | Awareness that one is loved by others and has provided unconditional love. | |
| B) | A confidently held hope that a transcendent and positive afterlife awaits one following death. | |
| C) | A sense of contribution that one’s relationships and endeavors have benefited society and one’s family. | |
| D) | A sense of wholeness rooted in the knowledge that life experiences make sense and have served a purpose. | |
| Ans: | D | |
| Feedback: | ||
| According to Erikson’s description of the final developmental task, healthy psychological aging for the older adult involves achieving a sense of integrity. This integrity, or wholeness, is supported by the belief that life experiences—both good and bad—make sense and have served a purpose. The other choices express needs that older individuals may possess, but these are not components of Erikson’s framework. | ||
| Origin: Chapter 13- Spirituality, 4
Chapter: 13 Client Needs: C Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 162, Dignity |
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| 4. | The nurse is caring for older patients in a long-term care facility. When ensuring for these patients’ dignity, which statement reflects the role of dignity as it relates to the spiritual needs of the older adult? | |
| A) | Older adults who have lived a life of integrity and service have earned dignity. | |
| B) | An acknowledgment of spiritual needs is necessary for the presence of dignity. | |
| C) | Older adults may lack many of the attributes that are valued in society, but they can derive a sense of dignity from spirituality. | |
| D) | Older adults who have moved successfully through Erikson’s stages of development can experience dignity in spite of disability. | |
| Ans: | C | |
| Feedback: | ||
| Despite declines in such areas as productivity and physical appearance, older adults can maintain a sense of their intrinsic worth, or dignity, by connecting with the Divine. Acknowledgment of spiritual needs is not necessarily a prerequisite for dignity, given that dignity is by definition inherent in all persons, nor is progression through Erikson’s stages or a life of service necessarily required. | ||
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