Chapter 22: Nursing in a Spiritually Diverse World

Chapter 22: Nursing in a Spiritually Diverse World

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

What should the nurse include when assessing a patient’s spirituality? (Select all that apply.)

1. Relationship with self
2. Relationship with other cultural groups
3. Relationship with deity
4. Relationship with others
5. Relationship with nature

Correct Answer: 1, 3, 4, 5

Rationale: The characteristics of spirituality include personal connectedness, connectedness to others, the environment, and to a supreme being. A relationship with other cultural groups is not a characteristic of spirituality.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care; physical comfort and emotional support.

AACN Essential Competencies: IX.18. Develop an awareness of patients’ as well as healthcare professionals’ spiritual beliefs and values, and how those beliefs and values impact health care.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 1. Analyze concepts related to spirituality and religion in nursing and health care.

Page Number: p. 425

Question 2

Which phrase describes spirituality?

1. The belief in something that cannot be directly observed
2. An organized belief system that requires religious worship of a Supreme Being
3. The core of a person’s being, involving one’s relationship with God or a higher power
4. A belief system unique to a specific religion

Correct Answer: 3

Rationale: Mauk and Schmidt (2004) define spirituality as “the core of a person’s being, involving one’s relationship with God or a higher power.” Spirituality may or may not involve a belief in a Supreme Being. Depending on the individual beliefs, spirituality may involve seen and unseen forces. For example, the use of religious articles defines spirituality for some individuals and these items can be seen and held. Spirituality encompasses many religions with varied belief systems.

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.18. Develop an awareness of patients’ as well as healthcare professionals’ spiritual beliefs and values, and how those beliefs and values impact health care.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 2. Differentiate between spirituality, religion, and faith.

Page Number: p. 424

Question 3

During the admission process, the nurse assesses the patient’s spiritual belief system and what other aspect related to that system?

1. Christianity
2. Godly assumptions
3. Religious preference
4. Religious knowledge

Correct Answer: 3

Rationale: Burkhardt and Nagai-Jacobson (2009) defined religion as “an organized system of beliefs regarding the cause, purpose, and nature of the universe that is shared by a group of people, and the practices, behaviors, worship, and ritual associated with that system.” Religious preference should be addressed with the spiritual assessment. Christianity is a form of religion that may be indicated by a patient but an assessment of Christianity is not appropriate. Depending on the individual’s spirituality they may or may not have a belief in God or have Godly assumptions. Religious knowledge is not part of the admission process assessment.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.18. Develop an awareness of patients’ as well as healthcare professionals’ spiritual beliefs and values, and how those beliefs and values impact health care.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 2. Differentiate between spirituality, religion, and faith.

Page Number: p. 425

Question 4

What is faith?

1. The core of a person’s being, involving one’s relationship with God or a higher power
2. The belief in something that cannot be directly observed
3. An organized belief system shared by a group of people and the practices related to that system
4. Unique to Christianity

Correct Answer: 2

Rationale: Mark and Schmidt (2004) defined faith as belief in something that cannot be directly observed. Faith is deeper and more personal than organized religion. It relates to one’s transcendent values and relationship with a higher power or God. It is not unique to Christianity.

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: physical comfort and emotional support.

AACN Essential Competencies: IX.18. Develop an awareness of patients’ as well as healthcare professionals’ spiritual beliefs and values, and how those beliefs and values impact health care.

NLN Competencies: Relationship Centered Care; Practice; Promote and accept the patient’s emotions; Accept and respond to distress in patient and self; Facilitate hope, trust, and faith

Nursing/Integrated Concepts: Assessment; Caring

Learning Outcome: 2. Differentiate between spirituality, religion, and faith.

Page Number: p. 426