Chapter 41 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 41 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

As a part of care planning, the nurse considers the client’s spiritual needs. What is the rationale for this concern?

1. Nurses are the only health professionals who provide this type of holistic care.
2. Meeting the client’s spiritual needs can decrease suffering.
3. Until spiritual needs are met, physical needs cannot be healed.
4. It is important that the nurse’s idea of spirituality matches the client’s ideas.

Correct Answer: 2

Rationale 1: Nurses do provide holistic care, but so do many other health care professionals.

Rationale 2: The nurse is concerned about the client’s spiritual health because meeting spiritual needs can decrease suffering.

Rationale 3: Physical needs can be addressed and healed without considering the spiritual side, but in order to provide holistic care both should be addressed.

Rationale 4: Although the nurse must assess and understand the client’s spirituality, it is not necessary for the nurse’s ideas to match those of the client.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials 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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Describe the interconnection of spirituality and religion concepts as they relate to health and spiritually sensitive nursing care.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 954

Question 2

Type: MCSA

The nurse assesses that a client is experiencing spiritual distress. What should be the nurse’s primary intervention?

1. Establish a trusting nurse–client relationship.
2. Have the client describe the basic problem.
3. Ask the client what religion is practiced in the home.
4. Identify the client’s belief in a Supreme Being.

Correct Answer: 1

Rationale 1: The first step in successfully working with a client with spiritual distress is establishing a trusting nurse–client relationship.

Rationale 2: This would not be the nurse’s primary intervention.

Rationale 3: This would not be an effective intervention for the client experiencing spiritual distress.

Rationale 4: This would not be an effective intervention for the nurse to make initially.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials 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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5. Describe methods to assess the spiritual and religious preferences, strengths, concerns, or distress of clients and plan appropriate nursing care.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 963

Question 3

Type: MCSA

The nurse has identified that many of the clients in the long-term care facility have spiritual concerns and distress. What is the nurse’s first step in becoming a competent provider for these clients?

1. The nurse must possess a healthy spiritual self-awareness.
2. The nurse must learn about diverse spiritual beliefs and practices.
3. The nurse should start going to church more often.
4. The nurse should establish regular religious services in the facility.

Correct Answer: 1

Rationale 1: The first step of becoming a competent provider for clients who have spiritual distress is for the nurse to possess a healthy spiritual self-awareness.

Rationale 2: Learning about diverse spiritual beliefs and practices would be appropriate after the nurse identifies awareness of spirituality within the self.

Rationale 3: Going to church more often presupposes that spirituality and religion are the same which is not true.

Rationale 4: Establishing regular religious services in the facility presupposes that spirituality and religion are the same, which is not true.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials 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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8. Describe strategies that can increase a nurse’s own spiritual awareness.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 965

Question 4

Type: MCMA

A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery begins. In which ways should the nurse demonstrate presencing with this client?

Standard Text: Select all that apply.

1. Adjusting the intravenous infusion
2. Talking with the client about the surgery
3. Sitting next to the client in the holding area
4. Praying with the client for divine intervention
5. Focusing on the client and fulfilling his needs

Correct Answer: 4, 5

Rationale 1: Adjusting the intravenous infusion demonstrates partial presence by being present; however, there is more to presencing than just attending to a task.

Rationale 2: Talking with the client about the surgery does not demonstrating presencing because this does not fulfill the client’s request for the nurse to stay and pray.

Rationale 3: Sitting next to the client in the holding area may demonstrate physical presence; however, the nurse is not fulfilling the client’s request.

Rationale 4: Praying with the client for divine intervention demonstrates transcendent presence because the nurse is spiritually present for the client.

Rationale 5: Focusing on the client and fulfilling his needs demonstrates full presence.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 3.  Provide patient-centered care with sensitivity and respect for the diversity of human experience

AACN Essentials 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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5. Describe methods to assess the spiritual and religious preferences, strengths, concerns, or distress of clients and plan appropriate nursing care.

MNL Learning Outcome: 1.3.3. Consider cultural and spiritual aspects that influence nursing care.

Page Number: 962