Module 30 Spirituality

Module 30   Spirituality

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Spirituality

 

1) A client says that even though a diagnosis of hypertension is disappointing, with medication and lifestyle changes, it can be controlled and the client will become a better person. The nurse realizes the client is demonstrating which aspect of spirituality?

1. A) Connecting
2. B) Meaning
3. C) Value
4. D) Becoming

Answer:  D

Explanation:  A) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.

1. B) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.
2. C) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.
3. D) There are five aspects of spirituality. Becoming involves reflection and allowing life to unfold to know who one is. This is what the client is demonstrating. Value is having cherished beliefs and standards. Meaning is having purpose. Connecting is relating to others or to an Ultimate Other.

Page Ref: 1870

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  1. Define the concept of spirituality.

 

2) The nurse determines that a client has spiritual health when what is assessed?

Select all that apply.

1. A) Telling her family over the telephone that the diagnosis is bad
2. B) Reading spiritual material
3. C) Watching a religious service on the television
4. D) Wringing hands and softy repeating “I am not ready to die”
5. E) Crying while sitting in a chair, alone

Answer:  B, C

Explanation:  A) Characteristics of spiritual health are many. Some characteristics include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual health. The other observations are not examples of spiritual health.

1. B) Characteristics of spiritual health are many. Some characteristics include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual health. The other observations are not examples of spiritual health.
2. C) Characteristics of spiritual health are many. Some characteristics include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual health. The other observations are not examples of spiritual health.
3. D) Characteristics of spiritual health are many. Some characteristics include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual health. The other observations are not examples of spiritual health.
4. E) Characteristics of spiritual health are many. Some characteristics include demonstrations of faith, hope, and courage, and participating in religious rites and rituals. The client who is watching a religious service on the television and reads spiritual material is demonstrating spiritual health. The other observations are not examples of spiritual health.

Page Ref: 1875-1876

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  2. Identify characteristics of spiritual health.

 

3) While hospitalized, a client learns that a dear friend has died as a result of an accident. The client is crying and asking God, “Why?” The nurse realizes the client is demonstrating which factor of spiritual distress?

1. A) Physiological
2. B) Psychological
3. C) Treatment-related
4. D) Situational

Answer:  D

Explanation:  A) Factors that may be associated with or contribute to an individual’s spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one’s spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.

1. B) Factors that may be associated with or contribute to an individual’s spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one’s spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
2. C) Factors that may be associated with or contribute to an individual’s spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one’s spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.
3. D) Factors that may be associated with or contribute to an individual’s spiritual distress include situational concerns, physiologic problems, and treatment-related concerns. Situational factors include the death or illness of a significant other, inability to practice one’s spiritual rituals, or feelings of embarrassment when practicing them. Physiologic problems include having a medical diagnosis of a terminal or debilitating disease. Treatment-related factors include recommendation for treatment, surgery, dietary restrictions, or isolation. Psychological is not a factor that contributes to spiritual distress.

Page Ref: 1873

Cognitive Level:  Creating

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  3. Examine the relationship between spirituality and other concepts.

 

4) A young client tells the nurse that she believes she is going to be well because of the stories in the Bible where all of the people were healed. This client is demonstrating which stage of spiritual development?

1. A) Adolescence
2. B) 0 to 3 years
3. C) 3 to 7 years
4. D) 7 to 12 years

Answer:  C

Explanation:  A) The child is demonstrating the spiritual development stage of a 3- to 7-year-old because the child is relating intuitively to ultimate conditions of existence through stories and images, and the fusion of facts and feelings. Within the 0- to 3-year-old stage, children are acquiring fundamental spiritual qualities of trust, mutuality, courage, hope, and love. Within the 7- to 12-year-old stage, children attempt to sort fantasy from fact by demanding proof or demonstrations of reality. In adolescence, experience of the world extends beyond the family unit, and spiritual beliefs can aid understanding of extended environment.

1. B) The child is demonstrating the spiritual development stage of a 3- to 7-year-old because the child is relating intuitively to ultimate conditions of existence through stories and images, and the fusion of facts and feelings. Within the 0- to 3-year-old stage, children are acquiring fundamental spiritual qualities of trust, mutuality, courage, hope, and love. Within the 7- to 12-year-old stage, children attempt to sort fantasy from fact by demanding proof or demonstrations of reality. In adolescence, experience of the world extends beyond the family unit, and spiritual beliefs can aid understanding of extended environment.
2. C) The child is demonstrating the spiritual development stage of a 3- to 7-year-old because the child is relating intuitively to ultimate conditions of existence through stories and images, and the fusion of facts and feelings. Within the 0- to 3-year-old stage, children are acquiring fundamental spiritual qualities of trust, mutuality, courage, hope, and love. Within the 7- to 12-year-old stage, children attempt to sort fantasy from fact by demanding proof or demonstrations of reality. In adolescence, experience of the world extends beyond the family unit, and spiritual beliefs can aid understanding of extended environment.
3. D) The child is demonstrating the spiritual development stage of a 3- to 7-year-old because the child is relating intuitively to ultimate conditions of existence through stories and images, and the fusion of facts and feelings. Within the 0- to 3-year-old stage, children are acquiring fundamental spiritual qualities of trust, mutuality, courage, hope, and love. Within the 7- to 12-year-old stage, children attempt to sort fantasy from fact by demanding proof or demonstrations of reality. In adolescence, experience of the world extends beyond the family unit, and spiritual beliefs can aid understanding of extended environment.

Page Ref: 1874

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  4. Identify commonly occurring alterations in spirituality and their related therapies.

 

5) What can the nurse do to support a client with diabetes who desires to take Communion but has to abstain from food and drink before doing so?

1. A) Contact the physician to suggest an alternative form of nutrition because the client is refusing to eat or drink.
2. B) Provide the client with breakfast and morning medication and encourage the client to eat and take Communion some other time.
3. C) Find out when the hospital clergy will be distributing Communion and adjust the client’s medications and breakfast accordingly.
4. D) Suggest that because the client is hospitalized, eating and drinking will not affect the Communion.

Answer:  C

Explanation:  A) To support the client’s spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client’s needs by providing medication and breakfast. The nurse should also not contact the physician to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.

1. B) To support the client’s spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client’s needs by providing medication and breakfast. The nurse should also not contact the physician to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
2. C) To support the client’s spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client’s needs by providing medication and breakfast. The nurse should also not contact the physician to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.
3. D) To support the client’s spiritual needs, the nurse should find out when Communion will be distributed and adjust the medications and breakfast accordingly. The nurse should not suggest that eating and drinking will not affect Communion. The nurse should not ignore the client’s needs by providing medication and breakfast. The nurse should also not contact the physician to suggest alternative forms of nutrition, because the client is not refusing to eat or drink but wants to delay eating and drinking until after Communion.

Page Ref: 1876-1877

Cognitive Level:  Applying

Client Need:  Psychosocial Integrity

Nursing Process:  Implementation

Learning Outcome:  7. Demonstrate the nursing process in providing culturally competent and caring interventions across the life span for individuals with common alterations in spirituality.