Take the lead from the client by asking, "How would you like us to pray?" Show Because there are many forms of prayer—quiet reflection, silent communion with God or a higher power, reading or recitation of formal prayers, silent or loud calling on God or a higher power or conversation with God or a higher power, lamentations, or reading a holy book or other religious materials—the nurse can take the lead from the patient by asking, "How would you like us to pray?"
Consider the patient's religious background along with the type of prayers that have been meaningful in the past. Ask whether the patient has a particular prayer request. Which statement is true regarding parish nursing? Select all that apply. Parish nursing was designated as a specialty area of practice by the ANA in 2007. a. If desired, briefly hold the baby to say good-bye after the mother leaves It is important for nurses to take time to say "good-bye" to patients with whom they have developed a relationship. In this case, it would be appropriate for the nurse to hold the infant briefly, if desired, after the family has left before preparing the body for the morgue. With consent, the mother needs to be surrounded by appropriate persons to provide spiritual support, including a chaplain, family members, and friends. Although it is critical that the nurse follow procedures in preparing bodies for the morgue, it is not considered spiritual care. Visiting the mother after her loss could be viewed as a violation of professional boundaries, especially for a nurse who worked with the family for only a day.
Terms in this set (49)A patient states, "My religion does not permit me to bathe today." What would be the most appropriate nursing action? Tell the patient that the health care provider has prescribed a bath today. Insist that a bath be taken because it is the patient's scheduled bath day. Call an appropriate cleric and ask whether the patient is telling the truth. Request a clarification of the patient's beliefs and adapt a plan for bathing accordingly. 4 A patient's religious and cultural preferences should be considered when providing hygiene. Facility schedules should not take priority over the patient's religious beliefs nor should the health care provider's instructions. Verifying the patient's beliefs with a member of the clergy is inappropriate. A Catholic patient with diabetes receives the following items on his meal tray on the Friday before Easter. Which of the foods does the nurse offer to substitute? Apple sauce Cheese and crackers Spaghetti with meat sauce Tossed salad with ranch dressing 3 Most Catholics do not eat meat on Good Friday. An emergency department nurse is caring for a patient who was severely injured in a car accident. The patient's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're feeling. What can I do to help you feel more at peace right now?" What is the nurse demonstrating in this example? Prayer Presence Coaching Instilling hope 2 The nurse demonstrates presence in this situation by establishing a therapeutic relationship and being with the mother during a particularly stressful time. A Muslim patient is scheduled for transplant surgery. The patient asks the nurse to postpone the operation for an hour so that the evening prayers can be completed before the operation. How should the nurse respond to such a request? Ask the patient to finish his prayers early. Offer to pray on his behalf so the operation is on time. Ask the family to persuade the patient to be on time for surgery. Agree to the patient's request and postpone surgery. 4 The nurse should allow time for the patient's religious rituals, prayers, spiritual visitations, and attendance in religious services. These are integral parts of the patient's spiritual well-being. Followers of Islam have specific timing for prayers and should not be asked to pray early. The nurse may offer to pray with the patient but not on his behalf, because the nurse may not know the prayer ceremonies the patient prefers. The nurse should not ask the family to persuade the patient to be on time for the operation if that means he misses his prayer time. A patient states that he does not believe in the existence of God. What does this statement indicate about the patient? The patient is an academic. The patient is an atheist. The patient is an agnostic. The patient is an anarchist. 2 The nurse tries to calm down a patient diagnosed with cancer. The nurse asks the patient to have faith in God; however, the patient turns out to be an atheist. What does an atheist believe? A supernatural power governs the universe. God is the ultimate being in the universe. God does not exist. Sins from the past have to be faced in the current life. 3 The nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice? Islam Sikhism Hinduism Catholicism 1 Patients who practice Islam do not eat until after the sun goes down during the month of Ramadan. An elderly adult patient is suffering from a chronic illness with multiple medical conditions and has a poor prognosis for recovery. Which nursing actions are appropriate during the last hours of the patient's life? Select all that apply. Avoid further interventions. Inquire about a visit from a cleric. Ask if the patient wants to see loved ones. Help the patient with guided imagery to attain peace. Withdraw life-support modalities.
2, 3, 4 A patient in the last stages of life may greatly benefit from a visit from a member of the clergy, depending on their spiritual orientation. The nurse should always ask whether the patient would like to have this visit arranged. If the patient desires to see someone in particular, the nurse should arrange for such a meeting. The nurse can help the patient get relief from pain and be comforted and relaxed with the help of guided imagery and other relaxation techniques. Patient care interventions should be continued until the end of life. They need to be tailored to meet the patient needs but are not stopped. Withdrawal of life support should be a decision made by the patient and/or the family and is not the nurse's decision. A 62-year-old male patient has just been told he has a terminal illness. Which statements indicate that the patient is spiritually distressed due to diagnosis of terminal illness? "I have nothing to live for now." "What will happen to my wife when I die?" "How much longer do I have to live?" "I need to go to church and pray for a miracle." 1 Patients with spiritual distress verbalize a lack of hope and meaning. Which statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse? "I planted a tree in my husband's honor at my church." "I have been unable to talk with my children lately." "My friends think that I need to go to a grief support group." "I believe that someday I'll meet my husband in heaven." 2 Feelings of connectedness are important for the older adult; this statement indicates that this woman is having difficulty staying connected with her children, who are potentially an important resource for the woman. A 38-year-old patient who is a Jehovah's Witness is involved in a major motor vehicle accident. The patient was brought to the emergency department and was found to have lost too much blood, thus requiring a blood transfusion. What nursing action should be taken in such a situation? An immediate blood transfusion should be started. The patient's family should be notified of the situation. Only red blood cells should be transfused. The patient should be asked to decide about the transfusion. 4 The nurse should be aware that Jehovah's Witnesses do not accept blood and blood products, because they strongly believe in not ingesting blood in any form. A patient's beliefs and principles of life should be honored and the patient should be allowed to decide if he or she wants a transfusion or not. Making a decision on behalf of the patient that is against the patient's life principles or religious practices may significantly affect his or her spiritual well-being and purpose of life. The patient's family may be consulted, but the patient should be allowed to participate in decision making. No blood components, not even red blood cells, are accepted by Jehovah's Witnesses. A patient expresses the desire to learn how to meditate. What does the nurse need to do first? Answer the patient's questions. Help the patient get into a comfortable position. Select a teaching environment that is free from distractions. Encourage the patient to meditate for 10 to 20 minutes twice a day. 3 A quiet environment without distractions enhances learning and is essential for meditation. Which dietary practice is followed by a Hindu patient? Fasting on holy days Abstaining from alcohol and caffeine Refraining from eating meat products on Friday Not eating any meat 4 Food and dietary practices are important components of some religious observations. The believers of some sects of Hinduism are vegetarians. They believe it is not right to kill any living creature for food. A patient who follows the Buddhism will fast on holy days. A patient who practices Mormonism abstains from alcohol and caffeine. Roman Catholic Christians often do not eat meat on Fridays, particularly during Lent. The spouse of a patient who is terminally ill is in spiritual distress. What other situations adversely affect the spirituality of an individual? Select all that apply. A diagnosis of diabetes A major motor vehicle accident A successful surgery The birth of twins A near-death experience 1, 2, 5 Spirituality is significantly influenced by chronic illness, acute illness, and near-death experiences. The diagnosis of diabetes, a chronic illness, creates stress and anxiety in a person because that person will have to modify his or her lifestyle and diet. A person who experiences a major motor vehicle accident may be in distress and confused, possibly leading to spiritual distress. A patient who had a near-death experience may feel that no one will believe his or her experiences. A successful surgery and the birth of twins likely would elevate the spirits of an individual. A patient who is spiritually distressed comes for a follow-up. What observations by the nurse indicate positive outcomes in the patient? Select all that apply. The patient expresses increased hope of becoming healthy. The patient's relationship with his partner is satisfactory. The patient is compliant with his medication regimen. The patient is not talking to his family and friends. The patient remains at home and watches TV all day. 1, 2, 3 When evaluating for goal-directed outcomes, the nurse should check for an increase in hope; a purpose in life; increased connectedness with the self, others, a god, or another spiritual state; and an increase in overall health. Goals set during the planning phase should be the benchmark for assessing the extent of positive outcomes of care. Patients who are hope for good health and who have an increased level of connectedness to their partners exhibit positive outcomes. The patient with positive outcomes tends to become compliant with the prescribed medication regimen. Patients who avoid family and friends and who remain at home with a single activity exhibit a further need for spiritual intervention. The nurse evaluates a patient for achievement of goals related to spiritual well-being and finds that the patient does not display positive outcomes. What questions should the nurse ask to develop an appropriate modification to the care plan for such a patient? Select all that apply. "What is the problem with you? Why aren't you coping well with the situation?" "What is holding you back, and what can I do to help restore hope?" "Why hasn't your family shown up? Are you not yet talking to them?" "Do you want me to ask your wife to talk to you? "Do you want me to put you on antidepressants?" 2, 4 When appropriate outcomes are not met, the nurse should ask the patient about strategies to reach positive outcomes. Asking about what is holding the patient back and if the patient wants his wife to talk to him may help the nurse determine appropriate continued care. Asking blunt questions, such as "What is the problem with you?" and "Why hasn't your family shown up?" may prompt the patient to stop talking. Opting for medication use when dealing with health-related stress is not recommended. A tearful parent of a 10-year-old boy diagnosed with cancer is in the hospital lobby. The nurse comforts the parent, who says that life would be meaningless without the child. What trait is the parent exhibiting? Loss of belief in religion Fear of death Transcendence Spiritual distress 4 When a person loses the ability to integrate meaning and purpose in life, he or she is said to be in spiritual distress. It causes the person to lose faith, doubt religion, and lose hope. A person who loses belief in religion finds himself or herself in conflict with the self and the religious belief system. The parent does not exhibit a loss of belief in religion or a fear of death. Transcendence is a feeling or experience beyond normal and above the material world.
A patient just gave birth to a beautiful baby. The mother says, "It's like a miracle. I don't have words to explain this feeling. My baby is perfect, like something out of this world. Thank you, God." What kind of feeling did the patient just experience? Self-transcendence Transcendence Connectedness Hope 2 Transcendence is a feeling or experience beyond normal and above the material world. It induces positive feelings by allowing people to have new experiences and new perspectives that are beyond the ordinary. Self-transcendence is a feeling and a sense of connecting to one's inner self. Through connectedness, a person feels connected to himself or herself, to others, and to a Supreme Being or God. Hope is a feeling of expectation or desire for positive things to happen. The nurse is caring for a patient who is an atheist. The nurse identifies a need for spiritual intervention. What action would not be appropriate for the nurse to perform to meet the spiritual needs of this patient? Talking to the patient about enrolling in a nonreligious group meeting Asking the family about what is important in the patient's life Arranging for a clergy person to visit the patient Teaching the patient meditation and relaxation techniques 3 The nurse should be sensitive to a patient's personal beliefs and should not impose her personal beliefs and assumptions on patients. When the nurse arranges a visit by a clergy person for an atheist patient, he or she may offend the patient's personal beliefs and principles. This would negatively affect the therapeutic relationship and could lead to undesired outcomes. When planning interventions such as group meetings, the nurse should include the patient and should respect the patient's beliefs. The family and those closest to the patients should also be included and consulted. Learning and practicing meditation and relaxation techniques may help the patient reduce stress and achieve inner peace and tranquility. p. 734 In cases in which a patient is experiencing stress and anxiety, what are the meditation techniques that the nurse needs to teach the patient to help healing? Select all that apply. Teach the patient to sit with his or her back straight and breathe slowly. Identify a quiet room in the home that has minimal interruptions. Refer the patient to a teacher who takes personal meditation classes. Instruct the patient to switch off all the fans in the house. Provide a printed teaching guide that explains how to meditate. 1, 2, 5 To teach meditation to the patient, the nurse must teach the techniques of breathing slowly with a straight back position. It should be done in a quiet room away from any interruptions. Teaching guides should be provided for a better understanding. Meditation classes are not always required. Playing peaceful music and turning the fans on may block out distractions. Therefore, it may help to concentrate during meditation. The nurse is working in a health clinic on a Navajo reservation. The nurse plans care for the patients knowing which statement below is true? The patients may not be on time for their appointments. The patients most likely do not trust the doctors and nurses. The patients probably are not comfortable if they have to remove their undergarments. Terminally ill patients probably want to receive the sacrament, the anointing of the sick. 1 In Navajo culture, punctuality is not important, thus Navajos may not always be on time for appointments. In a case in which a patient suffers from spiritual distress, of what patient feelings should the nurse be aware? Select all that apply. A feeling of doubt A feeling of being cheated A feeling of loneliness A feeling of loss of faith The desire to kill others 1, 3, 4 One of the common symptoms observed in a patient experiencing spiritual distress is having doubts about the self and others. The patient also feels lonely or abandoned and suffers from a loss of faith. The feeling of being cheated and the desire to kill others are not found commonly. Thus, when caring for such a patient, the nurse needs to be cautious. Spiritual distress also occurs when there is conflict between a person's beliefs and the treatment prescribed for health. Some treatment regimens may not be acceptable to patients from certain cultures or religions. A female Islamic patient is in the terminal stage of leukemia. The patient wants to end her life due to her suffering and hopelessness. Furthermore, she is not responding to pharmacological interventions. What should the nurse suggest to the caregivers to promote spirituality? Select all that apply. Promote faith healing. Encourage family and friends to visit. Suggest the patient considers euthanasia. Discuss the imminence of death. Convince the patient that hope of survival is minimal.
Muslims believe in faith healing, and therefore it should be promoted. The patient is in the terminal stages of illness. The nurse should promote spiritual health in the patient by permitting family and friends to visit. Muslims do not encourage euthanasia. They do not discuss death and hope for the best outcome. Therefore, the nurse should not discuss death but should encourage hope for a good outcome. As the nurse cares for a patient in an outpatient clinic, the patient states that he recently lost his position as a volunteer coordinator at a local community center. He expresses that he is angry with his former boss and with God. What is the nurse's priority at this time? Assess the patient's spirituality in relation to his vocation. Assess the patient's spirituality in relation to his life satisfaction. Assess the patient's spirituality in relation to his fellowship and community. Assess the patient's spirituality in relation to his connectedness with his family and co-workers. 1 Many people express their spirituality through their vocations, which can include volunteer positions. An elderly patient who is a devout Christian is admitted to the hospital with partial paralysis. The patient's son visits the patient daily and is very supportive. What nursing actions demonstrate the nurse's caring presence? Select all that apply. The nurse offers to read the Bible to the patient. The nurse checks the patient's vital signs twice daily. The nurse discusses physical therapy options with the patient's son. The nurse answers the patient's questions promptly and appropriately. The nurse informs the health care provider about the patient's progress. 1, 3, 4 Establishing a caring presence provides hope for recovery and contributes to physical, mental, and spiritual well-being. Behaviors that establish the nurse's presence include doing things that help the patient's physical and spiritual well-being such as reading a sacred text to the patient, involving the family in making decisions and planning care, and answering the patient's questions promptly. Simply checking vital signs and exchanging health information with the patient or health care provider is not being present to attend to the patient's spiritual needs. The nurse is caring for a patient suffering from a severe illness. What are the questions that the nurse should ask to assess the spiritual strength of the patient? Select all that apply. "Do you use prayer or meditation?" "Are you an atheist?" "Do you believe in God?" "How do you feel after praying?" "What gives you energy during difficult times?" 1, 4, 5 If the nurse wants to assess the spiritual strength of the patient, the nurse will ask whether the patient prays or not. This will help the nurse determine if the patient is spiritual and has religious beliefs. Asking about the feeling after prayers will help to analyze the patient's faith and hope in their spiritual beliefs. Asking the patient about the source of his or her strength during difficult times helps to determine the patient's spirituality and religious beliefs. The nurse should never ask directly whether the patient is an atheist or does not believe in God. What are the positive effects of spirituality on an individual? Select all that apply. It affects health behaviors. It affects quality of life. It affects compliance. It affects education. It affects lifestyle. 1, 2, 5 Spirituality affects an individual's health behaviors, quality of life, and lifestyle in a positive way. Spirituality helps individuals maintain health, well-being, and cope with illness. Compliance and education are not entirely dependent on the spirituality of an individual. While caring for a Muslim female patient, which religious beliefs and practices should the nurse keep in mind? Select all that apply. They do not practice euthanasia. Health and spirituality are two different issues. Women prefer female health care providers. During the month of Ramadan, they do not eat until sundown. Medicines are not accepted because they believe that chemicals are harmful to the body. 1, 3, 4 Islam does not allow euthanasia or mercy killing. The women of this religion prefer a female health care provider. Therefore, the nurse must arrange for female health care providers so that the patient is comfortable. Ramadan is a holy month for the followers of Islam. During Ramadan, the followers of Islam do not eat and drink until sundown. Therefore, the nurse must take additional care during this month. Muslims believe that health and spirituality are connected. Buddhists will reject some medications because they believe that chemical substances in the body are harmful. An elderly patient complains of severe pain in both lower extremities. The patient becomes tearful when describing the pain and states that it is intolerable. How should the nurse develop a healing relationship with the patient? Select all that apply. By inquiring how the pain is affecting the patient's daily routine By telling the patient about various pain-relieving interventions By encouraging the patient to be strong and deal with the pain positively By asking the family to help the patient cope with pain and anxiety By administering pain medications and encouraging the patient to exercise 1, 2, 4 To establish a healing relationship and a helping role, the nurse should not just look at the patient's leg pain as a medical problem. The nurse should also try to understand how it affects the patient's daily life and spirituality, and work to improve the patient's overall well-being. By informing the patient about various methods to alleviate pain, the nurse mobilizes hope in the patient. The nurse should also help the patient use social resources, such as friends and family, who can help the patient deal with his or her health condition. Asking the patient to be strong and deal with the pain may decrease spirituality and increase stress and anxiety. The nurse should focus on more than just prescribing medications and exercise to develop a healing relationship. A patient experiencing a stomachache was diagnosed with stomach cancer. The patient became anxious after the diagnosis. What nursing interventions would be helpful for this patient? Select all that apply. Promote measures to reduce anxiety. Encourage the use of effective coping skills. Assess the potential for committing suicide. Assess the potential for psychosis. Encourage the patient to listen to music. 1, 2, 5 The nurse should promote measures to reduce anxiety because anxiety further deteriorates health. Encouraging coping skills boosts emotional support for the patient. Listening to music decreases anxiety and helps the patient to relax. Suicidal tendencies should be evaluated only if the patient shows signs of depression. Psychosis is usually due to a neurotransmitter disturbance and is not secondary to malignancies. A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient's family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply. The nurse can ask the family to wait in the waiting room and not visit the patient. The nurse can motivate the family to chant religious prayers beside the patient. The nurse can talk to the children and instill hope about the patient's condition. The nurse should deny religious rituals in the hospital because they are not allowed. The nurse should make sure a female health care provider is treating the patient. 2, 3 To honor their religion, the patient and the family, being followers of Hinduism, should be allowed to chant prayers and hymns near the patient. The nurse should try to comfort the children, who may be in shock, by instilling hope that patients like their mother can recover in a matter of time. The family should be allowed to visit the patient. Denial of rituals may cause spiritual distress in the patient and the family. Therefore, the patient and the family should be allowed to perform religious rituals if safe for the patient. A female Hindu patient may not necessarily ask for a female health care provider. The nurse is caring for a 45-year-old female patient who has been scheduled to undergo a cholecystectomy. The patient insists on having a female surgeon. People of which religion are most likely to exhibit this behavior? Select all that apply. Hinduism Judaism Buddhism Islam Sikhism 4, 5 Female members of Islam and Sikhism generally insist on having a female health care provider. Members of other religions generally do not have any gender preferences based on their religious beliefs. When caring for a patient who is suffering from a serious illness, the nurse encourages the patient to follow his spiritual practices. How does spirituality help in healing? Select all that apply. It decreases the risk of infection in the patient. It helps to treat without any medication. It increases the pain threshold of the patient. It decreases stress and increases the immune response. It reduces perception of pain and anxiety. 3, 4, 5 Nurses who support the spirituality of their patients realize that the patients' spirituality enables them to heal faster because such thinking increases the pain threshold. It decreases stress, increases the immune response, and reduces perception of pain and anxiety. Spirituality does not decrease the infection nor treat without medication. Treatment of infection is through administration of medications to kill the microorganisms. A female Muslim patient is in the terminal stage of leukemia. What nursing interventions are appropriate considering the patient's religion? Select all that apply. Induce a sense of hope. Avoid discussing death. Discourage visits by family and friends. Insist on adopting life-support measures. Get an appointment with a female health care provider only. 1, 2, 5 The Islamic religion promotes a sense of hope and does not encourage discussing death. Female Islamic patients prefer female health care providers. In Islam, family and friends usually visit ill people; hence, this should be permitted within medically accepted limits. Islam often does not permit life-support measures. Nurses have an important role in patient care that is different from other health care providers. Patients seek out nurses to help them cope up with difficult situations during the course of an illness. What skills would help the nurse understand a patient's spiritual needs? Select all that apply. Politeness and kindness Critical thinking skills Knowledge of spirituality Therapeutic communication Physical and psychological fitness 2, 3, 4 A skilled nurse who applies concepts of critical thinking, integrates knowledge from past experiences, and is skilled in techniques of therapeutic communication can effectively assess the patient's spiritual needs and help the patient. Politeness and physical and psychological fitness may help in developing a therapeutic relationship with the patient but are not helpful in understanding a patient's spiritual needs. A patient who was severely injured in a motorcycle accident underwent surgery 3 days ago for multiple bone fractures. The nurse teaches the patient interventions that will help the patient recover while instilling hope and support. What are the interventions that the nurse should mention? Select all that apply. Dietary therapies Meditation Avoiding home-cooked food Offering prayers in a group or with family Physiotherapy 1, 2, 4 Food and nutrition are the most important parts of patient care. Dietary therapies help maintain the proper nutrition needed by the patient after surgery. Meditation helps reduce the patient's stress and relax the patient. This helps the patient regain peace of mind. Offering prayers in a group or with family enhances connectedness and hope for a better life. It also helps the patient cope with the physical and psychological symptoms of the injury. Home-cooked food that does not violate the dietary restrictions of the patient should be allowed. Physiotherapy is not recommended for a patient who has undergone a major surgery until the pain reduces and the stitches heal to some extent. Which nursing interventions support(s) a healing relationship with a patient? Select all that apply. Praying with the patient Giving pain medications before a painful procedure Telling a patient that it is time to take a bath before the family arrives Making the patient's bed following the hospital protocol Helping a patient see positive aspects related to a chronic illness 1, 5 Praying with patients and mobilizing the patient's hope create a healing relationship. A patient with newly diagnosed diabetes is sitting in the waiting area. She appears sad and anxious. The nurse talks to the patient and tries to make the patient laugh. How does laughter help a person during difficult times? Select all that apply. It increases the pain threshold. It exercises the facial muscles. It boosts immunity. It reduces tension, stress, and anxiety. It increases oxygenation in the body. 1, 3, 4 Laughter has several therapeutic effects on a person's body, mind, and spirit. It increases the pain threshold and the body's immunity. It reduces tension, stress, and anxiety and improves the patient's mood. Exercising facial muscles through laughter does not help a depressed person. Laughter does not increase oxygenation in the body.
A patient has non-Hodgkin's lymphoma and is in the terminal stage. The patient is spiritually depressed and not ready to face death. What restorative care options can the nurse use to care for this patient? Select all that apply. Prayer Diet therapy Supporting grief work Meditation Guided imagery 1, 3, 4, 5 Spiritual care is important for a person with terminal illness. Prayer reinforces one's belief in God or a higher being and is one of the most effective coping resources. It provides the patient with inner strength and a sense of peace and serenity. A patient with terminal illness needs time and the nurse's support to grieve, and the nurse should support the patient in a spiritual and therapeutic manner. Meditation and guided imagery reduce stress, pain, and blood pressure and provide increased spirituality. Diet therapy is not an option for restorative care.
The nurse understands that some people believe that there is no known ultimate reality. These people are referred to as agnostics. What are the beliefs of an agnostic person? Select all that apply. They discover meaning in what they do or how they live. They do not believe in the existence of God. They do not find ultimate meaning for the way things are. They believe that people bring meaning to what they do. They search for meaning in life through their work and their relationships with others. 1, 3, 4 Agnostics believe that there is no ultimate reality; they tend to discover meaning in what they do and how they live. They are unable to find the ultimate meaning for the way things are. They believe that people bring meaning to what they do. An atheist does not believe in the existence of God and searches for the meaning of life through work and relationships with others. A Hindu patient is admitted to the hospital. The nurse prepares a diet plan for the patient. What should the nurse do to appropriately plan the patient's diet? Select all that apply. Determine whether the patient consumes nonvegetarian food. Ask if the patient is observing a fast. Ask if the patient has any particular food preferences. Ask the patient to talk to the dietitian about preferences. Make sure the patient consumes only food provided by the health care facility. 1, 2, 3, 4 Food is an important aspect of a patient's health and an important component of religious beliefs and observances. People following Hinduism are often vegetarians. They may fast on sacred days and only consume specific food items while fasting. Some sects avoid consuming certain foods, such as onion and garlic. The nurse should determine these preferences before outlining a diet plan. The patient should talk to the dietitian to explain food preferences and suggest changes if necessary. If the patient is not comfortable with the food and food preparation at the health care facility, the nurse should allow the patient to eat food made at home, assuming that food meets the patient's dietary restrictions. A patient who experienced a stomach ache was diagnosed with stomach cancer. The nurse finds that the patient is sad and feels hopeless about health and the future. What nursing interventions would be helpful for this patient? Select all that apply. Help the patient set important goals. Spend time with the patient and teach coping strategies. Assess the potential for committing suicide. Encourage the patient to listen to music of his or her choice. Assess the potential for the presence of psychosis. 1, 2, 3 Setting important goals helps alleviate depression. Spending time and teaching coping strategies provide social, emotional, and moral support for the patient. Hopelessness is associated with suicidal tendencies; therefore, the nurse should look for suicidal signs in the patient. Listening to music may help in reducing anxiety but does not help in providing hope. Hopelessness is not a risk factor for the patient to become psychotic. A patient comes to a rheumatology clinic for pain in her knees due to osteoarthritis. The orthopedic surgeon advises her to undergo knee replacement surgery. The patient practices Buddhism. Which patient statement reflects her religious beliefs? Select all that apply. "Will a female surgeon do the surgery?" "Aren't there any alternative techniques for treating this?" "I don't want to be admitted to the hospital." "Please change the date of my surgery since it is a holy day." "Some evil spirit has invaded my body and caused illness." 3, 4, 5 Buddhists accept modern medical science and believe that health is an integral part of life. Buddhists prefer not to visit hospitals and may refuse treatments on holy days. They believe that nonhuman spirits invade the body and cause illness. There is no indication that Buddhists would refuse conventional treatments in favor of alternative treatments. Muslims, rather than Buddhists, are likely to request female practitioners if they are female. A female Islamic patient died of leukemia. What nursing interventions and medical practices are against the beliefs of the Islamic religion? Select all that apply. Donating eyes Cleaning the body Informing the family members Postmortem examination Praying in groups 1, 4 Organ donation and postmortem examination are against the Islamic religion. Cleaning the body, informing the family members, and praying in groups are allowed by most religions. The nurse wants to include spiritual care when planning care for a sick patient. What actions should the nurse perform? Select all that apply. Allow time for religious readings. Allow the patient to play slow, religious music. Allow family members to plan a prayer session. Allow the patient to read religious books all the time. Allow the patient to fast and miss medication occasionally. 1, 2, 3 To support spiritual activities, the nurse must allow the patient to read religious books, and listen to slow religious music or classical music. These activities help to build a healthy environment. Family members can also plan a prayer session without disturbing the patient's normal activities. Reading religious books continuously can disturb the patient's schedule of rest. Fasting or missing medication cannot be allowed even occasionally. A senior nurse is talking with student nurses about spirituality. What are the different conceptual elements in spirituality? Select all that apply. Transcendence Faith and hope Inner strength and peace Meaning and purpose in life Connectedness Culture 1, 2, 3, 4, 5 Spirituality has five constructs or conceptual elements. Transcendence is the belief that there is an external force beyond the material world. Faith refers to the firm belief despite any evidence of physical presence. Hope is a source that gives energy to move forward in life. Inner strength is a source of positive energy that drives a person in difficult times. Inner peace provides a calm, positive, and peaceful feeling. A spiritual person strives to find meaning and purpose in order to live a meaningful life. Connectedness refers to feeling connected with oneself, with others, and with an unseen force. Culture is not a part of spirituality. The nurse is assessing a patient to identify spiritual needs. Which questions would help to assess the patient's spirituality? Select all that apply. Do you attend a religious service on a regular basis? What do you want to achieve in your life? Whom do you feel is the closest to you? Have you assigned a power of attorney? Do you wish to change your profession? 1, 2, 3 When assessing a patient's spirituality, the nurse should inquire about the patient's feelings and views on life, the level of connectedness with the self and others, and the practice of religion. Asking if the patient attends church (religious practice), the one person the patient is closest to (connectedness), and the patient's goal in life (view of life) would help the nurse identify the patient's spiritual needs. The assignment of a power of attorney and the desire to change professions would not shed light on the patient's spirituality. When treating a patient who is a Muslim, what factors should the nurse keep in mind? Select all that apply. They consume alcohol in moderation. They do not eat pork. They do not pray 5 times a day. They do not eat meat on Fridays. During Ramadan, they eat only after sunset. 2, 5 Muslims do not eat pork; they consider it taboo. During Ramadan, they eat only after sunset and fast for the whole month. Islam prohibits alcohol consumption. Muslims usually pray 5 times a day. Followers of Islam have no restrictions regarding eating meat on Friday. Some Christians do not eat meat on Fridays during Lent. A patient is brought to the emergency department with multiple burn injuries. What nursing actions build trust and establish a caring presence? Select all that apply. The nurse holds the patient's hand while talking to provide emotional support. The nurse informs the patient that the injuries can be treated but will take time. The nurse remains calm and calls for the appropriate health care team to treat the patient. The nurse focuses on the patient's treatment and does not waste time talking to his or her family. The nurse calls the family to be with the patient and leaves the patient with them. 1, 2, 3 In an acute care setting, the nurse should establish presence and build trust with the patient by using supportive touch and words of hope and encouragement. The patient is often confused and overwhelmed with the sudden and unexpected change in his or her physical and spiritual well-being, so the nurse should be calm, confident, and have a decisive approach. While focusing on the treatment, the nurse should also be there for the patient and family. Talking to the patient and family is never a waste of time. 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What questions should be asked in a spiritual assessment?What are your sources of hope, strength, comfort and peace? What do you hold on to during difficult times? What sustains you and keeps you going? For some people, their religious or spiritual beliefs act as a source of comfort and strength in dealing with life's ups and downs; is this true for you?
What is spiritual assessment in nursing?Spirituality and Spiritual Care Rating Scale (SCCRS) (24), is an instrument developed to assess nurse's individual nurses' beliefs and values about spirituality and spiritual care.
What is included in a spiritual assessment?What things do you believe in that give meaning to your life? I: Is it important in your life? What influence does it have on how you take care of yourself? How have your beliefs influenced your behavior during this illness?
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Which question would the nurse ask when assessing a patient spirituality quizlet?
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