Fundamentals: Exam 4- Spiritual Health NCLEX

A nurse asks a patient, "What practices bring you comfort during difficult times?" This assessment is focusing on which aspect?
A) Physical health
B) Cognitive health
C) Cultural background
D) Spirituality

D

Which of the following best describes transcendence?
A) Feeling isolated from others
B) Moving beyond one's current self
C) Relying solely on scientific data
D) Withdrawing from relationships

B

The nurse is caring for a patient who identifies as atheist. What is the most appropriate nursing action?
A) Refer the patient to a religious advisor
B) Provide compassionate, nonjudgmental care
C) Persuade the patient to reconsider
D) Avoid discussing spiritual matters

B

A patient expresses hope despite a serious illness. Hope is best defined as:
A) Denial of the illness
B) Expectation of a positive outcome
C) Rejection of medical care
D) Avoidance of reality

B

Which interventions promote spiritual well-being? (Select all that apply.)
A) Active listening
B) Avoiding discussions about faith
C) Providing time for reflection
D) Encouraging self-disclosure
E) Dismissing patients' beliefs

A, C, D

A nurse recognizes that spiritual distress can be caused by:
A) Frequent visits from family
B) Chronic illness and expressions of hopelessness
C) Engagement in faith rituals
D) Connecting with a higher power

B

A patient states, "I don't know what to believe anymore." This best reflects:
A) Decisional conflict
B) Moral certainty
C) Spiritual resolution
D) Physical distress

A

The nurse understands that religion provides:
A) Complete healing from illness
B) A structure for understanding spirituality
C) An alternative to science
D) Isolation from society

B

During a health crisis, a patient begins questioning previously held beliefs. This situation is an example of:
A) Moral distress
B) Physical illness
C) Financial conflict
D) Denial

A

When providing spiritual care, the nurse should avoid:
A) Sharing personal beliefs in conflict with the patient
B) Being physically present and actively listening
C) Integrating the family into practices
D) Supporting avenues for spiritual growth

A

A nurse providing faith community nursing may perform which role? (Select all that apply.)
A) Health adviser
B) Developer of support groups
C) Administrator of anesthesia
D) Health educator
E) Community wellness advocate

A, B, D, E

In assessing a patient's spirituality, which question is appropriate?
A) "Are you planning on dying soon?"
B) "Do you have practices that are important to you during illness?"
C) "Do you know you're not supposed to be religious here?"
D) "Why don’t you follow medical advice completely?"

B

Which cue may indicate a patient is experiencing spiritual distress?
A) Calm acceptance of illness
B) Laughing with family members
C) Expression of hopelessness and questioning beliefs
D) Participation in religious rituals

C

An effective goal for a patient with spiritual distress would be:
A) The patient will reject spiritual beliefs
B) The patient will express feelings of hopelessness
C) The patient will engage in meaningful spiritual practices
D) The patient will deny the existence of a higher power

C

What action by the nurse best supports a patient's spirituality?
A) Ignoring patient questions about faith
B) Allowing time for self-disclosure
C) Telling the patient what to believe
D) Denying referrals to religious advisors

B

Which of the following is an example of a spiritual practice? (Select all that apply.)
A) Meditation
B) Guided imagery
C) Participation in faith rituals
D) Taking a blood pressure medication
E) Attending art therapy

A, C, E

In what way can spiritual health impact patient outcomes?
A) Decreased hope
B) Increased emotional distress
C) Improved coping and well-being
D) Increased risk of medical errors

C

When evaluating a patient’s spiritual care plan, the nurse should prioritize:
A) Only medical outcomes
B) Statements and nonverbal cues from the patient
C) Provider's religious views
D) Number of religious services attended

B

A nurse experiences emotional exhaustion after caring for many critically ill patients. This is most likely:
A) Compassion satisfaction
B) Physical distress only
C) Nurse spiritual distress
D) Evidence of patient satisfaction

C

What should the nurse do if a patient’s spiritual needs remain unmet?
A) Discontinue all spiritual care
B) Document the refusal and move on
C) Collaborate with the patient to modify the plan
D) Force the patient to accept interventions

C