A nurse is working with a patient who has received a terminal diagnosis. To help the nurse identify the patient's possible coping responses, which of the following would be most important for the nurse to understand about spirituality? • It varies in different situations. • It increases in significance with illness. • It decreases in importance with age. • It remains static throughout the lifespan. • A nurse is planning care that is grounded in the fact that patients are holistic beings. Which of the following lists of components constitute the view of patients as holistic beings? • Physical identity, psychosocial identity, religious identity • Mind, body, spirit • Id, ego, superego • Spiritual identity, egocentric nature, naïve identity • A nurse is planning a spiritual assessment of a patient who is experiencing intractable losses in function as a result of disease. Which of the following principles should inform the nurse's assessment? • Knowledge of the most common spiritual practices in the community is a priority. • Reviewing all religious denominations before approaching a patient is important. • It is of little importance for a nurse to understand his or her own spirituality. • Spirituality is a complex phenomenon that is not normally describable. • A nurse interviews a pregnant patient and learns that her beliefs around health care do not involve participation in comprehensive prenatal care. To which religious view would the patient most likely adhere? • Faith Assembly of Indiana • Buddhist • Christian Scientist • Jehovah's Witness • A nurse is admitting a patient to a long-term care facility. In order to elicit reliable and valid data during the spiritual assessment, the nurse understands that the focus must be on which of the following? • Objectivity when performing the assessment • Sharing a common religious affiliation with the patient • Repeating the assessment in several weeks • Providing spiritual interventions prior to assessment • The nurse chooses to use a formal assessment technique when doing a patient's spiritual assessment. Which of the following techniques would be most appropriate? • Self-response assessment instrument • Acronyms related to spirituality • A systematic guide for question choices • A nurse is preparing to begin work in a diverse, urban community with members of numerous different religious traditions. The nurse should identify which statement as best reflective of Buddhism? • Some holy days include fasting from dawn to dusk. • The soul has no beginning or end. • Outcomes are predetermined. • Beliefs focus around the Koran. • A patient tells the nurse that the intravenous line must be placed in his right hand. Based on the nurse's understanding of the major religions, the nurse identifies this request as reflecting which of the following? • Judaism • Christianity • Islam • Hinduism • The nurse is caring for the family of a patient who has just died. The family requests that the patient's arms not be crossed and that any of the clothing and dressings containing blood be left and be prepared for burial with the patient. The nurse understands this family's request as indicative of what religious beliefs? • Judaism • Buddhism • Hinduism • Christianity • While interviewing a hospitalized patient, he states, “The holy days of Ramadan are coming soon. I am not to have any food or drink from sunrise to sunset during this time.” Further assessment reveals that the patient's request is associated with which religion? • Christianity • Judaism • Islam • Hinduism • A nurse assesses a patient's spirituality and religious practices. During the assessment, the nurse notes that the patient is very quiet and rarely asks any questions of the health care workers. The nurse recognizes that this behavior may be associated with which religion? • Islam • Hinduism • Christianity • The nurse is preparing a patient for cancer chemotherapy treatment. While talking with the nurse, the patient says, “Miracles do happen, and I'm praying for one.” The nurse interprets this statement as suggesting which religious preference? • Judaism • Buddhism • Islam • Christianity • The nurse is reviewing a patient's spirituality using the SPIRIT Spiritual Assessment Tool. Which of the following would the nurse assess when addressing the letter “P”? • Powers • Personal spirituality • Spiritual prognosis • Prayer • When taking the Daily Spiritual Experiences Scale, a patient says the word “God” in the scale is bothersome. Which response by the nurse would be most helpful in encouraging a patient to complete the scale? • “Substitute whatever word you prefer that would represent the divine or holy.” • “You can skip those questions and answer only those you are comfortable with.” • “Don't be concerned about the wording; just answer the best way you know how.” • “It is perfectly fine to leave out any question that contains the word 'God.'” • A nurse has collected extensive data relating to a patient's spirituality. Which type of data would the nurse need to validate the information obtained during this assessment? • Subjective data • Objective data • Informal data • Formal data • A group of students is reviewing material related to the role of religion and spirituality in health care choices. The students demonstrate understanding when they identify which of the following situations as the most prominent ethical dilemma that involves religion? • Providing life-saving therapy • Failure to seek timely medical care • Implementing spiritual care • Treating patients' psychological needs • A nurse is preparing an in-service program about spirituality and religion for a group of colleagues. When describing the effects on patients of religion and spirituality, which of the following should the nurse include? Select all that apply. • Improved patient sense of well-being • Enhanced coping with end-of-life issues • Increased mortality levels • Increased timely use of health care • Increased adherence to medical regimens • A nurse is completing a comprehensive assessment of a patient who has been referred to the clinic. Which of the following would be most appropriate for the nurse to ask when beginning to assess the patient's spirituality? • “What religion are you?” • “What gives you hope or peace?” • “Do you believe in God?” • “Would you like to speak to a chaplain?” • When assessing a patient's spirituality, the nurse has the patient complete a Brief Religious Coping Questionnaire. When reviewing the completed questionnaire, the nurse identifies which of the following as indicating positive religious coping? • patient feels stress is something from God that is to be endured. • patient wonders if God has abandoned him or her. • patient looks to God for support in a crisis. • patient decides what to do without relying on God. • After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when a student states which of the following? • Spirituality and religion are important factors that can affect health decisions and outcomes. • Religion and spirituality are separate and distinct, but interrelated concepts. • There has been a tremendous growth in the understanding of spirituality in the past 20 years. • Nursing has only recently begun to incorporate spirituality into patient care.• A nurse is completing an admission assessment of an adult patient, during which the patient states, “I've never been a religious man, but I'm definitely spiritual.” How should the nurse best understand an aspect of the relationship between spirituality and religion? • Spirituality is an Eastern concept, whereas religion is associated with Western cultures. • Religion consists of the spiritually focused rituals and practices of a group. • Spirituality is the codification of principles that are based on religion. • Religion is the state of spiritual certainty that results from cultural influences. • A nurse's colleague states, “I think Mrs. Nguyen in room 412 is a Buddhist, so she'll definitely be a vegetarian.” The nurse should understand what principle of religion and spirituality when planning patients' care? • Decisions around a religious patient's care should be deferred to the clergy of that religion. • patients who claim to be spiritual generally oppose meat consumption. • The beliefs of members of a particular religion are not necessarily homogeneous. • Nurses should avoid planning care on the basis of religion. • A nurse recognizes the need to perform a spiritual assessment of a newly admitted hospital patient, but the circumstances surrounding the patient's diagnosis and family dynamics make this challenging. What variable is likely to have the greatest impact on enhancing the quality of data from the nurse's spiritual assessment? • The nature of the nurse's spiritual beliefs • The nurse's knowledge of major religions • The quality of rapport between the nurse and the patient • The setting in which the assessment is performed • A nurse recognizes the need to assess a patient's spirituality after the patient has been admitted from the emergency department to the medical unit. How should the nurse best initiate this assessment? • “Would you describe yourself as being a religious or spiritual type of person?” • “What is the belief system that you most closely adhere to?” • “What church do you attend at Christmas and Easter?” • “Do you consider yourself to be a moral person with beliefs about the supernatural?” • A patient describes herself as “dumbfounded” that she has been diagnosed with cancer, stating, “I had such a clear vision from God that I was negative for cancer. Now I have no idea what I can trust.” This patient's statement is suggestive of what nursing diagnosis? • Ineffective role performance • Complicated grieving • Social isolation • Spiritual distress