What is the most effective action by the nurse when delivering spiritual care to a patient of the same religion as the nurse?

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Terms in this set (20)

Which of the following is the most important reason to develop a definition of nursing?

A. Recruit more informed people into the nursing profession. B. Evaluate the degree of role satisfaction.
C. Dispel the stereotypical images of nurses and of nursing.
D. Differentiate nursing activities from those of other health care professionals

D. Differentiate nursing activities from those of other health care professionals

An older adult has type 1 diabetes. He can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and administration of insulin. Which type of healthcare facility would be most appropriate for him?

A. Acute care facility
B. Ambulatory care facility
C. Assisted living facility
D. Extended care facility

C. Assisted living facility

Response Feedback:Assisted living facilities are intended for those who are able to perform self care activities but require assistance with meals,housekeeping or medications.

It is important for nurses to be critical thinkers because:

A. All clients are unique and have individual needs and differences
B. All nursing actions are based on theoretical knowledge.
C. Nurses choose their actions primarily by following professional guidelines.
D. Nurses provide care based on individual client preferences.

A. All clients are unique and have individual needs and differences

Response Feedback: All clients are unique and have individual differences

Caring is a central concept in nursing that involves which of the following except?

A. Responding compassionately to clients needs
Treating all clients with similar diseases in exactly the same way
B. Treating all clients with similar diseases in exactly the same way
C. Acting in ways to preserve human dignity
D. Connecting with others to give and receive help

B. Treating all clients with similar diseases in exactly the same way

Response Feedback: The other options are all aspects of caring.

Which theorist developed the nursing theory known as the Science of Human Caring?

A.Florence Nightingale
B. Patricia Benner
C. Jean Watson
D. Nola Pender

C. Jean Watson

Response Feedback: Dr. Jean Watson developed the nursing theory known as the Science of Human Caring. Her theory describes caring from a nursing perspective.

The Mother of a child participating in a research study that uses high-dose steroids wishes to withdraw her child from the study. Despite reassurance that adverse reactions to steroids in children are uncommon, the mother still does not change her mind. By withdrawing from the study, the mother is exercising which right? The right...

A. Not to be harmed
B. To self-determination
C. To full disclosure
D. Of confidentiality

B. To self-determination

Response Feedback: The mother is exercising the right to self-determination. This refers to the right of the participant (or parent, in the case of a minor) to withdraw from a research study at any time and for any reason

In his later work, Maslow identified growth needs that must be met before reaching self-actualization. These needs include:

A. Cognitive and aesthetic needs
B. Love and belonging needs
C. Safety and security needs D. Physiological and self-esteem needs

A. Cognitive and aesthetic needs

Response Feedback: In his later work, Maslow identified two growth needs that must be met before reaching self-actualization. They include cognitive (to know, understand, and explore) and aesthetic (for symmetry, order, and beauty) needs.

To establish a trusting relationship with a client, the nurse will focus on:

A. Providing solutions to the patient
B. Completing procedures and administering medications
C. Taking time to get to know the patient
D. The present and not the past

C. Taking time to get to know the patient

Response Feedback: Take time to get to know your patient by setting a tone of caring, respect, and understanding. Establishing trust in your first contact with patients can go a long way toward relieving anxiety and preserving the energy needed for healing.

When transferring a patient from a hospital to a long-term care facility, which of the following is most helpful in facilitating the patient's planning and emotional adjustment?

A. Send complete copy of patient's medical record to new facility
B.Notify the patient and family as much in advance of the transfer as possible
C. Carefully coordinate the transfer with the receiving facility to keep it smooth
D.Help arrange for transportation and accompany the patient to the transport vehicle

B.Notify the patient and family as much in advance of the transfer as possible

Response Feedback: Notifying the patient and family well in advance of the transfer allows them time to adjust emotionally and to make any necessary plans.

A patient who has been hospitalized for weeks becomes angry and tells the nurse who is caring for him, "I hate this place; nobody knows how to take care of me or I'd be home by now." Which response by the nurse is best in this situation?

A." You shouldn't be angry with us, we are trying to help you get better."
B."I'm sorry that we aren't caring for you according to your expectations."
C."You were very sick; don't be angry; you're lucky to be alive."
D. "You seem angry: what's going on that makes you hate this place?"

D. "You seem angry: what's going on that makes you hate this place?"

Response Feedback: "You seem angry; what's going on . . ." encourages the patient to express his feelings and may provide you with more information.

A patient is in crisis. After assessing the situation, what should the nurse do first?

A. Determine the imminent cause of the crisis
B. Intervene to relieve the patient's anxiety
C. Decide on the type of help the patient needs
D. Ensure the safety of both the nurse and the patient

D. Ensure the safety of both the nurse and the patient

Response Feedback: The goals of crisis intervention are to assess the situation first

Nurse is caring for a patient with cancer who has been receiving chemotherapy. Based on Maslow's Hierarchy of Needs, which nursing intervention is your first priority?

A. Assess and treat for pain
B. Determine whether the patient is hungry or thirsty
C. Explore feelings about dying
D. Observe tfor the clients self-care abilities
Untreated pain affects all biological/physiological needs. So, treating pain comes first.

A. Assess and treat for pain

Response Feedback: Untreated pain affects all biological/physiological needs. So, treating pain comes first.

Which statement by the nurse is best when communicating with a patient with clinical depression?

A."It's a beautiful day today; you'll feel better if you look out the window."
B."You're having a bad day; I'm sure you'll feel better soon."
C."Life seems overwhelming at times; would you like to discuss how you're
feeling?"
D. "You are very lucky to have such a supportive family."

C."Life seems overwhelming at times; would you like to discuss how you're
feeling?"

Response Feedback: When caring for a patient with depression, the nurse should encourage the patient to discuss his feelings.

Which of the following is considered a "practice" (as opposed to a belief or value)?
A. Always drinking water after exercises
B. Thinking about cleanliness
C. Placing emphasis on success
D. Maintaining youth

A. Always drinking water after exercises

Response Feedback:A practice is a set of behaviors that one follows, such as always drinking water after exercise.

The nurse is caring for a patient who emigrated from Puerto Rico. She can best care for this patient by learning about the:

A. Practices of the patients ethnic group
B. Patient's individual cultural values
C. Values of her own culture
D. Spanish-speaking community

B. Patient's individual cultural values

Response Feedback: The nurse cares for this patient by becoming familiar with the patient's individual cultural and ethnic beliefs and values

Throughout the course of his illness, a patient has denied its seriousness, even though his health professionals have explained prognosis of death very clearly. Physiologic signs now indicate that he will probably die within a short period of time, but he is still firmly in a state of emotional denial. The patient says to the nurse, "Tell my wife to stop hovering and go home. I'm going to be fine." How should the nurse respond?

A."Your physical signs indicate that you will likely not live more than a few more days."
B. "You seem very sure that you are not going to die. Please tell me more about what you are feeling."
C."It seems to me you would be feeling some anger and wondering why all this is happening to you."
D."It would be best for your family if you were able to work through this and come to accept the reality of your situation."

B. "You seem very sure that you are not going to die. Please tell me more about what you are feeling."

Response Feedback:"You seem sure . . . tell me . . . what you are feeling" restates what the patient has said (indicating understanding) and encourages expression of feelings—both are supportive. Even though moving him through stages is not the goal in this situation, support does facilitate that.

According to William Worden, which task in the grieving process takes longest to achieve?

A. Accepting that the loved on is gone
B. Experiencing the pain from loss
C. Adjusting to the environment without the deceased
D. Investing emotional energy

A. Accepting that the loved on is gone

Response Feedback: Worden described the tasks a grieving person must achieve. They progress from an initial numbness or denial through experiencing and working
through pain and grief and eventually moving on with life. Shock with disbelief is not a Worden task.

What is he most effective action for the nurse to take when delivering spiritual care to a patient of the same religion as the nurse?

A. Understanding that the patient shares the same beliefs
B. Striving to meet the patient's spiritual needs independently
C. Explaining her own religious beliefs to the patient
D. Developing a greater awareness of her own spirituality

D. Developing a greater awareness of her own spirituality

Response Feedback: The nurse can best deliver spiritual care by developing a greater awareness of her own spirituality. This allows the nurse to be a better listener and provide better care for the patient.

Which of the following statements about race and ethnicity is/are true? Select all that apply.

-Ethnicity refers to a person's cultural use of the indigenous health care system
-A person can have several aspects of a racial culture or be multicultural
-Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation
-Race is primarily reflects biology and refers to grouping of people based on biological similarities

-Ethnicity refers to groups whose members share a common and social heritage that is transmitted to the next generation
-Race is primarily reflects biology and refers to grouping of people based on biological similarities

Response Feedback: Race refers to the grouping of individuals who share similar biological Feedback: characteristics, such as blood type, skin color, and so forth. . Ethnicity
refers to groups whose members share a common and social heritage that is transmitted to the next generation.

Which of the following might be a warning sign that a child needs professional help after the death of a loved one? Choose all that apply.
-Interest in his usual activities -Extended regression
-Withdrawal from friends
-Inability to sleep

-Extended regression
-Withdrawal from friends
-Inability to sleep

Response Feedback: The warning signs that may indicate the need for professional help include inability to sleep, extended regression, loss of interest in daily activities,
and withdrawal from friends.

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How do nurses provide spiritual care to patients?

e.g. items I believe nurses can provide spiritual care by arranging a visit by the hospital Chaplain or the patient's own religious leader if requested” I believe nurses can provide spiritual care by showing kindness, concern and cheerfulness when giving care”.

When caring for patients the nurse must understand the difference between religion and spirituality religious care helps individuals?

When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals: Maintain their belief systems and worship practices. Develop a relationship with a higher being.

What is the best way to provide for your patient spiritual needs?

Ask the Patient How You Can Support Them Spiritually..
Listen to Fears & Concerns Without Going into Your Own Stuff..
Ask if You Can Pray with Them..
Use the Gifts of Presence & Touch..

Why is it important for nurses to deliver spiritually competent care?

Spiritual care has positive effects on individuals' stress responses, spiritual well-being (ie, the balance between physical, psychosocial, and spiritual aspects of self), sense of integrity and excellence, and interpersonal relationships (1).