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Chapter 35 Spiritual Health-Fundamentals of Nursing

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Chapter 35 Spiritual Health-Fundamentals of Nursing











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September 16, 2025
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Written in
2025/2026
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Chapter 35: Spiritual Health
ra ra ra




MULTIPLE CHOICE ra




1. A co-worker asks the nursing attendant to explain spirituality. What is the nursing attendant ’s
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best response? ra




a. It has a minor effect on health. ra ra ra ra ra ra




b. It is awareness of one’s inner self.
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c. It is not as essential as physical needs.
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d. It refers to fire or giving of life to a person.
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ACCURATE ANSWER:-B ra



Spirituality is often defined as an awareness of one’s inner self and a sense of connection to a h
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igher being, to nature, or to some purpose greater than oneself. Spirituality is an important fa
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ctor that helps individuals achieve the balance needed to maintain health and wellbeing and to c
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ope with illness. Florence Nightingale believed that spirituality was a force that
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provided energy needed to promote a healthy hospital environment and that caring for a pers
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on’s spiritual needs was just as essential as caring for his or her physical needs. The word spiri
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tuality comes from the Latin word spiritus, which refers to breath or wind. The spirit gives life
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to a person.
ra ra




DIF:Understand (comprehension) ra



OBJ:Discuss the influence of spirituality on hospital client s’ health prac
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tices. TOP:Teaching/Learning MSC: Management of Care
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2. The nursing attendant is caring for a hospital client
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who is professes to being an agnostic.
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Which information should the nursing attendant consider when planning care for this h
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ospital client belief system? ra ra ra




a. The hospital client is devoid of spirituality. ra ra ra ra ra ra




b. Is certain there is no such entity as God.
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c. Believes there is no known ultimate reality. ra ra ra ra ra ra




d. Finds no meaning through relationship with others. ra ra ra ra ra ra




ACCURATE ANSWER:-C ra



Some people do not believe in the existence of God (atheist), or they believe that there is no k
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nown ultimate reality (agnostic). Nonetheless, spirituality is important regardless of a person
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’s religious beliefs. Agnostics discover meaning in what they do or how they live because they
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find no ultimate meaning for the way things are. They believe that people bring meaning to wh
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at they do.
ra ra




DIF:Understand (comprehension) ra



OBJ:Discuss the influence of spirituality on hospital client s’ health ra ra ra ra ra ra ra ra ra ar



practices. TOP:Planning MSC: Management of Care ra ra ra ra




3. The nursing attendant is caring for an Islamic hospital client who wants to pray. Which
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intervention is most appropriate? ra ra




a. Postponing their bath until after they are finished praying ra ra ra ra ra ra ra ra

, b. Offering to turn on their music in preparation for prayer ra ra ra ra ra ra ra ra ra




c. Ask their roommate to leave while they pray ra ra ra ra ra ra ra




d. Set aside time for their praying 3 times a day ra ra ra ra ra ra ra ra ra




ACCURATE ANSWER:-B ra



A hospital client who is a follower of Islam will want to say daily prayers (Salah) five times a day
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. Hospital client s pray in private or participate in group prayer with family, friends, or clergy.
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Muslims must be clean before they pray, so offer hygiene measures according to Islam practices.
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aSome pray while listening to music. ra ra ra ra ra




DIF:Apply (application) ra



OBJ:Discuss nursing interventions designed to promote a hospital client ’s spi ra ra ra ra ra ra ra ra ra ra



ritual health. TOP:Implementation ra MSC: Psychosocial Integrity ra ra




4. A nursing attendant is teaching a hospital client how to meditate. Which behavio
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r presented by the hospital client indicates effective learning?
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a. Lying on the floor ra ra ra




b. Breathing quickly ra




c. Focusing on an particular image ra ra ra ra




d. Engaging for 10 minutes every day ra ra ra ra ra




ACCURATE ANSWER:-C ra



The steps of meditation include sitting in a comfortable position with the back straight; brea
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the slowly; and focus on a sound, prayer, or image. Meditation should occur for 10 to 20 minute
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s twice a day.
ra ra ra




DIF:Apply (application) ra



OBJ:Discuss nursing interventions designed to promote a hospital client ’s ra ra ra ra ra ra ra ra ra ar



spiritual health. TOP:Teaching/Learning MSC: Psychosocial Integrity
ra ra ra ra




5. The nursing attendant is admitting a hospital client
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to the hospital. The hospital client claim
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s to be a very spiritual person but does not practice any specific religion. How will the nu
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rsin g attendant interpret this finding? ra ra ra ra




a. This indicates a strong religious affiliation. ra ra ra ra ra




b. This statement is contradictory. ra ra ra




c. This statement is reasonable. ra ra ra




d. This indicates a lack of hope. ra ra ra ra ra




ACCURATE ANSWER:-C ra



The hospital client ’s statement is reasonable and is not contradictory. Many people tend to u
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se the terms spirituality and religion interchangeably. Although closely associated, these terms
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are not synonymous. Religious practices encompass spirituality, but spirituality does not nee
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d to include religious practice. When a person has the attitude of something to live for and loo
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k forward to, hope is present.
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DIF:Understand (comprehension) ra



OBJ:Compare and contrast the concepts of religion and spirituality. ra ra ra ra ra ra ra ra ar



TOP:Assessment MSC: Psychosocial Integrity ra ra




6. Which hospital client comment should the nursing attendant identify as a demonstratio
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n o f faith?
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, a. I go to church every Sunday.
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b. I believe there is life after death.
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c. I have something to look forward to each day.
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d. I get a feeling of awe when looking at the sunset.
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ACCURATE ANSWER:-B ra



Faith allows people to have firm beliefs despite lack of physical evidence (life after death). Re
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ligion refers to the system of organized beliefs and worship that a person practices to outwar
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dly express spirituality (go to church). When a person has the attitude of something to live fo
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r and look forward to, hope is present (look forward to each day). Selftranscendence is the belief
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that there is a force outside of and greater than the person (awe w hen looking at a sunset).
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DIF:Analyze (analysis) ra



OBJ:Explain the relationship among faith, hope, and spiritual wellbeing. TOP:Assessme ra ra ra ra ra ra ra ra ar



nt MSC: Psychosocial Integrity ra ra




7. A nursing attendant is caring for a Roman Catholic hospital client . Which action will th
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e nursing attendant plan time for? a. Practice the Five Pillars
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b. Practice Blessingway ra




c. Avoiding meat on Fridays ra ra ra




d. The purity rituals ra ra




ACCURATE ANSWER:-C ra



Fasting on Fridays is practiced by some Roman Catholics. Hindus practice prayer and purity
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rituals. Blessingway is a practice of the Navajos that attempts to remove ill health by means of s
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tories, songs, rituals, prayers, symbols, and sand paintings. Islams must be able to practice the
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Five Pillars of Islam.
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DIF:Apply (application) ra



OBJ:Use clinical judgement in planning nursing interventions that promote a hospital client ’s spiritual h
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eal th.
TOP:Implementation MSC: Psychosocial Integrity ra ra




8. The nursing attendant is caring for a hospital client with a chronic illness who is having
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conflicts with beliefs. Which health care team member will the nursing attendant ask t
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o see this hospital client ? a. The clergy
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b. A psychiatrist ra




c. A social worker ra ra




d. An occupational therapist ra ra




ACCURATE ANSWER:-A ra



Other important resources to hospital client s are spiritual advisors and members of the clerg
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y. Spiritual care helps people identify meaning and purpose in life, look beyond the present, a
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nd maintain personal relationships, as well as a relationship with a higher being or life force.
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A psychiatrist is for emotional health. A social worker focuses on social, financial, and commu
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nity resources. An occupational therapist provides care with vocational issues and functioning
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within physical limitations.
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DIF:Understand (comprehension) ra



OBJ:Explain the importance of establishing caring relationships with hospital client s to provide spiritua
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l c are.
ar



TOP:Implementation MSC: Management of Care ra ra ra
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