OTH3416 Exam 2
A college-age foreign exchange student is living with a family and is confused about the
daily prayers and rituals of the family. The student longs for the comfort of their religion's
practices and reports to the campus nurse for direction. The nurse recognizes the student is
experiencing which type of spiritual distress?
Spiritual alienation
A nurse provides care on the palliative unit of a hospital. Which intervention will support a
client who has expressed strong spiritual beliefs?
Carefully assessing verbal and non-verbal cues of client.
The nurse's client states that his pastor is coming in a few hours to pray with him and offer
sacrament. The nurse plans to do the following things in preparation for this. Select all that
apply.
• Clear the bedside table; cover with clean towel• Have a chair available near the bed• Clear the
room of unnecessary items
The nurse is performing the initial assessment on a client admitted with pneumonia. The
client tells the nurse, "Last time I was here, the nurse gave me the wrong medication!"
What nursing action will best help establish trust with the client?
Actively listening to client and allow expression of negative feelings
A client in a long-term care facility has recently begun to refuse to cooperate with the staff,
is having difficulty agreeing with the treatment goals suggested by the nurse, and is
showing more stress when the family goes home. What is the best response from the nurse?
,Question the client for spiritual concerns
A middle-aged female client visits the clinic to confirm pregnancy. "I cannot believe this is
happening. I cannot be pregnant. My parents will kill me. I was raised in a strict Roman
Catholic home. I was not supposed to get pregnant before marriage."
Complete the following sentence by choosing from the lists of options.
The client is exhibiting signs of spiritual (guilt) related to the (inability to live up to devout
practices)
The adult child of a dying client is surprised at their parent's adamant request to meet with
the hospital chaplain and has taken the nurse aside and said, "I do not think that is what
my parent really wants. My parent has never been a religious person in the least." What
action will the nurse take in this situation?
Contact the chaplain to arrange a visit with client
While studying religion and spirituality, the nursing student exhibits an understanding of
the concepts when making which of the following statements?
Religion is a collection of spiritual beliefs and practices
A client is hospitalized and in traction. The client expresses a belief that missing their
weekly religious service is a failure to live by their religion's rules. The client notes not
missing a service in the past 50 years. Which concern does the nurse identify for this client?
Spiritual distress associated with inability to attend religious services, evidenced by verbal
statement of guilt.
, An older adult client who is very sick but very spiritual and has a deep faith asks the nurse
to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to
honor the client's request. What would be the best action by the nurse?
Take the lead from the client by asking, "How would you like us to pray?"
A new nurse observes a member of the clergy visiting and praying with a client every
Saturday afternoon. This activity supports which nursing outcome?
The client uses a type of spiritual experience that provides comfort.
A new client is on the hospital unit. The client was recently diagnosed with metastatic
pancreatic cancer and chose to receive only palliative care. The client tells a nurse that
there is no higher power that they know of who would subject someone to this situation.
The client's statement is most reflective of:
Spiritual crisis
The nurse enters a client's room as the client and family are praying. Which is the most
appropriate action of the nurse?
Step outside the door until the prayer is finished
A nurse is developing a plan of care to meet a client's spiritual needs. When identifying
appropriate interventions, which concept would the nurse need to integrate as the
foundation for all the interventions?
supportive presence
The client states "I have lifted my cancer to God and am accepting of God's plan for me."
This is an example of an adaptive expression of spiritual needs labeled:
A college-age foreign exchange student is living with a family and is confused about the
daily prayers and rituals of the family. The student longs for the comfort of their religion's
practices and reports to the campus nurse for direction. The nurse recognizes the student is
experiencing which type of spiritual distress?
Spiritual alienation
A nurse provides care on the palliative unit of a hospital. Which intervention will support a
client who has expressed strong spiritual beliefs?
Carefully assessing verbal and non-verbal cues of client.
The nurse's client states that his pastor is coming in a few hours to pray with him and offer
sacrament. The nurse plans to do the following things in preparation for this. Select all that
apply.
• Clear the bedside table; cover with clean towel• Have a chair available near the bed• Clear the
room of unnecessary items
The nurse is performing the initial assessment on a client admitted with pneumonia. The
client tells the nurse, "Last time I was here, the nurse gave me the wrong medication!"
What nursing action will best help establish trust with the client?
Actively listening to client and allow expression of negative feelings
A client in a long-term care facility has recently begun to refuse to cooperate with the staff,
is having difficulty agreeing with the treatment goals suggested by the nurse, and is
showing more stress when the family goes home. What is the best response from the nurse?
,Question the client for spiritual concerns
A middle-aged female client visits the clinic to confirm pregnancy. "I cannot believe this is
happening. I cannot be pregnant. My parents will kill me. I was raised in a strict Roman
Catholic home. I was not supposed to get pregnant before marriage."
Complete the following sentence by choosing from the lists of options.
The client is exhibiting signs of spiritual (guilt) related to the (inability to live up to devout
practices)
The adult child of a dying client is surprised at their parent's adamant request to meet with
the hospital chaplain and has taken the nurse aside and said, "I do not think that is what
my parent really wants. My parent has never been a religious person in the least." What
action will the nurse take in this situation?
Contact the chaplain to arrange a visit with client
While studying religion and spirituality, the nursing student exhibits an understanding of
the concepts when making which of the following statements?
Religion is a collection of spiritual beliefs and practices
A client is hospitalized and in traction. The client expresses a belief that missing their
weekly religious service is a failure to live by their religion's rules. The client notes not
missing a service in the past 50 years. Which concern does the nurse identify for this client?
Spiritual distress associated with inability to attend religious services, evidenced by verbal
statement of guilt.
, An older adult client who is very sick but very spiritual and has a deep faith asks the nurse
to say a prayer for her. The nurse, who is not very comfortable praying out loud, wants to
honor the client's request. What would be the best action by the nurse?
Take the lead from the client by asking, "How would you like us to pray?"
A new nurse observes a member of the clergy visiting and praying with a client every
Saturday afternoon. This activity supports which nursing outcome?
The client uses a type of spiritual experience that provides comfort.
A new client is on the hospital unit. The client was recently diagnosed with metastatic
pancreatic cancer and chose to receive only palliative care. The client tells a nurse that
there is no higher power that they know of who would subject someone to this situation.
The client's statement is most reflective of:
Spiritual crisis
The nurse enters a client's room as the client and family are praying. Which is the most
appropriate action of the nurse?
Step outside the door until the prayer is finished
A nurse is developing a plan of care to meet a client's spiritual needs. When identifying
appropriate interventions, which concept would the nurse need to integrate as the
foundation for all the interventions?
supportive presence
The client states "I have lifted my cancer to God and am accepting of God's plan for me."
This is an example of an adaptive expression of spiritual needs labeled:
