Sprott Shaw College
1. Anne's husband has indicated that Anne attended church regularly and used
to read her Bible daily. He has provided a prayer that he believes will give Anne
comfort. As her nurse, you could:
A. Explain that spiritual care is not part of nursing responsibilities
B. Tell the husband that prayer is not permitted in the healthcare setting
C. Offer to call Spiritual Services to support the family/client
D. Suggest the family wait until after death to address spiritual concerns
Correct Answer: C. Offer to call Spiritual Services to support the family/client
Rationale:
Spiritual care is an essential component of holistic nursing practice, particularly in palliative and
end-of-life care. Facilitating access to spiritual resources supports both the client and family
during the dying process. Nurses should respect individual beliefs and assist in meeting spiritual
needs through appropriate referrals and support services.
2. Your patient Anne is exhibiting signs and symptoms of getting closer to death.
These may include:
A. Increased appetite and energy levels
B. Labored respirations with periods of apnea
C. Elevated blood pressure and increased urine output
D. Hyperactivity and excessive communication
Correct Answer: B. Labored respirations with periods of apnea
Rationale:
As death approaches, physiological changes commonly occur, including altered breathing
patterns such as Cheyne-Stokes respirations, apnea, decreased responsiveness, reduced
circulation, and diminished intake. Recognizing these signs helps nurses prepare families and
provide appropriate comfort measures.
3. Anne dies at 1415 on June 28. You are present at this time and the death is
expected. Your responsibilities include: