NUR 108 Ch 46 Spirituality
- A college foreign exchange student is living with a family in England and is confused about
the daily Catholic prayers and rituals of the family. The student longs for the comfort of her fundamentalist Protestant practices and reports to the campus nurse for direction. The nurse recognizes the student is experiencing which type of spiritual distress?
Spiritual alienation Spiritual guilt Spiritual anger Spiritual loss
Answer Spiritual alienation
Explanation
Spiritual alienation occurs when an individual is separated from one's faith community.Spiritual guilt is the failure to live according to religious rules. Spiritual anger is the inability to accept illness. Spiritual loss occurs when one is not able to find comfort in religion.
- A dying client requests that the nurse pray with him. The nurse is not accustomed to praying
aloud but is comfortable praying silently. What is the best approach for this nurse to follow to pray with this client?
The nurse should select a formal prayer or Bible passage to use to pray aloud.The nurse should defer the client's request to pray.The nurse should inform the client that she will pray for the client but not with him.The nurse should ask the client's roommate to pray with the client.
Answer The nurse should select a formal prayer or Bible passage to use to pray aloud.
Explanation
A nurse unaccustomed to praying aloud or in public may find it helpful to have a Bible passage or formal prayer readily available for praying. If the nurse is not comfortable praying with the client, they should call the hospital chaplain or find another individual who is comfortable.
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- Mr. Baker is an 81-year-old patient who can no longer live alone safely and is being
admitted to a long-term-care facility. He grew a large garden every summer and took pleasure in sharing the produce with neighbors. He now tells the nurse that he feels he is of no use to anyone. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?
Need for meaning and purpose Need for love and relatedness Need for basic necessities of life Need for forgiveness
Answer Need for meaning and purpose
Explanation
According to Shelly and Fish (1988), the three spiritual needs underlying all religious traditions and common to all people are the need for meaning and purpose, the need for love and relatedness, and the need for forgiveness. The client is experiencing the need for meaning and purpose. The garden provided a needed element for the client to provide for others. The need for love and relatedness is have a sense of companionship. The need for forgiveness is reconciling with others. Basic necessities are something necessary or indispensable such as food, water, and shelter.
- The nurse is on the third day of caring for a client who recently underwent a colectomy.
During the physical assessment, a discussion about spirituality develops. The client reports feeling some guilt about being in the hospital because her religion opposes modern science, including medicine. The nurse recognizes this as a belief of which of the following groups?
Buddhism Baha'i International Community Mormon Jehovah's Witnesses
Answer Jehovah's Witnesses
Explanation
Jehovah's Witnesses oppose the "false teachings" of other sects; opposition often extends to modern science, including medicine. The Baha'i International Community believes in a 2 / 3
basic harmony between religion and science. Buddhists believe in the Four Noble Truths and the Noble Eightfold Path. Mormons believe in divine healing through the "laying on of hands".
- The nurse is caring for Mr. Z., a 55-year-old man admitted to the hospital for liver failure. He
is an active member in the Latter-Day Saints (Mormon) church. Mr. Z. tells the nurse that he strictly adheres to the religious practices that are condoned by the church. However, the nurse overhears two of his physicians discussing that Mr. Z.'s liver failure is likely due to chronic alcohol use. The nurse suspects that they are wrong. Which of the following is an appropriate nursing activity?
Know that the physicians are wrong; the Mormon faith does not permit alcohol use.Engage Mr. Z. in a discussion about past and present religious practices.Accuse Mr. Z. of lying and find out why he lied.Order several laboratory tests looking for genetic defects that affect the liver.
Answer Engage Mr. Z. in a discussion about past and present religious practices.
Explanation
A client's current religious practice is not necessarily indicative of lifelong practices.
Talk with Mr. Z about his lifelong religious practice. As a result, useful information may be uncovered that will help to guide the plan of care.
- To obtain subjective data related to a 16-year-old client's spirituality, the nurse should
ask the client's parents if the client attends services.observe whether the client reads religious material.ask the client if religion or a higher being is significant.document the number of times a minister visits.
Answer ask the client if religion or a higher being is significant.
Explanation
In a spiritual assessment, the nurse may ask if religion or God is significant to the client.
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