Online Practice Test 41

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 41 > NCLEX® Review Date/Time Submitted: July 27, 2012 at 4:53 PM (UTC/GMT)

Summary of Results 90% Correct of 10 Scored items: 9 Correct:  90% 1 Incorrect:  10% More information about scoring

1.		A nurse employed in a large city hospital cares for clients from many different cultures. Which of the following practices will help the nurse meet the spiritual needs of these clients? Your Answer: Learning about various religious traditions
		Objective: Define the concepts of spirituality and religion as they relate to nursing and health care. Rationale: The nurse is most likely unfamiliar with some of the spiritual practices of other cultures. Answers 1, 2, and 3 are one-dimensional, whereas the nurse must be prepared for diversity. Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		When asked about religious beliefs, a client describes personal beliefs as agnostic. How should the nurse interpret this information? Your Answer: The client neither believes nor disbelieves in a God.
		Objective: Define the concepts of spirituality and religion as they relate to nursing and health care. Rationale: An agnostic is not an atheist (i.e. someone who does not believe in God). Answers 2, 3, and 4 reflect an individual who believes in a God of some sort. An agnostic neither believes nor disbelieves. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		A 16-year-old client is involved with church activities and active in the youth group. According to Westerhoff's stages of faith, the client's behavior is indicative of which stage of spiritual development?  Your Answer: Owned faith Correct Answer: Experienced faith
		Objective: Describe the spiritual development of the individual across the life span. Rationale: The client is a typical adolescent who accepts faith as an experience. Searching faith, reconciled faith, and owned faith reflect faith development of one more nature. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
4.		A client informs the nurse that he is reading the Torah. To what religion does this sacred writing belong? Your Answer: Judaism
		Objective: Describe the influence of spiritual and religious beliefs about diet, dress, prayer and meditation, and birth and death on health care. Rationale: The Torah belongs to Judaism. The sacred teachings of Buddhism are Four Noble Truths and Noble Eightfold Ways. The sacred Scripture of Hindu is the Vedas. The sacred book of Islam/Muslim is theQur' an. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
5.		A home health nurse is caring for a 68-year-old client whose husband recently died. The client is depressed and tearful. Which of the following statements by the client most likely indicates spiritual distress? Your Answer: "I've gone to church all these years for nothing. What a waste of time."
		Objective: Identify factors associated with spiritual distress and manifestations of it. Rationale: This type of distress is one that that disrupts one's very nature of being; therefore, the correct answer is "I've gone to church all these years for nothing. What a waste of time." Answer 1 is a symptom of grieving and depression. Answer 2 is a symptom of spiritual distress, grieving, and depression. Answer 3 demonstrates that the client is receiving spiritual support. Nursing Process: Planning Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		A client is critically ill. The policy in the critical care unit is that no more than 2 visitors are allowed at one time. A group of 12 church members arrives for laying on of hands, anointing, and prayers of healing. The nurse's best option is to: Your Answer: Discuss the situation with the client and respect the client's wishes with the least disruption possible.
		Objective: Describe the influence of spiritual and religious beliefs about diet, dress, prayer and meditation, and birth and death on health care. Rationale: The nurse is an advocate for the client before others. If a critically ill client desires prayer and a healing ceremony, the nurse should do his best to accommodate that situation while keeping in mind the needs of other clients in the critical care unit. It may be that only half of the group will be able to enter. A physician's order is not necessary unless that is the unit's policy. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
7.		According to Carson, what is the "greatest tool" available to nurses for meeting clients' spiritual needs? Your Answer: The nurse's presence in the form of a personal relationship with the client
		Objective: Assess the spiritual needs of clients and plan nursing care to assist clients with spiritual needs. Rationale: All of the answers help to meet the client's spiritual needs. None of the answers is as powerful as the gift of self. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
8.		A 27-year-old client with a bleeding duodenal ulcer has refused blood transfusions because of religious beliefs. What is the best action for the nurse to take? Your Answer: Provide information that the client needs to make an informed decision, and support the decision.
		Objective: Describe nursing interventions to support clients' spiritual beliefs and religious practices. Rationale: The nurse is a client advocate who practices within the framework of the state's Nurse Practice Act and standards of practice. Some institutions have resorted to this action, and some courts have acknowledged the client's right to choose and refuse care. Answer 3 is a decision made at a level higher than the nurse, but the nurse may or may not decide to participate based on an individual ethical decision. The nurse does not know God's wishes. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		An adult survivor of child sexual abuse by a relative felt great anguish for many years over the abuse, including spiritual distress. Which statement to the client's support group provides evidence that the client is recovering from spiritual distress?  Your Answer: "I am finally beginning to forgive the person who did this to me."
		Objective: Identify factors associated with spiritual distress and manifestations of it. Rationale: Forgiveness is a defining characteristic of spiritual wellness. Answers 1, 3, and 4 do not address spirituality. Answer 3 could be a warning sign of depression with sudden euphoria, a suicide risk. Nursing Process: Evaluation Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
10.		A preoperative client asks the nurse to pray along with the client and spouse. The nurse is not accustomed to praying. What would be the most helpful nursing action? Your Answer: It is best that the nurse prays with the client or offers to stay during private prayer.
		Objective: Describe nursing interventions to support clients' spiritual beliefs and religious practices. Rationale: The client is preoperative. This could mean 15 minutes or an hour. One cannot assume there is time to call another person. The client did not ask the nurse to lead prayer, only to pray along. Even one who does not know how to pray is able to respect this request. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection