Nokea
A nurse is caring for patients in a long-term care facility. Which nursing actions are appropriate based on the religious beliefs of these patients? Select all that apply.
- A. Asking a Buddhist if they have any diet restrictions related to the observance of holy days
- B. Asking a Christian Scientist who is in traction if they would like to try nonpharmacologic pain measures
- C. Administering medications to a Muslim patient and avoiding touching the patient's lips
- D. Asking a Roman Catholic patient if they would like to attend Mass in the common room on Sunday
- E. Avoiding scheduling treatment and procedures on Saturday for a Hindu patient
- F. Consulting with the medicine man of a Native American patient and incorporating their suggestions into the care plan
Correct Answer: A,B,D,F
Rationale: The nurse should ask a Buddhist if they have any diet restrictions related to the observance of holy days. Since Christian Scientists avoid the use of pain medications, the nurse should offer nonpharmacologic pain relief measures. A nurse should ask a Roman Catholic if they would like to attend Mass on Sunday. The nurse would appropriately consult with the medicine man of a Native American patient and incorporate their suggestions into the care plan.
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A patient who lost their home, spouse, and children in a fire is depressed and states that they have no reason to live. The patient states, "My family was my life." The nurse documents a health problem of Spiritual Distress based on the patient's inability to find meaning and purpose in their current situation. What is the priority nursing action for this patient?
- A. Asking the patient which spiritual advisor they would like you to call
- B. Recommending that the patient engage in spiritual or religious readings
- C. Determining what has given the patient meaning and purpose in the past
- D. Reminding the patient that God is a loving and personal God
Correct Answer: C
Rationale: The nurse prioritizes determining what, in addition to their family, has given the patient's life meaning and purpose in the past. This helps the patient focus on their strengths. This assessment data can be used to further plan individualized spiritual care.
A nurse in a long-term care facility is performing spirituality assessments of residents on their unit. What is the best question the nurse could use to assess for spiritual needs?
- A. "Can you describe your usual spiritual practices and how you maintain them daily?"
- B. "Are your spiritual beliefs causing you any concern?"
- C. "How can I and the other nurses help you maintain your spiritual practices?"
- D. "How do your religious beliefs help you to feel at peace?"
Correct Answer: C
Rationale: Questioning how the staff can meet patients' spiritual practices assesses spiritual needs. Asking the patient to describe spiritual practices is an assessment of spiritual practices. Asking about concerns assesses spiritual distress, and asking about feeling at peace assesses the need for forgiveness.
A surgeon tells a patient who is a Jehovah's Witness that they need emergency surgery to repair an aortic aneurysm, which will require blood transfusions. The patient states, "If I receive blood, I will not go to paradise. It is against my religion." What nursing response to the patient is appropriate?
- A. "I understand you will not receive blood products, even if it means you will die."
- B. "Please listen to the surgeon; I've seen many aneurysms successfully repaired"
- C. "Have you discussed your decision to refuse surgery with your family?"
- D. "What can I say to help you through this difficult decision?"
Correct Answer: A
Rationale: Patients who practice the Jehovah's Witness faith believe blood transfusions violate God's laws and do not allow them. The nurse supports the patient's beliefs. It is disrespectful of the nurse to attempt to coerce a decision or impose their beliefs on the patient.
A patient states they feel very isolated from their family and church, and even from God, "in this huge medical center so far from home." When preparing expected outcomes for this patient, which most appropriately measures relief of the patient's spiritual distress?
- A. The patient will express satisfaction with the compatibility of their spiritual beliefs and everyday living.
- B. The patient will identify spiritual beliefs that meet their need for meaning and purpose.
- C. The patient will express peaceful acceptance of limitations and failings.
- D. The patient will identify spiritual supports available to them in this medical center.
Correct Answer: D
Rationale: Each of the four options represents appropriate spiritual goals, but identifying spiritual supports available to this patient in this medical center at this point in time, is the most appropriate and realistic.
A nurse who is comfortable with spirituality is caring for a patient who needs spiritual counseling. What action will the nurse take first?
- A. Calling the patient's own spiritual advisor
- B. Asking if the patient has a spiritual advisor they wish to consult
- C. Counseling the patient and, if unsuccessful, making a referral to a spiritual advisor
- D. Explaining the best health options for the patient to the spiritual advisor
Correct Answer: B
Rationale: Even when a nurse feels comfortable discussing spiritual concerns, they should always determine whether the patient has a spiritual advisor they would like to consult. Calling the patient's spiritual advisor may be premature if it is a matter the nurse can handle.