Nokea
A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for the patient?
- A. I?ll take you to visit my church if you can get a pass.
- B. You have to belong to the same church I do if you?re going to go to heaven.
- C. Would you like me to bring you a guided imagery audiotape?
- D. We can pray together if you?d like.
Correct Answer: D
Rationale: Offering to pray together respects the patient?s strong faith and provides a supportive spiritual intervention tailored to his beliefs, unlike imposing the nurse?s beliefs or offering non-spiritual interventions like guided imagery.
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The nurse is doing an assessment interview of a patient. During the interview, the patient comments, Our people are connected with nature. Our seasons, and our weather they all have many lessons to teach us. The nurse interprets the patient?s statement as an expression of which of the following?
- A. Religiousness
- B. Tribal law
- C. Spirituality
- D. Ecological values
Correct Answer: C
Rationale: The patient?s statement reflects a spiritual connection to nature, emphasizing a broader sense of meaning and interconnectedness, which is characteristic of spirituality rather than religiousness, tribal law, or ecological values alone.
A psychiatric-mental health nurse working in a Veteran?s Administration Medical Center is meeting with a military wife who is an Asian American. The woman is to be joining a support group for wives of veterans who have posttraumatic stress syndrome. When asking her to describe her husband?s mental health problems, which response would the nurse most likely expect?
- A. Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family.
- B. I know the war messed his mind up. He?ll never be the same.
- C. Sometimes he hallucinates that he is back in Vietnam.
- D. He just stays to himself; he never talks to me about what is bothering him.
Correct Answer: D
Rationale: Asian American cultural norms often emphasize stoicism and privacy, so the wife is likely to describe her husband?s PTSD symptoms indirectly, such as social withdrawal, rather than attributing them directly to mental health issues or dramatic symptoms like hallucinations.
The nurse is assessing an Asian American patient. During the interview, the nurse determines that the patient likely follows Taoism based on which statement?
- A. Purity and balance guide all of my actions.
- B. I strive to be in happy harmony with nature.
- C. Nature?s powers must be respected in life.
- D. God is worshipped out of love, not fear.
Correct Answer: B
Rationale: Taoism emphasizes living in harmony with the Tao, or the natural order, as reflected in the statement about striving for happy harmony with nature, aligning with Taoist principles of balance and natural flow.
During an assessment, the patient states, We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of him. The nurse interprets this as indicating which of the following?
- A. Acculturation
- B. Cultural identity
- C. Cultural competence
- D. Linguistic competence
Correct Answer: B
Rationale: The patient?s statement reflects cultural identity, emphasizing family-oriented values, respect for elders, and collective caregiving, which are central to their cultural beliefs and practices.
During an interview, a patient states, God does not exist for me. The nurse interprets this statement as reflecting which of the following?
- A. Animism
- B. Agnosticism
- C. Atheism
- D. Polytheism
Correct Answer: C
Rationale: The patient?s statement denying the existence of God reflects atheism, the belief that no deities exist, as opposed to agnosticism (uncertainty about God?s existence), animism (spirits in nature), or polytheism (multiple gods).