Exam 4 (Ch 14 Test Questions)

Question 1

1. Which statement best describes theology?
   1) Discussions and theories related to God and His relation to the world
   2) Doctrines about the human soul and its relation to eternal life
   3) A life-long journey involving accumulation of experience and understanding
   4) Codes of conduct that integrate beliefs and values

Answer 1

1

Question 2

2. Which of the following is considered a religious denomination within the tradition of Christianity?
   1) Buddhism
   2) Mennonite
   3) Sikhism
   4) Islam

Answer 2

2

Question 3

3. Which factor is held in common by many of the world religions?
   1) Strict health code, including dietary laws
   2) Belief that one must submit to a god or gods
   3) Rules prohibiting alcohol consumption
   4) Sacred writings that reveal the nature of the Supreme Being

Answer 3

4

Question 4

4. A female patient tells the charge nurse that she does not want a male nurse caring for her. Which intervention by the charge nurse is best?
   1) Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.
   2) Explore with the patient her beliefs and determine which might have caused her to make this statement.
   3) Assure the patient that each nurse is capable of providing professional nursing care, regardless of their gender.
   4) Comply with the patient’s request and assign a female nurse to care for the patient.

Answer 4

2

Question 5

5. A patient of Orthodox Jewish faith is admitted to the hospital with heart failure on Yom Kippur. The physician prescribes digoxin 0.25 mg to be given orally for this patient. Based on the patient’s religious affiliation, which of the following actions should the nurse take?
   1) Administer the medication as prescribed.
   2) Hold the medication until after Yom Kippur.
   3) Explain the importance of taking the medication despite the holiday.
   4) Ask the physician to change the route of administration.

Answer 5

4

Question 6

6. The nurse is admitting a Roman Catholic adult patient who is critically ill. Based on her knowledge of the patient’s religion, for which religious practice should she expect to notify the hospital chaplain?
   1) Anointing of Sick
   2) Baptism
   3) Eucharist
   4) Sacrament of Reconciliation

Answer 6

1

Question 7

7. Because of religious beliefs, which of the following patients will most likely refuse a blood transfusion? One who is affiliated with:
   1) Islam.
   2) Baha’i.
   3) Hinduism.
   4) Jehovah’s Witness.

Answer 7

4

Question 8

8. Which special consideration may the nurse need to make when caring for a female Rastafarian patient?
   1) Allow the patient to wear her own clothing.
   2) Provide a diet that is caffeine-free.
   3) Allow the patient to wear jewelry with religious symbols.
   4) Provide free-flowing water for bathing.

Answer 8

1

Question 9

9. What is the most effective action by the nurse when delivering spiritual care to a patient of the same religion as the nurse?
   1) Understanding that the patient shares the same beliefs
   2) Striving to meet the patient’s spiritual needs independently
   3) Explaining her own religious beliefs to the patient
   4) Developing a greater awareness of her own spirituality

Answer 9

4

Question 10

10. A patient prays, “God, be with me during this surgery and help me safely through it so I can be with my wife and children again.” Which type of prayer is the patient utilizing?
    1) Intercession
    2) Petition
    3) Offering
    4) Penitence

Answer 10

2

Question 11

11. A Muslim client has asked the nurse to pray with her. Which item should the nurse anticipate that the patient may request before praying?
    1) Bathing water
    2) Rosary beads
    3) Mala beads
    4) Prayer cloth

Answer 11

1

Question 12

12. When performing a spiritual assessment, who is the preferred source of information?
    1) Durable power of attorney
    2) Next of kin
    3) Patient
    4) Patient’s clergyman

Answer 12

3

Question 13

13. Which type of medicine do those of Hindu faith typically practice?
    1) Ayurvedic medicine
    2) Western medicine
    3) Chiropractic medicine
    4) Qigong

Answer 13

1

Question 14

14. A patient tells the nurse, “I feel that God has abandoned me. I am so angry that I can’t even pray.” The patient refuses to see his clergyman when he calls. Which is the most appropriate nursing diagnosis for this patient?
    1) Spiritual Distress
    2) Risk for Spiritual Distress
    3) Impaired Religiosity
    4) Moral Distress

Answer 14

1

Question 15

15. The nurse is asking the patient reflective, clarifying questions to help the patient make a list of what is important and not important in life and the time commitment for each. Which standardized (NIC) nursing intervention does this action implement?
    1) Spiritual support
    2) Self-Esteem Enhancement
    3) Values Clarification
    4) Hope Inspiration

Answer 15

3

Question 16

16. The nurse is a Christian. She is caring for a Jewish patient who has asked her to offer a prayer at the bedside. The nurse feels comfortable doing so. Which of the following actions by the nurse is appropriate?
    1) Offer a prayer for healing using the nurse’s usual words and format.
    2) Begin the prayer with “Jehovah God” as she always does while avoiding the name of Jesus.
    3) Avoid saying any name for the Supreme Being while praying and quote an Old Testament Bible scripture as the prayer.
    4) Say, “What name would you like for me to use to address the Supreme Being when I am praying for you?”

Answer 16

4

Question 17

1. A patient has a nursing diagnosis of “Noncompliance with medication regimen related to a belief that God will heal her and that it would show a lack of faith to take the medications.” The nurse and a clergyman have spent some time discussing spiritual and treatment issues with the patient. Which of the following would indicate that progress is being made toward achieving compliance with health care therapy? (Choose all that apply.) The patient says:
   1) “I will try to pray more often for stronger faith that God will heal me.”
   2) “Let me think about it until tomorrow; I may see my way to taking those pills then.”
   3) “You know, I’ve known some very holy people who were not cured by God.”
   4) “There is no confusion in my mind as to the right thing for me to do.”

Answer 17

2,3