NCLEX Spirituality

Question 1

As defined by NANDA, which of the following characteristics are associated with spiritual distress?

1. ) Lack of meaning or purpose in life
2. ) Expressing anger toward a Supreme Being
3. ) Sudden changes in spiritual or religious practices
4. ) All of the above

Answer 1

4.) All of the above

Question 2

Spirituality can best be defined as:

1. ) Being essential to a person’s being, involving a relationship with God or a higher power.
2. ) An organized system of beliefs shared by a group of people.
3. ) The acceptance of specific values and rituals.
4. ) Expectations, believing in something that cannot be directly observed.

Answer 2

1.) Being essential to a person’s being, involving a relationship with God or a higher power.

Question 3

Which of the following best defines spiritual development. Spiritual development:

1. ) Requires interaction with others who are living in a similar faith.
2. ) Occurs in a linear fashion, and a person can be in more than one stage at a time.
3. ) Is unique to each individual without commonalities or stages.
4. ) Does not peak until the client reaches middle age.

Answer 3

2.) Occurs in a linear fashion, and a person can be in more than one stage at a time.

Question 4

What facets of religion related to health and illness may affect nursing practice?

1. ) Attitudes about treatment acceptance
2. ) Death and dying practices
3. ) Food preferences and restrictions
4. ) All of the above

Answer 4

4.) All of the above

Question 5

Daily prayers are often prescribed by certain religions. In the Jewish religion, the kaddish is best described by which of the following? A daily prayer that Jews say:

1. ) At bedtime.
2. ) Before meals.
3. ) Upon rising in the morning.
4. ) Daily for 1 year after the death of a loved one.

Answer 5

4.) Daily for 1 year after the death of a loved one.

Question 6

Most religions have a weekly day set aside for rest, prayer, and reading of sacred works. Muslims observe which day of the week as a day of meditation and worship?

1. ) Sunday
2. ) Friday
3. ) Sundown on Friday until sundown on Saturday
4. ) Saturday

Answer 6

2.) Friday

Question 7

Which of the following statement best describes religion? Religion:

1. ) Represents the core of a person’s being, involving one’s relationship to God or a higher being.
2. ) Is an organized belief system shared by a group of people.
3. ) Reflects beliefs that supernatural forces control health and illness.
4. ) Is unique to the practice of Christianity.

Answer 7

2.) Is an organized belief system shared by a group of people.

Question 8

The parents of a critically ill infant are practicing Catholics. The nurse is aware that baptism is an important religious ritual. Which of the following is the best action for the nurse to take?

1. ) Ask the hospital chaplain to baptize the baby
2. ) Ask the doctor to baptize the baby
3. ) Ask the parents for direction as to who they want to baptize the baby
4. ) Do nothing, because discussing baptism will make the parents more anxious

Answer 8

3.) Ask the parents for direction as to who they want to baptize the baby

Question 9

In Westerhoff’s four stages of faith, which of the following actions describe the behavior of the individual experiencing the owned faith stage?

1. ) Acquires a cognitive as well as an affective faith
2. ) Experiences awe and wonder
3. ) Puts faith into personal and social action
4. ) Participates in activities that characterize a particular faith tradition

Answer 9

3.) Puts faith into personal and social action

Question 10

The concept of blaming as the cause of mental illness is based on the belief that:

1. ) Mental illness is hereditary.
2. ) A higher authority is responsible for the onset of symptoms.
3. ) People cause their own problems.
4. ) Individuals are responsible to solve their own problems.

Question 11

Detached concern means that the nurse:

1. ) Represses beliefs or attitudes that are inconsistent with the client’s.
2. ) Willingly agrees to do something even though he or she does not want to.
3. ) Believes people do not create their own problems.
4. ) Emotionally distances himself or herself in order to help others.

Answer 11

4.) Emotionally distances himself or herself in order to help others.

To maintain professional boundaries and prevent burnout, nurses emotionally distance themselves from clients in order to care for them and remain objective.

Question 12

The Enlightenment Model of Thinking reflects the belief that:

1. ) People cause their own problems and should be responsible for finding solutions to them.
2. ) People should not be blamed for their problems, but should be involved in the problem-solving process.
3. ) People create their own problems but need to rely on others to solve them.
4. ) People do not create their own problems and are not responsible for solving them.

Answer 12

3.) People create their own problems but need to rely on others to solve them.

The concept that people do create their problems but seek assistance from others to solve them is inherent in the Enlightenment Model.

Question 13

To address the cultural needs of a client, the nurse will:

1. ) Ask other nurses what the client’s needs are.
2. ) Ask clients what cultural issues are important to them.
3. ) Provide the same care that has been provided to other clients.
4. ) Read current literature on a specific culture.

Answer 13

2.) Ask clients what cultural issues are important to them.

Asking clients about their cultural needs demonstrates respect and concern.

Question 14

The nurse can reduce the risk of burnout by:

1. ) Teaching clients to accept responsibility for their illness.
2. ) Planning time alone with limited social contacts and interactions.
3. ) Recognizing and responding to his or her own internal stress signals.
4. ) Acknowledging that the nurse’s own feelings are more important than the feelings of others.

Answer 14

3.) Recognizing and responding to his or her own internal stress signals.

Being aware of your own feelings and stress factors will help to decrease the rate of burnout.

Question 15

The nurse is teaching a group of clients how to use assertive behavior to increase their self-confidence. The nurse explains that assertive behavior includes:

1. ) Demanding that you be heard before others have a chance to speak.
2. ) The belief that other people’s needs are more important than your own.
3. ) The ability to ask for what you want while respecting other people.
4. ) A timid, reserved demeanor.

Answer 15

3.) The ability to ask for what you want while respecting other people.

Question 16

_______ in psychiatric–mental health involves maintaining current knowledge and self-regulation to protect the quality of client care.

1. ) Self-awareness
2. ) Critical thinking
3. ) Accountability
4. ) Advocacy

Answer 16

3.) Accountability

1. Advocacy. Acting on behalf of others is to advocate for them.
2. Self-awareness. Being in touch with one’s feelings is self-awareness.
3. Accountability. Being an accountable nurse requires that you maintain a current knowledge base and standards to maintain quality care.
4. Critical thinking. Critical thinking represents a complex thought process that promotes effective care for clients.

Question 17

The nurse conveys a caring, respectful attitude toward a client when the nurse says:

1. ) “Don’t worry about those symptoms; they are normal for your illness.”
2. ) “The doctor knows what is best for you.”
3. ) “Why did you do that?”
4. ) “I want to make sure I understood what you said.”

Answer 17

4.) “I want to make sure I understood what you said.”

Question 18

Which of the following statements reflects empathy for a client?

1. ) “It may feel overwhelming now, but things could be worse.”
2. ) “I don’t know how you feel, but I hear what you are saying.”
3. ) “I know exactly how you feel. The same thing happened to me.”
4. ) “Don’t worry. I know things will get better soon.”

Answer 18

2.) “I don’t know how you feel, but I hear what you are saying.”

We cannot know what or how our clients feel and it is appropriate to acknowledge that and let them know you hear them.

Question 19

To effectively address a client’s spiritual needs the nurse should be knowledgeable about:

1. ) The nurse’s own individual spirituality.
2. ) The client’s specific religious affiliation.
3. ) The significance of religious practices and rituals in the client’s life.
4. ) The client’s prognosis for recovery.

Answer 19

3.) The significance of religious practices and rituals in the client’s life.

Understanding the importance of religion and religious rituals in a client’s life enables the nurse to plan care that meets the client’s spiritual needs.

Question 20

The concept of blaming as the cause of mental illness is based on the belief that:

1. ) Mental illness is hereditary.
2. ) A higher authority is responsible for the onset of symptoms.
3. ) People cause their own problems.
4. ) Individuals are responsible to solve their own problems.

Answer 20

3.) People cause their own problems.