Deck 20: Spirituality and the Profession of Nursing

Question 1

Nurses who have spiritual support from all sources have less stress and depression and more health-promoting behaviours.

Answer 1

True

Question 2

What is the Canadian Nurses Association's (CNA) position on spirituality?

A) It is a minor part of nursing care.
B) It is best left to chaplains and priests.
C) It is important to nursing practice.
D) Nurses have no role.

Answer 2

It is important to nursing practice.

Question 3

Who is at the centre of the eight domains of palliative care?

A) only the client
B) only the family
C) both the client and their family
D) the pastoral staff

Answer 3

both the client and their family

Question 4

In the Canadian context, what does the term cultural care encompass?

A) nursing in another country
B) shared customs and traditions
C) recognizing new immigrants
D) understanding another language

Question 5

What is the relationship between nursing practice and spiritual care?

A) All nurses have religious beliefs.
B) Nurses must refer to nursing competencies.
C) Nursing theory identifies humans as spiritual beings.
D) Spiritual care requires licensure.

Question 6

Which category of issues related to spirituality includes privacy, the right to refuse treatment, and definitions of death?

A) legal concerns
B) ethical concerns
C) treatment concerns
D) religious concerns

Question 7

According to the analysts in the text, what elements are encompassed in spirituality?

A) creativity, rituals, wisdom
B) consciousness, beliefs, peace
C) happiness, wisdom, beliefs
D) inspiration, creativity, wisdom

Question 8

Which of the following differentiates spirituality from religion?

A) Religion is characterized by boundaries.
B) Religion involves rituals.
C) Spirituality is defined by boundaries.
D) They involve different beliefs.

Question 9

What are two simple spiritual care practices that every nurse can adopt?

A) Learn the client's religion and notify pastoral care.
B) Keep the client and family informed.
C) Provide medications on time and chart accurately.
D) Be present and develop trust.

Question 10

Which of these attitudes and behaviours can best help nurses to be culturally sensitive?

A) awareness of their own spirituality
B) knowledge of religion
C) being open and enquiring
D) understanding a second language

Question 11

What is the name of an ancient Hawaiian method of stress reduction and problem-solving that is accomplished through prayer, discussion, confession, apology, and forgiveness?

A) Aloaha'ono
B) Ho'oponoqono
C) Ho'oponopono
D) Aloa-ha

Question 12

You are caring for a terminally ill client. What are you proactively obtaining when you determine the client's wishes regarding care after death and who will speak for them when they are no longer able?

A) next of kin contact
B) a spiritual-cultural assessment
C) consent for treatment
D) nursing care plan

Question 13

How can nurses benefit from use of the ASSET model?

A) It increases understanding about religion
B) It promotes cultural sensitivity.
C) It increases nurses' self-awareness about spirituality.
D) It helps assess clients' spiritual needs.

Question 14

What is the term for intentionally trying to convert others to your belief system?

A) proselytizing
B) conversion
C) preaching
D) praying

Question 15

What explanation helps nurses understand a connection between religion and spirituality?

A) Spirituality is always expressed through religion.
B) Religion is one expression of spirituality.
C) Religions discourage spirituality.
D) The two are not often connected.

Question 16

Which of the following terms means "to remember one's value"?

A) a memorial
B) recall
C) posthumous
D) legacy

Question 17

What are clients said to experience when feel they have lost their hopes and dreams following bad news, such as a terminal diagnosis?

A) anticipatory grief
B) sadness
C) spiritual distress
D) disappointment

Question 18

What is the main lesson nurses can take away from Maslow's Hierarchy of Needs?

A) Complex needs must be assessed first.
B) Care can start at any level.
C) Spiritual care is a first level need.
D) Care must start with basic needs.

Question 19

Which organization has developed a complete model for palliative care in Canada?

A) Canadian Nurses Association (CNA)
B) Canadian Medical Association (CMA)
C) Canadian Pastoral Association (CPA)
D) Canadian Hospice Palliative Care Association (CHPCA)

Question 20

What should nurses be concerned about if they observe secretiveness, suppression of criticism, and inappropriate obedience?

A) spiritual distress
B) spiritual abuse
C) grief
D) depression

Question 21

The palliative care nurse meets with his client, Mr. Singh, later on that evening. Mr. Singh tells the nurse that he has no family to visit and the nurses are his only family. He tells the nurse that he is going to die alone and that no one really cares for him. Based on this statement, what are the spiritual distressors that Mr. Singh is likely feeling?

A) loneliness and fear
B) guilt and pain
C) anger and loss
D) grief and anger

Question 22

The palliative care nurse has an important role in assisting Mr. Singh with his feelings. The palliative care nurse is aware that certain nursing interventions can help Mr. Singh. What nursing interventions would assist Mr. Singh with the spiritual pain and distressors he is feeling? (Select all that apply.)

A) Reassure him you know how he feels.
B) Offer your support.
C) Acknowledge Mr. Singh's suffering and prepare to be with him on his journey.
D) Allow Mr. Singh to talk, and express his feelings.

Question 23

Why is there no one definition of spirituality?

A) It is a multicultural concept.
B) It means different things to different people.
C) It is hard to identify.
D) Religions do not agree on a definition.
Indicate one or more answer choices that best complete the statement or answer the question.

Question 24

The palliative care nurse who works with clients who are dying knows that clients often experience similar, yet very unique, feelings about this process, and may experience spiritual distress. Today, the nurse enters Mr. Singh's room and is quickly told to leave. Mr. Singh yells at the nurse, stating that it's God's fault and the doctor's fault that he is in this position, and he does not want to see anyone. The nurse knows that his client might be experiencing spiritual distress. Which type of spiritual distressor may the client be feeling?

A) loss
B) guilt
C) anger
D) loneliness

Question 25

What do nurses see a client expressing when they participate in rituals and ceremonies such as prayer?

A) religious beliefs
B) cultural customs
C) personal habits
D) spiritual expectation