Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 41
Question 1
Type: MCSA
As a part of care planning, the nurse considers the client’s spiritual needs. What is the rationale for this concern?
1. Nurses are the only health professionals who provide this type of holistic care.
2. Meeting the client’s spiritual needs can decrease suffering.
3. Until spiritual needs are met, physical needs cannot be healed.
4. It is important that the nurse’s idea of spirituality matches the client’s ideas.
Question 2
Type: MCSA
The nurse assesses that a client is experiencing spiritual distress. What should be the nurse’s primary intervention?
1. Establish a trusting nurse–client relationship.
2. Have the client describe the basic problem.
3. Ask the client what religion is practiced in the home.
4. Identify the client’s belief in a Supreme Being.
Question 3
Type: MCSA
The nurse has identified that many of the clients in the long-term care facility have spiritual concerns and distress.
What is the nurse’s first step in becoming a competent provider for these clients?
1. The nurse must possess a healthy spiritual self-awareness.
2. The nurse must learn about diverse spiritual beliefs and practices.
3. The nurse should start going to church more often.
4. The nurse should establish regular religious services in the facility.
Question 4
Type: MCMA
A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery
begins. In which ways should the nurse demonstrate presencing with this client?
Standard Text: Select all that apply.
1. Adjusting the intravenous infusion
2. Talking with the client about the surgery
3. Sitting next to the client in the holding area
4. Praying with the client for divine intervention
5. Focusing on the client and fulfilling his needs
Question 5
Type: MCSA
During assessment, the client tells the nurse, “I don’t believe that the existence of God has been proven. I don’t see
the scientific evidence I need to be certain.” How should the nurse document this finding?
1. The client demonstrates polytheism.
2. The client is an atheist.
3. The client has beliefs that support monotheism.
4. The client is agnostic.
Question 6
Type: MCSA
The 70-year-old client with terminal lung cancer tells the nurse, “I am dying because I sinned by smoking
cigarettes.” What is the nurse’s best response to this dying client?
1. “You are correct, but it is too late to do anything about it now.”
2. “When you started smoking cigarettes we didn’t know about the problems they cause. It is not your fault.”
3. “Why don’t we call the hospital chaplain and you can pray about your sins.”
4. “Smoking cigarettes isn’t a sin. There are many worse habits you could have.”
Question 7
Type: MCSA
During assessment, the client says that it has been “a long time” since she has thought very much about religion.
The nurse caring for this client has a strong belief in God and the healing power of prayer. What action should be
taken by the nurse?
1. Mention the nurse’s belief and offer to pray with the client for forgiveness.
2. Tell the client that the nurse will pray for her often.
3. Ask the client if there are any spiritual needs with which the staff can assist.
4. Refer the client for spiritual counseling.
Question 8
Type: MCSA
The client being prepared for a procedure asks to be allowed to wear a religious medal. The client states, “I have
worn this medal and have not removed it since I was a teenager.” What action should the nurse take?
1. Tell the client that the medal must be removed, as it is policy to remove all jewelry for these procedures.
2. Tell the client that the medal can be worn.
3. Tell the client that the nurse will explain to the procedure staff about the medal and will request that they allow
the client to wear it.
4. Remove the medal and place it on the head of the bed where the client will be able to see it during the
procedure.
Question 9
Type: MCSA
The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a
practicing Muslim. In acting as an advocate for the client, what request should the nurse make of the admission
clerk?
1. Please try to find a private room.
2. A bed that faces east will be best.
3. Have the bed stripped, as the client will provide special sheets.
4. If the only available room is semi-private, the other client should be Muslim.
Question 10
Type: MCSA
A client who is devoutly Jewish is hospitalized during Yom Kippur, a time when many of the Jewish faith fast.
The client expresses a desire to follow this religious pattern. How should the nurse respond to this wish?
1. Support the client’s desires to the extent possible.
2. Remind the client that most religions excuse persons who are ill from fasting.
3. Attempt to convince the client to ignore the tradition due to illness.
4. Tell the client that the physician must make this decision.
Question 11
Type: MCSA
The female client belongs to a religious community that requires women to dress conservatively in clothing that
covers the arms and the knees. This client expresses concern that her body will be exposed during a scheduled
cardiac catheterization. How should the nurse respond to this concern?
1. Tell the client that medical personnel have seen so many people’s bodies that they don’t even notice any longer.
2. Make a note in the client’s chart that she is particularly modest.
3. Explain to the client that in order to perform the study, her body must be exposed.
4. Ask the cath lab charge nurse to come to the client’s room to talk with her about the concerns.
Question 12
Type: MCSA
During labor, it becomes apparent that the male infant will survive only a short time after birth. Because this
baby’s parents are Catholic, what planning should the nurse consider?
1. Arrange to have the baby circumcised immediately after birth.
2. Ask the hospital chaplain to be present in the delivery room.
3. Ask the nursing supervisor to find a Catholic nurse to attend the birth.
4. Consider emergency transport of the mother to a Catholic hospital.
Question 13
Type: MCSA
The family of a dying client has informed the nurse that their religion requires that a ritual bath be given by
members of the faith after death. Because the hospital unit is very busy and there is an acute need for every bed,
how should the nurse respond to this request?
1. Notify the mortuary of the family’s request.
2. Arrange for supplies and privacy for the family.
3. Tell the family that the bath will have to take place after the body is removed from the hospital.
4. Allow the family to give the bath, but give a 1-hour deadline for completion.
Question 14
Type: MCSA
After asking general assessment questions regarding spirituality, the nurse finds the client content and satisfied.
How should the nurse conduct the rest of the assessment?
1. Specific questions regarding beliefs should be included.
2. The nurse should validate spiritual information with the client’s family.
3. The assessment can now move on to physical assessment.
4. No further specific spiritual assessment is currently necessary.
Question 15
Type: MCSA
The client tells the nurse, “I don’t know what to do. The treatment plan my physician has suggested is against
some of my religious beliefs.” What nursing diagnosis problem statement should the nurse identify as appropriate
for this client?
1. Ineffective Coping
2. Decisional Conflict
3. Impaired Religiosity
4. Anxiety
Question 16
Type: MCSA
The nurse caring for wheelchair-dependent residents of a long-term care environment has developed a care plan
that includes taking the clients outside and assisting them in planting and maintaining a garden. What is the best
rationale for this plan?
1. Accreditation agencies require that the residents have regular outings.
2. Keeping in touch with nature is a form of spiritual care.
3. Fresh vegetables from the garden are good sources of nutritional fiber.
4. Sunshine helps activate vitamin D.
Question 17
Type: MCSA
When arriving to a client’s room to provide care, the client is praying with family. What action should the nurse
take?
1. Stand quietly just inside the room door until the prayer is completed.
2. Come to the bedside and join in with the prayer.
3. Politely ask the client to allow care to proceed.
4. Quietly shut the door and wait in the hall until asked to enter.