Question 18
Type: MCSA
The newly hired nurse notices that coworkers routinely pray with clients and their families. The nurse has never
been particularly religious or spiritual and is unaccustomed to praying, but holds no strong feeling against prayer.
What is the best strategy for the nurse to plan for such situations?
1. Try to ensure assignment to clients who are unlikely to request prayer.
2. Arrange to have a coworker substitute for the nurse in these prayer situations.
3. Memorize two or three short, formal prayers to use when prayer is requested.
4. Just stand silently at the bedside and let others in the room do the praying.
Question 19
Type: MCSA
The nurse has developed a strong rapport with a client whose medical care necessitates transfusion of multiple
units of blood. The client has a religious objection to this treatment even though it is necessary to sustain life.
What action should the nurse take?
1. Use the rapport established to influence the client to accept the blood transfusions.
2. Explain the scientific reasons that blood transfusions are necessary and why refusal is dangerous.
3. Encourage the client, the physician, and the client’s spiritual adviser to discuss this conflict and any possible
alternative therapies.
4. Suggest to the client that as the illness progresses, the blood will probably be transfused despite religious
objections.
Question 20
Type: MCSA
The nurse is caring for a 5-year-old child. How can the nurse best support the spiritual development of this client?
1. Ask the child who God is.
2. Listen to the child’s routine bedtime prayer.
3. Encourage the child to pray before each meal.
4. Bring a Bible storybook in to read to the child at bedtime.
Question 21
Type: MCSA
During the morning bath, the client asks if the nurse is religious and believes in God. What would be most helpful
for the nurse to consider in formulating a response to this question?
1. The nurse’s personal life is none of the client’s business.
2. Religion and politics are two subjects not discussed in polite interactions.
3. Will sharing this information positively contribute to the relationship?
4. What is the culture of the facility regarding self-disclosure?
Question 22
Type: MCSA
The nurse and client have spent several minutes praying together that the client’s upcoming surgery will be
successful. What action should the nurse take at this point?
1. Gently tell the client that the nurse must take care of other duties.
2. Smile and pat the client and silently leave the room.
3. Stay with the client until the emotion evoked by the prayer dissipates.
4. Ask the client if there is anything else the nurse can do.
Question 23
Type: MCSA
The client diagnosed with diabetes mellitus develops diabetic ketoacidosis after a religious fast. The client tells
the nurse, “I have fasted during this season every year since I became an adult. I am not going to stop now.” The
nurse is not knowledgeable about this particular religion. What is the best action for this nurse?
1. Tell the client that it is different now because of the diabetes.
2. Do some research into the meaning of fasting in this religion.
3. Ask family members of the same religion to discuss fasting with the client.
4. Request a consult from a diabetes educator.
Question 24
Type: MCSA
The client states, “I don’t know what all this fuss is about religion. God died years ago.” The nurse does believe in
God and has a strong inclination to share reasons for that belief with the client. What is the best question for the
nurse to consider before responding to the client’s remark?
1. “Will I get into trouble if I say anything?”
2. “How much longer will I be caring for this client?”
3. “Am I meeting my needs or the client’s?”
4. “How can I best make this client understand?”
Question 25
Type: MCMA
The nurse is caring for an older client with end-stage renal disease. What actions should the nurse take to support
this client’s spiritual development?
Standard Text: Select all that apply.
1. Support the client to have hope for a cure.
2. Suggest the client view losses as liberations.
3. Encourage the client to reminisce about life events.
4. Ask open-ended questions about the client’s life purpose.
5. Remind the client that time is running out to make any life changes.
Question 26
Type: MCMA
The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress. What did the
nurse observe to come to this clinical decision?
Standard Text: Select all that apply.
1. Expressing anger toward God
2. Crying softly in the client’s room
3. Hugging family members
4. Talking with caregivers about the client’s personal items
5. Refusing comfort from family
Question 27
Type: MCSA
The nurse determines that a middle-aged client has developed spiritually. What client statement caused the nurse
come to this conclusion?
1. “I listen to and learn from others who talk about beliefs in God or a Supreme Being.”
2. “The tales in the Bible are real to me.”
3. “I attend service with my friends on most Sundays.”
4. “I attend the same church as my parents and follow the customs of my culture.”
Question 28
Type: MCSA
The nurse is determining whether interventions to address the diagnosis of Spiritual Distress for a client newly
diagnosed with a chronic illness have been effective. What outcome would indicate that interventions have been
effective for this client?
1. The client has talked with the church priest twice during the hospitalization.
2. The client states that there is nothing that can be done spiritually to improve her current outlook on life.
3. The client plans to make an appointment with a psychologist after discharge.
4. The client thanks the nurse for trying to help improve her feelings.
Question 29
Type: MCSA
A client newly diagnosed with a terminal illness asks to talk with the hospital chaplain and requests a Bible to
read. What do these client behaviors indicate to the nurse?
1. The client does not have any family members to discuss spiritual issues.
2. The client is searching for answers.
3. The client wants to talk with someone other than the nurse about spiritual concerns.
4. Interventions for Spiritual Distress have been effective.
Question 30
Type: MCMA
The nurse is planning to conduct a spiritual self-assessment. What questions would the nurse include in this
assessment?
Standard Text: Select all that apply.
1. “What makes me joyful?”
2. “What causes me to feel despair?”
3. “What possessions do I value the most?”
4. “What is my purpose in life?”
5. “What feeds my spirit?”
Question 31
Type: MCMA
The nurse is engaging in an activity to develop spiritual self-awareness. What activities can aid the nurse in
achieving this goal?
Standard Text: Select all that apply.
1. Write a will.
2. Complete an advance directives form.
3. Explore personal end-of-life issues.
4. Create a personal loss history.
5. List significant values.
