AND CORRECT ANSWERS: 860
QUESTIONS&ANSWERS
,NCLEX-PN: PRACTICE QUESTIONS AND ANSWERS
The client identifies with agnostics, who believe that the existence of a Higher Power has not
been proved. The client is not an atheist, who does not believe in any god. The client is not a
monotheist, who believes in one god. There is no category called nontheistic.
A young client has just learned of a diagnosis of stage 4 lung cancer. The client was about to
graduate from school and get married. "I can't believe in God anymore," the client tells the
oncology nurse. "He should be all-loving." Which situation would the nurse identify the
client as expressing?
A. Spiritual distress
B. Fear of unemployment
C. Premarital anxiety
,D. A justice complaint
***A. Spiritual distress
B. Fear of unemployment
C. Premarital anxiety
D. A justice complaint
The client is expressing spiritual distress about the loss of hope in his belief system. It is not a
complaint about justice, anxiety about a planned marriage, or fear of the job market.
As a client comes into the admitting area, a nurse notices a jeweled cross on the client's
necklace. The nurse comments, "Great look; I can see your religious beliefs are important to
you," and starts with the spiritual assessment of the client. How would this approach be
evaluated?
A. Complimenting the client's appearance is helpful
B. A focus on jewelry might appear materialistic
C. It is efficient and effective to dive right into the interview
D. No time was taken to establish rapport with the client
A. Complimenting the client's appearance is helpful
B. A focus on jewelry might appear materialistic
C. It is efficient and effective to dive right into the interview
***D. No time was taken to establish rapport with the client
Starting with the spiritual assessment of the client leaves no time to establish rapport with the
client. It is not about jewelry, compliments, or starting quickly.
A nurse is an active member of an evangelical church. The nurse prays with some clients.
Which statements by the nurse would indicate appropriate considerations?
(Select all that apply.)
A. "I pray only with clients whose minds can still make choices."
B. "I ask clients about wanting to pray together."
, C. "Before praying, I confirm that it's a convenient time for clients."
D. "I tell clients who don't join me that they're on my prayer list."
E. "Praying together is the best therapeutic relationship."
***A. "I pray only with clients whose minds can still make choices."
***B. "I ask clients about wanting to pray together."
***C. "Before praying, I confirm that it's a convenient time for clients."
D. "I tell clients who don't join me that they're on my prayer list."
E. "Praying together is the best therapeutic relationship."
It is appropriate for the nurse to ask about clients' desires, to select only those who can make
decisions, and to select those for whom it is a convenient time. Being too enthusiastic about
the effects of prayer or trying to include those who are opting out is not appropriate.
What is a term for appreciation of a dimension beyond the self?
A. Becoming
B. Transcendence
C. Value
D. Meaning
A. Becoming
***B. Transcendence
C. Value
D. Meaning
Transcendence is a term for appreciation of a dimension beyond the self. Meaning is the term
for having purpose, making sense of life. Value is the term for having cherished beliefs and
standards. Becoming is the term for allowing life to unfold, and knowing oneself.
What are the best times to do a nursing assessment of spirituality?
(Select all that apply.)