ACTUAL Questions and CORRECT
Answers
An elderly patient is dying, and begins talking to loved ones who have died before him. The nurse feels a
sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace?
a. Self-transcendence
b. Intrapersonal connectedness
c. Interpersonal connectedness
d. Transpersonal connectedness - CORRECT ANSWER ANS: A
Self-transcendence refers to connecting to your inner self, which allows you to go beyond yourself to
understand the meanings of experiences, whereas transcendence is the belief that there is a positive force
outside of and greater than oneself that allows you to develop new perspectives that are beyond physical
boundaries. Examples of transcendent moments include the feelings of awe when holding a new baby or
watching the sun rise over the mountains. Spirituality offers a sense of connectedness intrapersonally
(connected with oneself), interpersonally (connected with others and the environment), and
transpersonally (connected with God, the unseen, or a higher power).
The nurse is caring for a patient who states that he does not believe in the existence of God. The nurse
realizes that this person:
a. is not a spiritual person.
b. is an agnostic.
c. believes that people bring meaning into the world.
d. finds meaning in life through work and relationships. - CORRECT ANSWER ANS: D
Atheists search for meaning in life through their work and relationships with others. Spirituality exists in
all people regardless of their religious beliefs and it gives people the energy needed to maintain health and
cope with difficult situations. Spirituality is an important concept for individuals who either do not
believe in the existence of God (atheist) or who believe that any ultimate reality is unknown or
,unknowable (agnostic). It is important for agnostics to discover meaning in what they do or how they live
because they find no ultimate meaning for the way things are. They believe that we, as people, bring
meaning to what we do.
A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that
faith would guide her healing. The nurse knows that faith can best be defined as a:
a. system of organized beliefs and worship.
b. relationship with a higher power, authority, or spirit.
c. source of energy needed to cope with difficult situations.
d. multidimensional concept that gives comfort while a person endures hardship. - CORRECT
ANSWER ANS: B
Faith is a relationship with a divinity, higher power, authority, or spirit that incorporates a reasoning faith
(belief) and a trusting faith (action). Religion refers to the system of organized beliefs and worship that a
person practices to outwardly express spirituality. Spirituality exists in all people regardless of their
religious beliefs and it gives people the energy needed to maintain health and cope with difficult
situations. Hope is multidimensional and gives comfort while a person endures hardship and personal
challenges.
A patient has been diagnosed with a terminal disease. Hope may be used effectively with this type of
patient. Nurses can support a patient's use of hope because hope provides a:
a. system of organized beliefs and worship.
b. belief in a higher power, spirit guide, God, or Allah.
c. cultural connectedness, structure, and guidance in difficult times.
d. motivation to achieve and the resources to use toward that achievement. - CORRECT
ANSWER ANS: D
Hope is energizing, giving individuals a motivation to achieve and the resources to use toward that
achievement. Religion refers to the system of organized beliefs and worship that a person practices to
outwardly express spirituality. Faith involves a belief in a higher power, spirit guide, God, or Allah.
Spirituality offers a sense of connectedness. Spirituality is unique for each person. It is a unifying theme
in life and a state of being.
, When caring for patients, a nurse must understand the difference between religion and spirituality.
Religious care helps patients maintain their faithfulness to:
a. their belief systems and worship practices.
b. a relationship to a higher being or life force.
c. a sense of connectedness.
d. the awareness of one's inner self. - CORRECT ANSWER ANS: A
Religious care helps patients follow their belief systems and worship practices. Spirituality is an
awareness of one's inner self and a sense of connection to a higher being, nature, or some purpose greater
than oneself. Spirituality offers a sense of connectedness. Spirituality is unique for each person. It is a
unifying theme in life and a state of being.
A patient who has been diagnosed with terminal liver cancer states that he does not believe in God, but he
has had a meaningful life by contributing to the lives of those around him. This person is most likely
which of the following?
a. Buddhist
b. Christian
c. Agnostic
d. Atheist - CORRECT ANSWER ANS: D
Atheists search for meaning in life through their work and relationships with others. It is important for
agnostics to discover meaning in what they do or how they live because they find no ultimate meaning for
the way things are. They believe that we, as people, bring meaning to what we do. A Buddhist turns
inward, valuing self-control, whereas a Christian looks to the love of God to provide enlightenment and
direction in life.
A nurse is caring for a 64-year-old patient who has survived cardiopulmonary resuscitation after a triple
coronary artery bypass graft surgery. To help this patient cope with this experience, what is the best thing
for the nurse to do?