Test Bank Faith Community Nursing Nies: Community/Public Health Nursing,7th Edition,100% CORRECT

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Test Bank Faith Community Nursing Nies: Community/Public Health Nursing,7th Edition MULTIPLE CHOICE 1. Which best describes when faith communities first began to be involved with health and he... aling? a. In 1998, when parish nursing was first officially recognized b. In the time of Jesus and similar religious leaders of the early years AD c. Throughout history, faith communities provided basic health care d. When parish nursing began in the Lutheran Church in the 1980s ANS: C The majority of the world's populations belong to organized faith communities. All of these religions have traditions and rituals related to health and healing. Throughout history, religious communities have provided care for the indigent and disenfranchised, meeting basic human needs of food and clothing and basic health care. Thus, parish nursing began before time of Jesus. The Old Testament discusses Shalom, or God's desire for health and wholeness for the Earth and its people. DIF: Cognitive Level: Understand (Comprehension) 2. Which has been confirmed by research regarding the relationship between religion, spirituality, and health? a. Essentially, religion gives persons a sense of hope. b. Faith communities help by praying for ill persons during services. c. Healthy persons have a tendenScy toNbeTactive Owithin their faith communities. d. Persons who attend services have decreased anxiety, depression, and stress. ANS: D Individuals who reported intrinsic religion (internalized or regularly practiced) and regular attendance at a religious service reported decreased stress. In 147 studies, it was found that there was an inverse relationship between religiosity and depression. The authors found evidence in another 49 studies that indicated people who practiced religious coping had lower levels of anxiety, depression, and stress and coped more positively with many chronic diseases. DIF: Cognitive Level: Understand (Comprehension) 3. Which best explains why the name of parish nursing was changed to faith community nursing by the American Nurses Association (ANA)? a. To allow nurses to use the title “congregational nurse” or “church nurse” rather than “parish nurse” b. To allow nurses who were not religious to accept practice positions c. To decrease the emphasis on the church d. To emphasize the community setting of the specialty e. To reflect the diversity now found in the specialty ANS: E The ANA revised the standards in 2012, providing a clearer definition of the practice, including advanced nursing practice and changing the name of the specialty from parish nurse to faith community nurse. While acknowledging the importance of the Judeo-Christian basis of the practice, the authors believed the change better reflected the diversity now found in the specialty. DIF: Cognitive Level: Understand (Comprehension) 4. Which best describes how the practice of faith community nurses is different from the practice of other nurse specialists? a. Advanced education is required before attempting such a challenging role. b. Practice setting is in a building dedicated to a purpose other than health care. c. The nurse is a member of the same community where the nurse practices. d. The central focus of the practice is the spiritual dimension. ANS: D A key element of the philosophical basis of parish nursing is the spiritual dimension, which is central to the practice. All specialties require advanced education and are often practiced in non–health-oriented settings, such as workplaces, schools, or client homes. DIF: Cognitive Level: Understand (Comprehension) 5. On which level of care do most faith community nurses (FCNs) focus? a. Hospice care b. Primary c. Secondary d. Tertiary ANS: B NURSINGTB.COM The FCN practice focuses on health promotion and wellness, which is primary intervention. It holds the spiritual dimension central to health and healing within the context of the faith community. DIF: Cognitive Level: Understand (Comprehension) 6. Which best describes how the faith community nurse, as a health educator, decides which educational programs to offer the faith community? a. Based on feedback from the local public health department nursing professionals b. Based on what will help implement the Healthy People 2020 goals c. Based on what is consistent with the health laws of scripture or holy books d. Based on the health status and needs of faith community members ANS: D Although any response could be the basis of a program, the program should address the needs of the local faith community. Educational efforts are planned on the basis of the church community's priorities consistent with Healthy People 2020 objectives. Because the faith community membership includes people across the life span, church-based educational programs can address all 10 major health indicators. Early in the development of a parish nurse program, and periodically thereafter, the parish nurse should assess the health status and needs of the congregation members to determine educational priorities. DIF: Cognitive Level: Understand (Comprehension) 7. As a health advocate, which does the faith community nurse (FCN) need to know? a. Community resources available in the community b. Educational needs of the community c. Recruitment strategies d. Understanding of spirituality ANS: A In the role of health advocate, the FCN facilitates clients' efforts in obtaining needed health services. The FCN uses referral skills and knowledge of community resources to guide individuals as they access available resources. The nurse may, with the client's approval, provide referrals to resources. The FCN recognizes the difficulties encountered by vulnerable populations within the faith community and helps them maneuver the health care maze to access needed resources. Knowing the educational needs of the community is necessary for the FCN to fulfill the role of health educator. As the coordinator of volunteers, the FCN should be aware of how to recruit, train, and direct volunteers to work with the FCN program or health ministry. It is necessary for the FCN to understand spirituality in order to effectively fulfill the role of integrator of health and healing. DIF: Cognitive Level: Understand (Comprehension) 8. Which reality would cause difficult ethical conflicts for a faith community nurse? a. Best clinical practice may suggest behaviors contrary to the faith community's values and beliefs. b. Individuals might pressure the nurse to make medical decisions for them. c. Persons do not always follow the nurse's advice as to appropriate actions. d. Some political maneuvers wUithSin tNhe fTaith comOmunity have implications for the nurse's practice. ANS: A The nurse must understand the policies and beliefs of the congregation related to specific health issues. Church doctrine may guide members to adopt values and beliefs that are in conflict with current health care recommendations, such as issues of homosexuality, infertility, birth control, or sex education for youth. The parish nurse must understand that the politics of working within the faith system require acceptance of individual and system values and beliefs. DIF: Cognitive Level: Understand (Comprehension) 9. The faith community nurse (FCN) finds the faith community's needs overwhelming. Which best describes how the nurse can best meet the community's many needs? a. Discover appropriate resources already existing in the community b. Help the community members meet their own needs independently of the nurse or other assistance c. Recruit, train, and direct volunteers to implement needed programs d. Suggest the faith community recruit more parish nurses to help ANS: C It would be fantastic if existing resources already in the community could meet the needs of the faith community within which the FCN is working, but that would be extremely unlikely. The role of coordinator of volunteers includes recruiting, training, and directing volunteers to work with the FCN program or health ministry. The nurse may work with other nurses and lay people within the congregation. The FCN program may encompass all programs related to the health of the church community. DIF: Cognitive Level: Apply (Application) 10. A nurse established a new parent support group where new parents meet to share problems and solutions. After about 3 months, fewer people were attending. Which action should the nurse take next? a. Accept that the new parents may now be comfortable in their role and no longer need a support group b. Bring in outside experts to give presentations on specific infancy development issues c. Change the format of the group meetings to include more time for socialization d. Suggest an ongoing educational program on infant and child development to renew interest in attending the group ANS: A It is also important to remember that groups usually have an anticipated “life expectancy.” After the needs of the groups are met through education or support, there may no longer be a need for a particular support group. The FCN should document the history of the group and move forward toward new goals. DIF: Cognitive Level: Apply N(ApRplicaItionG) B.C M U S N T O 11. Which best describes why it is crucial that the faith community nurse (FCN) have at least a baccalaureate degree, as well as several years of experience in clinical practice, in addition to formal education in the role? a. To ensure continued prestige and relatively high salary for the role b. To be autonomous with self-direction and independent decision-making c. To enable the FCN to assess the faith community and prioritize its needs d. To function in varied settings from the religious building to the clients' homes ANS: B Incredible diversity and autonomy are found in faith community nursing. The self-direction and independent decision-making required by the autonomous roles of the FCN require a highly educated nurse experienced in clinical nursing and community-based nursing practice. Typically, there is not a high salary associated with the role of FCN. The autonomy and independent decision-making required in this role allow the nurse to be able to effectively assess the community and function in a variety of settings. DIF: Cognitive Level: Understand (Comprehension) 12. In which area would the faith community nurse (FCN) most desire more education to continue in the role? a. Basic community health nursing practice, especially in finding and accessing resources b. Spiritual assessment skills and acquiring theological knowledge c. Use of spirituality in faith healing d. Physical assessment, pathophysiology, and pharmacology ANS: B Many FCNs find the need for further education to develop spiritual assessment skills, acquire theological knowledge, and learn the nurse's role in healing. DIF: Cognitive Level: Understand (Comprehension) 13. Which symptom would the faith community nurse (FCN) expect to see when caring for a client with the diagnosis of spiritual distress? a. Hopelessness, isolation, and loneliness b. Intense need for prayer and support c. Loss of faith d. Withdrawal from stress and the environment ANS: A FCNs provide nursing interventions related to the nursing diagnosis as connected to spiritual distress (e.g., loneliness, isolation, and hopelessness). DIF: Cognitive Level: Understand (Comprehension) 14. A new faith community nurse (FCN) met with a client who was dying. The client asked the FCN to pray for her out loud. The FCN had an active prayer life, but privately—not out loud relating to someone else. Which would be the best response by the nurse? a. Deliberately misunderstand the request and promise to pray for the client when you are at home each evening b. Look for a religious bookNneaRrbyI, opGen iBt,.anCd hMope there is something there the nurse can use c. Offer to share the client's request with the faith community's leader, as well as ask the faith community to pray for the client d. Share a traditional prayer that the nurse had previously memorized for personal use ANS: D It is good to offer to pray for the client and to ask the faith community's leader and the faith community to pray for the client. But the request was immediate, so the best response is to use the faith's traditional prayers, which the parish nurse has memorized. If nothing comes to mind, the FCN can use a book of the faith to find a prayer that is suitable. A guideline to follow is to keep the prayer simple and offer the request to the client's higher power. DIF: Cognitive Level: Apply (Application) 15. Which ethical issue is often a concern to a faith community nurse (FCN)? a. The client's right to confidentiality if a client repents and confesses sin to the nurse b. Following the Health Insurance Portability and Accountability Act (HIPAA) requirements c. The nurse's legal responsibility to the faith community leader d. Setting up appropriate medical records of care given in case of a later legal suit ANS: A Confidentiality issues have the potential to be problematic in a church community. Church members can ask how someone is doing. Another church member would respond with whatever they have heard. The FCN cannot respond in an equally open way but must maintain confidentiality. In the role of health minister, the parish nurse may receive private and sensitive information. Congregation members should not relate information in the form of confession or repentance; however, the connection with the church ministry team may put the nurse in a position to hear this type of sensitive information. The nurse must protect the client's right to confidentiality. The nurse should share confidential information with other church ministry leaders (or prayer groups) only when given permission by the client. FCN programs within faith communities generally are not required to follow HIPAA guidelines related to medical records and confidentiality because churches are not in the category of identified health care providers. DIF: Cognitive Level: Understand (Comprehension) 16. A nurse was a volunteer in a faith community when a police officer asked for specific information related to a member's behavior and mental health. The faith community nurse (FCN) told the police officer, “I'm a part-time volunteer; I'm not paid. Besides, I have client-professional privileges so I can't share information with you.” Which will most likely be the outcome of this encounter? a. The Health Insurance Portability and Accountability Act (HIPAA) will require the nurse to maintain confidentiality. b. The matter will be referred to the faith community leader for resolution. c. The nurse is still accountable and has no legal right not to disclose information requested by a legal authority. d. The police officer will have to accept the nurse's refusal to share information. ANS: C NURSINGTB.COM Volunteers in a church are held to the same degree of accountability as are paid employees. Ministers, both ordained and nonordained, may be required to disclose confidential information in court. FCNs, as nonordained ministers, do not have client-professional privilege. Thus, HIPAA does not apply as the information has been requested by a police officer and there is not client-professional privilege involved. The faith community leader is not able to offer a resolution to this problem as client-professional privilege does not exist in this situation. Because there is not client-professional privilege, the police officer does not need to accept the nurse's refusal to share information. DIF: Cognitive Level: Apply (Application) 17. On the basis of what a faith community nurse (FCN) believed was best practice, she wanted to share various methods of dealing with infertility. However, the tradition of the church was that childbirth was in the hands of God and it was inappropriate to use artificial means of becoming pregnant. Which action should be taken by the nurse? a. Ask to be excused from the situation if a couple wants to obtain information inconsistent with the church's teaching b. Follow the teaching of the church and keep quiet; there are worse fates in life than infertility c. Suggest that a client consider adoption and suggest an appropriate adoption agency d. Tell the client all the various methods used in cases of infertility ANS: A The FCN's roles include understanding the scope of practice for parish nurses related to ethical practice and the values and beliefs of the community served. The nurse must understand his or her own beliefs and values that are in conflict with the faith community's beliefs. It is necessary that the parish nurse know when to seek help, when to refer, and when to remove himself or herself from the ethical decision-making process. DIF: Cognitive Level: Apply (Application) MULTIPLE RESPONSE 1. Which interventions would be appropriate for a faith community nurse who bases care on the CIRCLE Model of Spiritual Care? (Select all that apply.) a. Giving a mini sermon based on the specific client problem b. Listening and showing respect without any actual intervention c. Suggesting to the client what would be an appropriate response to the situation d. Showing love and empathy toward the client and the situation e. Calling the client by name during the conversation f. Allowing time for prayer during the client interaction ANS: D, E, F Faith community nurses should avoid giving sermons or preaching religion to clients. Listening without any intervention is not possible, because listening in and of itself can be therapeutic. Clients retain their autonomy, so nurses can give information but cannot suggest to clients what their decision should be. Appropriate emotional interventions include working with feelings, showing love, and using appropriate touch and empathy. Calling a patient by name is part of showing caring during the interaction. Intuition includes allowing time for prayer and sacrament and supNpUorRtsSaIndNeGnTcoBu.raCgeOs Mreligious activities. DIF: Cognitive Level: Understand (Comprehension) [Show More]

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