1. ELECTIVE 1 (Spiritual Care In Nursing)
2nd SEMESTER
SCHOOL YEAR 2013 - 2014
Prelim Examination
Lecturer: Belinda G. Delarmente, RN.MSN
NAME:_________________________YR/SEC______DATE________SCORE______/100
GENERAL INSTRUCTIONS:
1. Read the questions carefully before selecting the best answer.
2. Shade the letter of choice in the scantron.
3. Any form of cheating is not allowed!
I – Multiple Choice:
HISTORY OF SPIRITUAL CARE IN NURSING:
1. Babylonia: Code of Hammurabi
Egypt
A. Fluid diet
B. B. Mosaic Law
C. Ebers Papyrus
D. Aesculapious
2. ____________Restorer of Health
St. Brigid: Patroness of Healing
A. Panacea
B. B. St. Radegund
C. Veronica of Jerusalem
D. St. Hilda
3. World War 1 Nurses: _________
Frontier Nursing Service: Mary
Breckinridge
A. Edith Cavell
B. Florence Nightingale
C. Anna Dengel
D. Robinson
4. Anatomy and Physiology Liber
Composite Medicinae: cure of illness:
A. Ebers papyrus
B. Physica
C. Code of Hammurabi
D. Hotel de Liu
5. St. Brigid: Patroness of Healing:
_________: Patroness of Nurses:
A. Florence Nightingale
B. B. St. Hilda
C. Catherine of Sienna
D. St. Francis
6. Pre-Christian Era: Hippocrates
Early Christian Era: __________
A. Imhotep
B. Veronica of Jerusalem
C. Camillus De Lellis
D. Sisters of Charity
7. St. Marcella: Founder of religious
women
St. Radegunde: __________
A. Founder of Holy Cross Monastery
B. Founder of First hospice for pilgrims
C. Founder of Gerokomion
D. Founder of Religious community for
men
8. Saint Christopher: Patron Saint of
Frontier Nursing Service
________: Patroness of mentally ill:
A. St. Claire B.
B. St. Dymphna
C. St. Brigid
D. St. Veronica
9. Egypt: practice of embalming
Israel:_________
A. Rules of diet and cleanliness
B. Famine and malnutrition
C. Treatment of gout and colic
D. Restorer of health
10. One of the Deacons, who bring the
treasures of the church prior to his trial for
being a Christian.
A. St. Paul
B. Lawrence
C. St. Marcella
D. Veronica
11. The following are the famous Abbesses
under early monastic nurses. EXCEPT:
A. St. Radegunde
B. St. John of Jerusalem
C. St. Brigid
D. St. Hilda
12. The unique function of the nurse is to
assist and care to lepers patients as one of
the compassion of:
A. Clare of Assisi
B. Alexian Brothers
C. Catherine of Sienna
D. Elizabeth of Hungary

2. 13. The first goal of this order is towards
preparing and providing hospital nurses.
A. Alexian Brothers Order
B. Camillus De Lellis Order
C. Sisters of Charity
D. Louise De Marillac order
14. She felt that spirituality called to model
the greatness and generosity of God in
service to the sick.
A. Edith Cavell
B. Florence Nightingale
C. Mary Breckinridge
D. Rose Hawthorne Lathrop
15. What are the two concern public health
problems of Egypt under the Pre-Christian
Era?
A. Malnutrition and Leprosy
B. Leprosy
C. Famine and Malnutrition
D. Famine and poverty
16. One of the major groups that took vows
of poverty, chastity and obedience:
A. Knights of St. Lazarus
B. St. John of Jerusalem
C. Teutonic Knights
D. Missionaries of Charity
17. Who is the first nurse ever recorded in
the Bible?
A. Blessed Virgin Mary
B. Deborah
C. Mary Magdalene
D. Rebecca
18. What best describe nurses as healer?
A. The nurse stands as God’s surrogate
B. The nurse role as an anonymous minister
C. The nurse listen to his/her patient chief
complain
D. The nurse relates his work under Good
Samaritan Law
19. Who is otherwise known as Mother
Alphonsa?
A. Edith Cavell
B. Florence Nightingale
C. Mary Breckinridge
D. Rose Hawthorne Lathrop
20. Which nation practiced embalming in
the pre-christian era?
A. Babylonia
B. China
C. Egypt
D. India
For nos. 21 – 25 Choose your answer from
the selection below from letter A to E:
A. St. Radegunde
B. Dymphra of Belgium
C. Imhotep
D. Panacea
E. Ebers Papyrus
21. The restorer of Health
22. The first physician
23. The first medical text book
24. Founder of Holy Cross Monastery
25. Patroness of the mentally ill
For nos. 26 – 30, Choose your answer from
the selection below from letter A-E:
A. St. Paula
B. St. Brigid
C. St. Francis of Assisi
D. Elizabeth Bayley Seton
E. St. Veronica of Jerusalem
26. Patroness of Healing
27. Model for nurses
28. Founder of the first hospital for the sick
along the roads in Bethlehem.
29. Founder of mendicant monastery.
30. Founder of American Sisters of Charity
SPIRITUAL DEVELOPMENT:
31. Projective Faith: __________: Literal
Faith: internalize
A.claim faith
B. fantasy filled
C. love and justice
D. deeper self
32. Undifferentiated faith: infancy:
Universalizing faith: _______
A. 3 – 6 years old
B. 7 – 12 years
C. 21 – years
D. 40 years and above
33. Conjunctive faith: deeper-self:
Conventional faith: __________
A. identity and outlook
B. B. community faith
C. love and justice
D. abandonment
34. Spiritual Assessment: Fowler:
__________: Moberg:
A. Spiritual well being
B. Spiritual development
C. Spiritual Pain
D. Spiritual Integrity

3. 35. Spiritual pain: lack of spiritual
f3ulfillment:
________: expression of loneliness:
A. Spiritual Anxiety
B. Spiritual Loss
C. Spiritual Anger
D. Spiritual Alienation
36. Spiritual Despair: no hope: Spiritual
Anger:______:
A. Discomfort or suffering
B. Failed to do things
C. Anguish
D. Loneliness
37. _________: failed to do things:
Spiritual anxiety: punishment:
A. Spiritual loss
B. Spiritual Despair
C. Spiritual Guilt
D. Spiritual Pain
38. Reflective faith: faith identity:
Conjunctive faith:________:
A. comfort in illness
B. social conscience
C. parental-infant bonding
D. coping crisis
39. Stage 1: trust and courage:
________: influenced by moods & action
A. Stage 2
B. Stage 3
C. Stage 4
D. Stage 5
40. Stage 3: _________: Stage 2: Intuitive-
projective faith
A. Mythic-literal faith
B. B. Conjunctive faith
C. Universalizing faith
D. Religious faith
THE NATURE OF SPIRITUALITY:
41. Which of the following is NOT true
about spirituality?
A. It is the attachment of a person to the
values of the spirit.
B. It is the core of a human being that
interprets and unifies the whole person.
C. It serves to shape and give meaning to
life and to what one can be.
D. It tries to capture and explain the
experiences.
42. When asked about religious beliefs, a
client describes personal beliefs as agnostic.
How should the nurse interpret this
information?
A. The client believes in more than one God
B. The client believes in the existence of
one God.
C. The client belongs to the agnostic sect of
Catholicism.
D. The client neither believes nor
disbelieves in a God.
43. Religious organizations direct members
to practice certain rituals related to life
events such as what?
A. Birth, marriage, and death.
B. Graduation from religious schools,
Sunday church services, and death.
C. Marriage, divorce, and parenting.
D. Birth, death, and marriage counseling
44. Who stated that “Nursing is possessed of
spiritual quality and its primary action is not
just to give cure but to serve also the needs
of the mind and the spirit as well”?
A. Alice Price
B. Cathie Guzzetta
C. Judy Shelly
D. Minnie Goodrow
45. What is defined as a belief or
commitment to something or someone
greater than self that helps a person realize
his purpose?
A. Abstract
B. Faith
C. Religion
D. Spirit
46. In the characteristics of spirituality, what
term means an important relationship and
sense of connection with oneself?
A. Being
B. Doing
C. Going
D. Knowing
47. What best describes religion?
A. It focuses on what happens in the heart
B. It is both elusive and complex
C. It is the expression of one’s spirit
D. It is the personalized commitment to God
48. From the selection in No. 44, who stated
that holy ground nurses are called to enter
difficult and impossible working conditions?
49. What is an aspect of spirituality
according to Pamela Reed that means

4. appreciating a dimension that is beyond
self?
A. Connecting
B. Meaning
C. Transcendence
D. Value
For Nos. 50 – 55 Choose the answer from
the different characteristics of spirituality as
follows and shade your letter of choice in
the answer sheet provided.
A. Being
B. Doing
C. Knowing
50. Receptive openness to life
51. Feeling of inner harmony
52. Being with others
53. Assisting the sick
54. Going inward
55. Trusting in one’s own experiences
SPIRITUAL ASSESSMENT & CARE:
56. A home health nurse is caring for a 68-
year-old client whose husband recently died.
The client is depressed and tearful. Which of
the following statements by the client most
likely indicates spiritual distress?
A. “I don’t feel like going out, but the ladies
from the church are taking me out.”
B. “I’ve gone to church all these years for
nothing. What a waste of time!”
C. “I wish the Lord has taken me instead of
my husband.”
D. “The minister is coming to see me next
week.”
Rationale: Client is discouraged and
showing dismay.
57. A pre-operative client asks the nurse to
pray along with the client and spouse. The
nurse is not accustomed to praying. What
would be the most helpful nursing action?
A. It is best that the nurse prays with the
client or offers to stay during private prayer
B. The nurse should offer to call the client's
religious counselor and request a visit.
C. The nurse should ask the supervisor to
find a nurse who belongs to the same
religion as the client
D. The nurse should explain that prayer is
not part of a nurse's duties, and offer to
contact the hospital chaplain.
Rationale: It is not the role of a nurse to call
the religious counselor nor explain his
insight on religion. By merely staying with
the client shows sign of caring.
58. Which of the following factors
contributes to spiritual distress?
A. Ability to provide hope to somebody
else.
B. Experience of connecting with a creative
force
C. Experience of severe, persistent pain
D. Situations where one can practice
religious rituals.
Rationale: Among the choices, only letter C
shows expression of discomfort.
59. A nurse employed in a large city hospital
cares for clients from many different
cultures. Which of the following practices
will help the nurse meet the spiritual needs
of these clients?
A. Applying the nurse's spiritual beliefs to
the needs of the client
B. Approaching each client in exactly the
same manner
C. Learning about various religious
traditions
D. Studying the Christian Bible
60. Which of the following examples depicts
a person’s holistic belief about the
expectation of care being delivered?
A. Client states, “How can I recover from
this illness when my God has not forgivenmy
sins?”
B. A person says, “I totally believe in the
effects of antibiotics the medical community
has done multiple research about the
effectiveness.”
C. An individual believes in being cursed by
an enemy.
D. An individual believes in the balance of
the physical, mental, emotional, and spiritual
aspects of oneself.
61. Who of the following individual’s best
exemplifies someone who has spiritual well-
being?
A. A personwholoveslife.
B. An individual who performs charity
work.
C. A person who practices the religious
rituals from an early age.
D. An individual who sees life as
purposeful and has compassion for others.
62. A thorough spiritual assessment is
mandatory for what type of client?
A. A client displaying an unhealthy
spiritual need.
B. A client verbalizing hope in the health
care team.
C. A person from a different culture.

5. D. A person who follows religious rituals.
63. How would a nurse best provide
presence to clients?
A. Physically being there and attending to
the client’s physical needs.
B. Being there in a way that is meaningful to
the client.
C. Intentionally focusing on the client.
D. Listening to the client.
64. At what approximate age do individuals
conform to the spiritual beliefs of those
around them?
A. Preschool age
B. School age.
C. Adolescence
D. Young
65. Which of the following client’s
responses indicates spiritual distress?
A. “Ifeelemptyinside”
B. “IknowIamnotgoingtolive;it’sinthe
Lord’s hands now.”
C. “I am planning on having experimental
therapy for my cancer, even though it
probably won’t work.”
D. “Suffering is a part of the price you pay
for salvation. I am not going to take my pain
medication.”
66. A spiritual assessment is an integral
component of a client’s overall assessment.
What would be the best time to perform a
complete spiritual assessment?
A. At the end of the physical assessment
process.
B. Just after the clients states his religion.
C. Anytime.
D. At the beginning of the assessment
process.
67. A client demonstrates his spiritual
beliefs in which of the following statements?
A. “I am a vegetarian.”
B. “I spend my life in service to others.”
C. “I do not believe in the death penalty
because the Ten Commandment dictates
“Thou shall not kill.”
D. “Can you please bring me my Bible?”
68. Research evidence that supports
providing spiritual care to elders suggests
that which correct statement
A. Elders are not very religious, but are very
spiritual.
B. Elders who are more religious have
more illness.
C. Spiritual health and mental health are
correlated.
D. Increased spiritual well-being is found
among elders with depression.
69, Which of the following is an appropriate
spiritual screening or assessment question?
A. “Tell me more about your religion?”
B. “How can we support your spiritual
beliefs and practices?”
C. “How has your prayer experience been
affected by your illness?”
D. ”What do you see as the purpose or
mission for your life?”
70. The mother of a pediatric client states, “I
can’t understand why God would allow this
to happen to my innocent child!” Which
NANDA diagnosis is most accurate?
A. Impaired Religiosity related to anger at
God
B. Ineffective Coping related to anger.
C. Riskfor Spiritual Distress related
to threatened sense of hope
D. Spiritual Distress related to search
for meaning of child’s illness.
SHADE A if the answer is True and B if
otherwise.
71. Spiritual assessment does not vary in any
setting -
72. Only the nurse is responsible in
assessing the patient’s spirituality
73. The chaplain is the sole person whom
patients can share their spiritual needs.
74. The nurse should have firsthand
knowledge about the spiritual practice and
needs of the patient.
75. It is in the undifferentiated faith of
spiritual development that a child is strongly
influenced by moods, actions and stories of
the visible faith.
76. Mythic-literal faith happens in children
who are 3 – 6 years old
77. In the intuitive – projective faith, the
nurse must understand how the child relates
to both internal and external support and
interaction.
78. The time to open to the voices of one’s
deeper self occurs in the synthetic
-conventional faith stage of spiritual
development
79. Nurses should be sensitive to the adult’s
more mature spirituality especially in
relation to finding meaning to his illness
during the conjunctive stage.
80. It is James Fowler who made up the
spiritual history guide.
Use the following choices below for # 81-90

6. A. Personal faith
B. Spiritual contentment
C. Religious practice
81. Belief in Gods existence
82. Satisfaction with faith
83. Affirmation in worship
84. Consolation frm prayers
85. Lack of fears
86. Trust in God’s providence
87. Peace in spiritual beliefs
88. Support of faith community
89. Reconciliation
90. Security in God’s love
For # 91-100 Please use extra paper.
(10 points)
What are the four nations that contributed to
nursing during the Pre- Christian Era?
Enumerate the important issues for each.
Prepared by:
Belinda G. Delarmente, RN.MSN
Lecturer
Evaluated by:
Aleli R. Cheng, RN MAN
Coordinator
Approved by:
Helen B. Roda, RN.MAN
Dean, College of Nursing