University of Colorado, Boulder - NUR 109

Chapter 29: The Faith Community Nurse

Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition

MULTIPLE CHOICE

1)Which of the following best describes the primary difference between parish nursing and all other nursing positions?

1. 1. Affiliation with a church or congregation
   2. Incorporation of spiritual aspects into nursing care
   3. Provision of holistic nursing care
   4. Residence within the community of service

2. To help congregation members better meet their nutritional needs, the parish nurse organized members to participate in activities that focused on fellowship while providing healthy meals to homebound members and serving “healthy heart” church suppers. Which of the following activities is being completed?
   1. Holistic care
   2. Health ministries
   3. Partnerships

1. 4. Pastoral care practices

3. Which of the following best describes why it is helpful to be a member of a faith community?
   1. Belief and traditions help with coping.
   2. Members can ask others in the group for help.
   3. It is a social outlet.
   4. Members are able to get others to contribute to the causes they support.

4. Which of the following principles is central to the role of the parish nurse?
   1. Advanced nursing practice education and skills
   2. Faith consistent with the community and its leadership
   3. Spiritual dimension of care
   4. Willingness to serve anyone in need

5. A young woman had been away from home several years before she returned home sick and disheartened. Her mother called a nurse to help. Which of the following behaviors would suggest that the caregiver who arrived was a parish nurse?
   1. Advanced nursing practice education and skills
   2. Compassionate, skilled, dedicated touch
   3. Offered a prayer with the daughter and mother

6. Which of the following statements best describes how clients and parish nurses typically perceive spiritual health?
   1. It exists at the point that cure is attained.
   2. It has a tangential relation to well-being.
   3. It is part of an ongoing dynamic process.
   4. It is usually unchanging across the life span.

7. Which of the following statements suggests that faith community nursing is a nationally recognized specialty of nursing?
   1. Academic programs now offer a clinical specialty in parish nursing.
   2. Faith community nurses are increasingly receiving salaries for their efforts.
   3. Faith community nursing is being adapted in other countries and to non-Christian faiths.
   4. Scope and standards of faith community practice have been developed and revised.

8. A group of parish nurses affiliated with a number of faith-based communities located in different regions across the state are attending a quarterly meeting. Which of the following statements made by one of them indicates a lack of understanding of parish nursing?
   1. “I always make sure of information form to obtain their health record from their previous parish nurse.”
   2. “Because I work for and within the church, I am immune from civil laws.”
   3. “The pastor and I work together for the spiritual health of the community.”
   4. “Yes, I am happy to pray with my clients and help them worship.”

9. A nurse is considering accepting the parish nursing position within his congregation. Which of the following educational preparation is crucial for the nurse to have received?
   1. Baccalaureate education including community health nursing experience
   2. Graduate education in community health nursing
   3. Passing the national certifying exam for parish health nursing
   4. Worship experiences for the process of ministry

10. A family shared their concerns, including sexual issues, in strictest confidence with a faith community nurse. When the nurse returned to the church office, the pastor asked why the family wanted to see her. Which of the following statements would be the best response by the nurse?
    1. “Because you are my supervisor, I will summarize what was said for you.”
    2. “I will include that information in my report to our church’s wellness committee.”
    3. “They just wanted me to assess their health needs and make some suggestions.”
    4. “The family had some issues they wanted to discuss in confidence, which I will keep in confidence.”

11. A father confides to the parish nurse that his wife has been hurting their 3-year-old daughter. The nurse examines the daughter and finds evidence of physical abuse. In the parish nurse role, which of the following actions should the nurse take first?
    1. Contact the pastor for guidance in handling this situation.
    2. Recommend that the family be removed from the faith community.
    3. Refer the family to pastoral services for counseling.
    4. Report the findings to child protective services.

12. A faith community nurse is partnering with a local public health department to develop programs for primary, secondary, and tertiary prevention activities. Which of the following should be used as the primary guide for development?

1. 1. Contemporary articles in nursing journals
   2. Evidence-based practice guidelines for treatment of disease
   3. Healthy People 2020 goals and objectives
   4. Preferences of partners who are funding the programs

13. A parish nurse is evaluating health programs that provide holistic care across the life span. Which of the following methods would be the most appropriate approach?
    1. Bringing families together to plan programs to meet the needs of individuals
    2. Establishing a wellness committee to assist in the evaluation process
    3. Matching financial resources with program objectives and goals
    4. Revisiting assessment data to be certain that planning reflects actual problems observed
14. Which of the following statementsbly a paris nurse exhibit  a lack of understanding of the concept of pastoral care?
    1. “By working with my clients to help them identify their spiritual strengths, I am drawing on pastoral care aspects of practice.”
    2. “To incorporate pastoral care, I should involve the pastor in ministering to the members of the congregation.”
    3. “I use pastoral care when I emphasize the spiritual dimension of nursing when providing care.”
    4. “When I lend support to my clients during times of joy, as well as during their times of sorrow, this illustrates an important aspect of pastoral care.”

15. A parish nurse is using the institution-based model to plan care for a client with a chronic illness. Which of the following activities would the nurse most likely implement?
    1. Bringing in family members to work with the client and nurse in decision making
    2. Partnering with outlying health care centers for coordinating optimal care
    3. Pulling from the collective strengths of faith-based community members for social support for the client

1. 4. Relying on congregational prayer as a component of healing

16. A nurse would like to maximize her autonomy in her parish nursing practice. Which of the following models would most likely be preferred by the nurse?
    1. Congregation-based model
    2. Institution-based model
    3. Teamwork model
    4. Partnership model

17. A parish nurse organizes the annual health fair for the congregation, inviting community agencies to attend the event and display the health resource that are available in the community. What function of the parish nurse is being demonstrated?
    1. Health advocate
    2. Referral agent
    3. Health educator
    4. Coordinator of volunteers

18. A parish nurse is implementing a primary prevention measure related to obesity among the school-age members of the church. Which of the following activities is most likely being used by the nurse?
    1. Establishing a walking program that is sufficiently challenging yet not too strenuous for those who are obese
    2. Partnering with youth camp cooks to ensure that food is nutritious
    3. Supervising height and weight measurements taken by clinic assistants