Terms
These people believe that there is no known ultimate reality
Agnostic
A nurse should be aware that adolescent clients who are discussing spirituality often:
1 Have a good concept of a supreme being
2 Question religious practices and/or values
3 Fully accept the higher meaning of their faith
4 Often give themselves over to spiritual tasks
2 Question religious practices and/or values
These illnesses are unanticipated events that creates an obstacle or new reality (suffer a disability). Common to feel angry towards God or a higher being, family, healthcare providers, and themselves.
Acute illness
Consumption of pork and alcohol is prohibited in this religion
Islam
A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. The nurse has been caring for her for only 2 hours but has a good relationship with her. What is the most appropriate intervention for support of her spiritual well-being at this time?
1. Make a referral to a professional spiritual care adviser.
2. Sit down and talk with the patient; have her discuss her feelings and listen attentively.
3. Move the patient’s Bible from her bedside cabinet drawer to the top of the over-bed table.
4. Ask the patient whether she would like to learn more about the implications of having this type of tumor.
2. Sit down and talk with the patient; have her discuss her feelings and listen attentively.
A tool that may be used effectively with clients who have terminal diseases is hope. Hope provides a:
1 Relationship with a divinity
2 System of organized beliefs
3 Cultural connectedness
4 Meaning and purpose
4 Meaning and purpose
This developmental age values love and interactions with others.
Older adulthood
This event is characterized by an out of body experience.
Near death experience (NDE)
This religion required kosher diet restriction. They avoid pork, shellfish, and do not eat dairy or meat at the same time.
Judaism
This assessment tool assesses a patient's relationship with God and his or her sense of life purpose and life satisfaction.
Spiritual Well-being Scale
This causes people to question their identity and feel doubt, loss of faith and a sense of being alone or abandoned.
Spiritual distress
This developmental age group experience conflict between initiative and guilt, and model moral behaviors of their parents
3-6 years
COPD is an example of a chronic illness that affects a person's?
Independence- either immediately or over time. This leads to a feeling of powerlessness due to relying on others for care.
This religious group believes in the 4 Noble Truths
Buddhist
A nursing student is developing a plan of care for a 74-year-old-female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.)
1. Older adults do not routinely use complementary medicine to cope with illness.
2. Older adults dislike discussing the afterlife and what might have happened to people who have passed on.
3. Older adults achieve spiritual resilience through frequent expressions of gratitude.
4. Have the patient determine whether her husband left a legacy behind.
5. Offer the patient her coice of rituals or participation in exercise.
3,4,5
This spiritual concept affects the person intrapersonally, interpersonally, and transpersonally.
Connectedness
This developmental age group is associated with conflicts between intimacy, and isolation and loneliness. They establish self-identity and world views.
Terminal illness
Hinduism
The nurse has identified the following nursing diagnoses for his assigned clients. Of the following diagnoses, which one indicates the greatest potential need to plan for the clients spiritual needs?
1 Altered health maintenance
2 Ineffective individual coping
3 Impaired long-term memory
4 Decreased adaptive capacity
2 Ineffective individual coping
The 5 distinct but overlapping constructs of spirituality are:
Connectedness, transcendence/self-transcendence, Faith and Hope, Inner strength and peace, meaning and purpose in life
p724
This developmental age is defined by conflicts between generativity and stagnation. They review their values systems during crisis and develop appreciation for spiritual experiences.
Middle-age adulthood
A client who recently required advanced cardiac life support after experiencing a myocardial infarction shares with the nurse that, I could hear voices talking about me dying and then there was this brightly lighted tunnel. Which of the following statements made by the nurse shows the best understanding of therapeutic communication regarding a clients near-death experience?
1 Tell me more about what you saw and heard.
2 What you are describing is called a near-death experience.
3 Many clients who have been clinically dead have those types of memories.
4 What you are describing is most likely a result of the drugs you were given.
1 Tell me more about what you saw and heard.
Rationale:
Clients who have a near-death experience are often reluctant to discuss it, thinking family or caregivers will not understand. However, individuals experiencing a near-death experience who discuss it with family or caregivers find acceptance and meaning from this powerful experience. By encouraging the client to discuss the experience, the nurse is providing therapeutic care in an accepting manner
This religion abstains from eating anything containing blood
Jehovah's witness
The nurse is caring for a patient who is very depressed and decides to complete a spiritual assessment using the FICA tool. Using the FICA assessment tool, match the terms with the appropriate assessment statements/questions.
1. F—Faith ___
2. I—Importance of spirituality ___
3. C—Community ___
4. A—Interventions to address spiritual needs ___
a. Tell me if you have a higher power or authority that helps you act on your beliefs
b. Describe which activities give you comfort spiritually
c. To whom do you go for support in times of difficulty?
d. Your illness has kept you from attending church. Is that a problem for you?
1a, 2d, 3c, 4b