nur302 Spirituality and Beliefs

Order the hierarchical approach to providing culturally competent care. Acknowledge the differences but build similarities. Involve the patient when providing the options. Understand the patient's values and beliefs. Understand your values and beliefs. Negotiate a treatment plan that includes patient values and beliefs. Explain your perception of the patient's problem.

Understand the patient's values and beliefs. Understand your values and beliefs. Explain your perception of the patient's problem. Acknowledge the differences but build similarities. Involve the patient when providing the options. Negotiate a treatment plan that includes patient values and beliefs.

To help patients make better health care decisions, which attribute do nurses use to understand their own beliefs? self-reflection self-awareness self-control self-determination

self-awareness Self-awareness is having knowledge about one's character, feelings, motives, and desires that can assist in helping patients with health care decisions.

Which terms are components of the Health Belief Model? select all that apply self-efficacy self-doubt perceived severity perceived barriers self-awareness

self-efficacy perceived barriers perceived severity self-awareness

spirituality has 5 concepts

self-transcendence connectedness faith and hope inner strength and peace meaning and purpose in life definitions on pg. 674

meditation techniques

pg. 777

implicit biases

preferences about people or groups and often associated with stereotypes. we may be unaware of or mistaken about them

Kolcaba described comfort existing in three forms

relief, ease, transcendence

Which approach best illustrates how a nurse would apply Travelbee's Interpersonal Theory of Nursing when caring for a child who has an upcoming surgery for a radial fracture? Maintain a direct and leading approach to care. Suggest the child is strong and capable enough to meet care needs. Discuss patient care with nursing team members. Use a compassionate approach to care.

use a compassionate approach to care

Travelbee's interaction process (5 phases)

Phase of the original encounter Phase of emerging identities Phase of empathy Phase of sympathy Phase of rapport

Example of acting

"Have you done anything about it? Will you do it again?"

Match the values clarification concept with the question examples.

"What would happen if this choice were implemented?" - Choosing "Why is this important to you?" - Prizing "Have you done anything about this yet?" - Acting

Example of choosing

"are you the only one who feels this way? What would happen if this choice was implemented? Another choice?"

Example of prizing

"why is this important to you?"

values clarification process

1) Choosing a value 2) Prizing/cherishing your values 3) Acting on your values "Have you done anything about it? Will you do it again?"

Which scenarios show implicit bias toward patients with disabilities? Select all that apply. A nurse helps a disabled person onto a scale without first asking the person if they want help. The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair. There is not a ramped entry to the clinic. A nurse uses a teach-back approach to determine learning. Evidence-based practice methods are used for patient care.

A nurse helps a disabled person onto a scale without first asking the person if they want help. - Health care providers who assume that a patient is incapable of performing some tasks are asserting their biased opinions of the patient's capabilities. The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair. - Providing care in the wheelchair assumes the patient cannot stand, pivot, and sit on an examination table, potentially limiting care, and it exhibits the health care provider's implicit bias. There is not a ramped entry to the clinic. - Failure to provide entry access to all patients suggests a bias against patients with disabilities.

doing for

Doing for the other what they would do for themselves, if possible

assessment tools

FICA (faith, importance, community, address) spirituality well-being (SWB) scale

enabling

Facilitating the capacity of other to care for themselves and family members

A patient and a family member disagree about the use of alternative medicine. After the family member leaves the room, the patient asks the nurse for advice. Using the values clarification process, which action would the nurse take? Suggest the patient leave the hospital. Suggest the patient find alternative treatment. Administer a sedating medication so treatment can be initiated. Help the patient make an informed decision about next steps.

Help the patient make an informed decision about next steps.

The nurse is caring for a Middle Eastern patient whose cultural beliefs make it difficult to accept direction from a person of a different culture. Using Leininger's Cultural Care Theory, which approach would the nurse take to communicate a plan of care with this patient? Include the patient in creating the plan of treatment that includes cultural elements of caring. Explain to the patient that it is important to follow the nurse's advice as a medical professional. Discuss a treatment plan that has been used in the United States with great benefit. Provide the patient with a brochure on the types of treatment available.

Include the patient in creating the plan of treatment that includes cultural elements of caring.

Which action would the nurse take first when working with a patient who has a specific set of values and beliefs regarding health care that is different from that of the nurse? Listen to the patient's beliefs about their health care. Suggest that the patient consider other care formats. Explain personal thoughts about care to the patient. Describe other methods of care.

Listen to the patient's beliefs about their health care.

comportment

Maintaining the harmony between beliefs about self and others; dress and language are symbols of communication in a caring presence

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?

Negotiate- reach an agreement on a behavior plan in partnership with the patient Recommend- Ask the patient to consider alternative behaviors Acknowledge- explain to the patient that her thoughts are being heard Explain- provide current information about sexually transmitted diseases Listen- Consider the patient's knowledge about HIV

Which statements relate to the American Nurses Association (ANA) Code of Ethics? Provides a statement related to the ethical values, obligations, and duties for the nursing profession Provides a statement related to the proper care of persons with cancer Serves as the profession's nonnegotiable ethical standard Expresses nurses' understanding of the commitment to society Provides a standardized approach to patient care

Provides a statement related to the ethical values, obligations, and duties for the nursing profession Serves as the profession's nonnegotiable ethical standard Expresses nurses' understanding of the commitment to society

A young child was admitted to the emergency department after a bicycle injury. The child is worried about punishment because they were not supposed to be riding their bike. Which methods would the nurse use to create a caring environment using Watson's theory? Select all that apply. Show sensitivity to the child's fears. Sit with the parents to determine the extent of the accident to assist in care planning. Explain treatment procedures. Discuss the accident with the patient. Suggest the patient is at fault for the accident as a way of cautioning them to refrain from that behavior.

Show sensitivity to the child's fears. Explain treatment procedures. Discuss the accident with the patient.

Which action would the nurse take first when caring for an anxious patient with suspected early onset Alzheimer disease? Suggest that Alzheimer disease is a debilitating illness but that some medications work. Sit with the patient and listen to their fears and concerns. Explain that if the nurse is unavailable, someone else will step in for him or her. Stay with the patient and suggest a family discussion about Alzheimer disease.

Sit with the patient and listen to their fears and concerns.

Which behavior illustrates caring behavior rather than codependency when a nurse is providing care for a young homeless individual? Spending time finding an available homeless shelter in the area. Explaining the need to contact Social Services to the patient. Discussing the need to remain in contact after discharge. Spending time determining why the patient is homeless.

Spending time finding an available homeless shelter in the area.

knowing

Striving to understand events as they have meaning in the life of the other

Match the nursing theory to its major construct. Suggests that nursing is transcultural Suggests a holistic approach to caring that promotes healing and wholeness Emphasizes human-to-human relationships Builds on phenomenologic studies based on perinatal nursing concepts

Suggests that nursing is transcultural- Leininger's Suggests a holistic approach to caring that promotes healing and wholeness- Watson's Emphasizes human-to-human relationships- Travelbee's Builds on phenomenologic studies based on perinatal nursing concepts- Swanson's

maintaining belief

Sustaining faith in the capacity of others to transition and have meaningful lives

Which caring approach is congruent with Watson's theory? Suggesting methods essential to caring in the United States. Encouraging the family's interaction with the patient to increase trust. Using a holistic approach to patient care. Being emotionally present in all situations.

Using a holistic approach to patient care.

Swanson's middle range theory

a caring relationship focuses on the unique relational dynamics between one individual and another promoting dignity, respect, and empowerment. Swanson brings caring theory into a more practical sphere by describing five caring processes, as well as practices for putting them into action

factors influencing spirituality

acute illness chronic illness terminal illness near-death experience

The LEARN model

an approach to understanding values and beliefs in health care bottom to top: (learn starts on the bottom of the pyramid) Listen Explain Acknowledge Recommend Negotiate

steps in nursing process

assessment, nursing diagnosis, planning, implementation, evaluation

A nurse explains all options related to the patient's surgery, reminding the patient the decision is theirs. Which ethical principle is the nurse respecting? Justice Autonomy Beneficence Nonmaleficence

autonomy

being with

being emotionally present to the other

implementation

health promotion acute care restorative and continuing care

National League for Nursing (NLN) 4 main values in nursing care

caring integrity diversity excellence

Katharine Kolcaba's ______ theory

comfort

excellence

commitment to improvement of community, caring, and growth

Sister Roach's 6 C's of caring

compassion, competence, confidence, conscience, commitment, comportment

caring

health promotion, a nurturing environment, commitment to the common good

nonmaleficence

do no harm

beneficence

doing good

justice

equality in patient care

Which basis of individual belief is the nurse expressing, based on education, to a postoperative patient? evidence awareness scope conviction

evidence The nurse provides patient-centered information based on evidence-based education.

The nurse is concerned that a patient they are treating may have psychological issues that could affect their care. Which type of belief is the nurse expressing? Awareness Conviction Experience Stereotyping

experience

Faith vs Religion

faith is what you believe in, and a way you choose to live religion is how you express it, a practice/form of worship

stereotypes

generalizations that are treated as if they are always true

Which approach would the nurse take to help with their internal conflicts related to the provision of palliative care to a stage IV cancer patient who has decided to discontinue care modalities? Values system Higher-order reasoning Values clarification Self-awareness

values clarification The nurse understands there is an internal conflict. Rectifying the conflict requires values clarification - a process that helps clarify and prioritize personal values to make the most appropriate health care decisions. The nurse understands these are his or her values, but the patient's determination must come first.

A nurse is assisting in the care of a woman having in vitro fertilization. The nurse's religious belief system considers natural fertilization to be the appropriate means of conception. Which concept describes what the nurse is experiencing? Self-reflection Values clarification Self-awareness Values conflict

values conflict

A nurse is caring for a woman who declines medications as she delivers her first child. The nurse supports the use of some medication to assist with the birth. Which concept does this scenario illustrate? values clarification values distortion values conflict values system

values conflict

Chinn & Kramer Emancipatory Knowing theory

•Emancipatory knowing addresses the social and Political context of nursing and health care and critiques the four fundamental patterns of knowing (empirics, ethics, esthetics and personal knowing) •It recognizes serious social barriers to health and well-being •Emancipatory knowing requires an understanding of the nature of knowledge •It requires both critical reflection and action

A patient with stage IV heart failure has an advanced directive requesting no lifesaving measures if cardiorespiratory arrest occurs. The nurse believes there are certain lifesaving steps the patient should still consider. Which statements by the nurse are evidence of the values clarification process? select all that apply "Have you thought about the consequences of your decision?" "Why is this choice so important to you?" "Are you certain you know what you are doing?" "Did you consider what this would do to your family?" "Will your health care provider go along with your decision?" "Have you thought about what my advice for additional care means?"

"Have you thought about the consequences of your decision?" Asking the patient if they have thought about their decision is a cognitive approach to determining whether the patient has thought through all issues and clarified their values. "Why is this choice so important to you?" Asking the patient about the importance of their choice further clarifies their values by determining the importance of their decision

The nurse is caring for a patient who received multiple doses of naloxone after an opioid overdose. After regaining consciousness, the patient is visibly upset and regrets what happened. Which actions would the nurse take? Select all that apply. Tell the patient that they should not engage in risky behavior. Allow the patient to share their feelings. Explain to the patient that drugs are illegal and should not be used as a means to avoid dealing with issues. Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action. Explain to the patient that they will be placed on a psychiatric floor pending further investigation from a health care provider. Work with the patient to determine a plan of care that is consistent with their values and beliefs.

Allow the patient to share their feelings. - Listening is the first step to understanding the context of what has happened to the patient and their beliefs. Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action. - Including the patient in determining the plan of care may help calm their fears. This will encourage patient participation and acceptance of care. Work with the patient to determine a plan of care that is consistent with their values and beliefs. - Negotiating a treatment that includes the patient's beliefs, values, and concerns will help them maintain the appropriate care method.

The nurse is caring for a patient who has been diagnosed with coronavirus infection. The nurse understands that this is a contagious illness but also understands the need to provide a caring environment. Which behaviors would the nurse use when caring for a patient in isolation? Select all that apply. Provide daily care from a distance to guard against potential exposure. Allow the patient to verbalize how the infection was transmitted. Create a human-to-human relationship in the face of isolation precautions. Perform clinical duties in isolation of the patient. Perform basic daily tasks as needed if complications arise.

Allow the patient to verbalize how the infection was transmitted. Create a human-to-human relationship in the face of isolation precautions. Perform basic daily tasks as needed if complications arise.

Match the nursing quality with the appropriate nursing practice. Calming the patient Delivering care on time Understanding the patient's view Providing information dependence evidence-based practice consistency presence listening compassion

Calming the patient- presence Delivering care on time- consistency Understanding the patient's view- listening Providing information- evidence-based practice

The National League for Nursing describes four values in nursing. Match the nurse's behavior with the corresponding value. Caring Integrity Diversity Excellence Supporting community outreach programs Listening to patients' feelings Giving health-promotion advice Respecting cultural beliefs

Caring- giving health-promotion advice Integrity- Listening to patients' feelings Diversity- respecting cultural beliefs Excellence- Supporting community outreach programs

A patient was admitted to the unit considering a termination of pregnancy (TOP) due to severe fetal abnormalities. The nurse understands the patient's concerns, but the nurse's belief system excludes TOP as an option. Which caring behaviors would the nurse implement to ensure the patient's medical needs are met? Ensure the patient understands what the process is and how the procedure is done. Discuss the situation with the patient's husband to avoid upsetting her further. Ensure the convergence of values and choices does not affect care. Express a neutral affect while caring for the patient.

Ensure the convergence of values and choices does not affect care.

An adolescent comes into the clinic after a single dose of naloxone and is very concerned about being arrested for possession of an opioid without a prescription. Which action would the nurse take to reduce the patient's fears and expand a caring environment? Let the patient know that the authorities will be notified if the patient does not comply with medication-assisted treatment. Explain that the nurse is there to provide care, not judgment. Present the facts about opioid overdose and opinions about opioid use. Suggest that adolescence is a difficult time.

Explain that the nurse is there to provide care, not judgment.

When caring for patients who may have differing beliefs and values, which essential component of Watson's Theory of Human Caring/Caring Science would the nurse consider? Understanding that caring is a feeling not shared by all cultures. Providing hope to patients signifies healing. Integrating the art of caring and the science of healing. Sharing the beneficial meaning of health outcomes.

Integrating the art of caring and the science of healing.

The nurse is responsible for caring for patients with cognitive impairment on a gerontology unit. Which practice demonstrates the nurse's provision of a caring environment for this patient population? Listening and getting to know the patients. Avoiding asking too many questions to maintain the patients' privacy. Encouraging the patients' family to keep them company. Talking with the family directly, rather than the patients.

Listening and getting to know the patients.

Which methods suggest the nurse is applying their beliefs to patient care? Select all that apply. Use of direct pressure to control bleeding on post angioplasty patients based on previous cases Application of aromatherapy based on comments from family members Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course Use of hydrogen peroxide to clean a wound based on a health care provider's directive Application of care by listening to the patient while performing a dressing change

Use of direct pressure to control bleeding on post angioplasty patients based on previous cases - Using an effective method to control bleeding based on previous performance and outcome is an example of direct or experience-related beliefs. Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course - Use of an evidence-based process for patient care is an example of a values approach based on evidence not beliefs. Application of care by listening to the patient while performing a dressing change - Listening to patient's words, comments, and feelings helps nurses with a conscious awareness of the patient's beliefs.

integrity

respect., open communication, humility, ethical decision making

Travelbee's Interpersonal Theory of Nursing

focusing on a human-to-human relationship model after noting a lack of compassion in nursing care

SWB scale

has 20 questions that assess a patient's relationship with God and his or her sense of life purpose and life satisfaction

Watson's Theory of Human Caring

holistic approach; integrates human caring (the art) with healing environments (the science), incorporating life-generating and life-receiving processes for nurses and their patients

diversity

inclusiveness at all levels and within all titles

autonomy

individuals have the right to make their own decisions

Swanson's theory of caring

knowing- striving to understand being with- being emotionally present doing for- doing for others as they would do for themselves enabling- facilitating the other's passage through life/unfamiliar events maintaining belief- sustaining faith in other's ability to get through events or transition and face future with meaning

5 caring processes of Swanson's Middle Range theory

maintaining belief, knowing, being with, doing for, enabling

self-transcendence

meaning, purpose, and communion beyond the self

Leininger's Cultural Care Theory

nursing is a transcultural care profession addressing cultural dynamics influencing the nurse-patient relationship

prejudice

preformed opinion, usually an unfavorable one, about an entire group of people that is based on insufficient knowledge, irrational feelings, or inaccurate stereotypes

Hope

provides comfort when people endure hardships