NURS 301 EXAM 5

Spirituality

- An awareness of one's inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself - Includes personal beliefs that help a person maintain hope and get through difficult situations. - The human spirit is powerful, and spirituality has different meanings for different people. - Nurses need to be aware of their own spirituality to provide appropriate and relevant spiritual care to others.

Stress

-An actual or alleged hazard to the balance of homeostasis - Can impact the physical and mental well-being of pts - Nurses need to consider their own stress by recognizing stress in the form of burnout, compassion fatigue, and second victim syndrome - Stressors -Appraisal - Trauma

General adaptation syndrome: resistance, exhaustion, alarm- what is order?

Alarm, resistance, exhaustion

Worried pt is suffering PTSD based on reaction from dreams while sleeping- what should nurse ask the pt?

Ask if reliving in the dream

Pt is very depressed, saying nothing positive about their life, nurse will help with positive things- what is nurse trying to promote?

Assistance in finding hope for the future

Explain spirituality?

Awareness of one's inner health

Patient has vertigo- anticipate what sensory deficit?

Balance disturbances

Religious care- helps individuals to understand what?

Belief system

What type of event refers to adventitious crisis?

Caused by a major natural/manmade disaster or crime of violence

Pt is dying- what kind of breathing

Cheyne stokes

What are different types of stress?

Chronic, acute, crisis

Pt is having conflict with their beliefs- who do you call?

Clergy

Palliative care- what is the goal?

Comfort to increase quality of life

Can influence loss or grief?

Coping strategies- yes, culture- yes, spiritual/religious- yes

Pt using defense mechanisms and broke the law, continuously deny it- what defense mechanism is being used?

Denial

What hormones are responsible for fight or flight?

Epi/Norepi

Listening/being with patient- what are you doing as a nurse?

Establishing a presence

They know what to say, can't get it out- what type of aphasia?

Expressive aphasia

Alarmed stage- what happens?

Fight or flight, everything is increasing (HR, RR, BP)

What is guided imagery?

Give pt descriptive info to put them in a peaceful setting,

Gentamycin needs monitored- affects what sense?

Hearing (Can be ototoxic)

Same religious affiliation with pt- make sure you don't do what?

Impose your beliefs on them

Parent is sad/depressed cause kid went to college, what kind of loss?

Maturational loss

Nursing theories, views person, community, family developing a normal line of defense-What type of theory?

Neuman's system model

Pt is dying, nurse and NA taking care of pt- what would nurse/NA to intervene?

No forcing of eating

PT reports recurrent nightmares of traumatic event that has happened to them- what is expected of the pt to have?

PTSD

Theory that focuses on promoting health and managing stress?

Pender's Health Promotion model

Islamic pt- what do they not eat?

Pork/Kosher diet

3 things included in care after death of pt-what are they?

Postmortem care, autopsy, organ/tissue donation

Stroke patients, common for pt to have aphasia- what type is difficulty understanding what they are being told?

Receptive aphasia

What is palliative care?

Reducing and relieving symptoms

Patient diagnosed with glaucoma- what might they be diagnosed with?

Risk for falls

Xerostomia (dryness of mouth)- what is patient at risk for?

Risk for malnutrition

Pt lost their job and having chest pain- What kind of loss?

Situational

Things to influence spirituality

Terminal illness, spiritual distress, chronic illness, near death experiences

What type of pts are being cared for with hospice?

Terminally Ill

Pt is depressed/upset/struggling- what is something nurses need to focus on and establish what?

Trust and confiding so the pt can talk to us

If nurse is caring for dying pts, what does the nurse need to do

Understand their perception on death and feelings toward it

The nurse is doing a FICA assessment on a depressed patient. The nurse asks the patient, "To whom do you go to for support in your difficult times?" This question is what part of FICA? a. C- Community b. I- Importance of Spirituality c. F-Faith d. A- Interventions

a. C- Community

What concepts does the nurse have to take into consideration when trying to balance a patient's health? (Select all that apply) a. Cultural b. Developmental c. Nutritional Status d. Spiritual e. Financial Status

a. Cultural b. Developmental d. Spiritual

A nurse is caring for the family of a client who died. The nurse observes the family celebrating with music and dancing. The appropriate response from the nurse is: a. Observe the practice but do not intervene unless asked by the family. b. Observe the practice but notify the family that the practice is inappropriate. c. Observe the practice and suggest a different coping mechanism for the family. d. Observe the practice and participate once it appears appropriate.

a. Observe the practice but do not intervene unless asked by the family.

A 6-year-old child has been wetting the bed at night since the birth of a baby brother. What defense mechanism is the child using to cope with the stress of accepting a new family member? a. Regression b. Repression c. Dissociation d. Displacement

a. Regression

The nurse is providing care to an older adult client who is experiencing new symptoms of grief. Which item in the client​'s history might be the cause of these​ symptoms? a. The recent move to an assisted living facility b. Being diagnosed with type 1 diabetes mellitus as a child c. The loss of a pregnancy 20 years ago d. The loss of a spouse 5 years ago

a. The recent move to an assisted living facility

How can the nurse use spirituality in providing the best patient care? (Select all that apply) a. Put the nurse's spirituality before the patient's b. Acknowledging the patient's beliefs and wishes associated with their spirituality c. Understanding the patient's spirituality to the best of the nurses ability d. No bias based on spirituality when giving patient care e. Not listening to the patient and the nurse talking about their experiences with spirituality

b. Acknowledging the patient's beliefs and wishes associated with their spirituality c. Understanding the patient's spirituality to the best of the nurses ability d. No bias based on spirituality when giving patient care

During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events? a. Avoidance of stress is an important goal for living b. Control over one's response to stress is possible c. Most people have no control over their level of stress d. Significant others are important to provide care and concern

b. Control over one's response to stress is possible

A woman is found in her husband's hospital room crying at his bedside, looking to the sky and saying, "Why, God?". Her husband is in a coma and has no brain activity. How can the nurse help the wife with her spiritual distress? a. Leave the woman alone and ignore her grieving b. Offer assistance of a clergy to help her talk through the process to help her realize her faith. c. Assure the woman that he is not going to be okay and that he is already dead d. Tell the woman that she will have to move on from her husband.

b. Offer assistance of a clergy to help her talk through the process to help her realize her faith.

An 18-month-old toddler requires an intramuscular injection. As the nurse enters the room with the medication, the child begins to scream and flail about on the bed. The father is sitting at the child's bedside and gets up to leave. What action should the nurse take to best handle this situation? a. Allow the child to say good-bye to the father and then give the injection. b. Tell the father to return and comfort the child after the injection is given. c. Ask the father to stay to comfort the child while the injection is being given. d. Leave the room and ask another nurse to come in to hold the child during the injection.

c. Ask the father to stay to comfort the child while the injection is being given.

A graduate nurse enters a client's room and finds the client unresponsive, not breathing, and without a carotid pulse. The graduate nurse is aware that the client has mentioned that he does not wish to be resuscitated, but there is no DNR order on the client's chart. What is the nurse's best action? a. Consult with the charge nurse or nurse manager before calling the code. b. Respect the client's wishes and avoid calling a code. c. Call a code and begin resuscitating the client. d. Initiate a slow code until the physician arrives.

c. Call a code and begin resuscitating the client.

A mother of two goes in for her yearly checkup. Complains to her doctor she has been unable to sleep lately. She has also been suffering from diarrhea, nausea, and heart palpitations. As she is describing her symptoms the doctor realizes she is trembling and seems disoriented. What level of severity of anxiety is this patient experiencing? a. Mild b. Moderate c. Severe d. Panic

c. Severe

Assessing cognitive function during normal assessment, done by provider or nurse- what is exam called?

mini mental status exam (MMSE)