RELP 316 Exam 2
Which of the following does a "life-course perspective" include?
It encourages the HP to consider the spiritual importance of family structure and important relationships within different time frames, along with the impact of the patient's history of life choices and social or societal setting.
Which of the following is true about a spiritual history?
It may help to open the door for future conversations The Questions should be easy to remember It is applicable for medical decisions The questions should be patient-centered
Good examples of reflective listening phrases include:
It sounds like you... You feel... It makes sense that...
Which of the following are requirements for Chaplaincy Certification?
Masters Degree in religious studies 4 credit hours of Clinical Pastoral Education Ordination or Commissioning as a minister endorsement letter from denomination A full member of their certifying organization
In order to facilitate teamwork in developing and implementing a spiritual care plan, the person doing the spiritual assessment should include all but which of the following when documenting this assessment?
The patient's beliefs that do not impact the preferred care plan of the patient
Which of the following criteria must be met to qualify a spiritual issue as a spiritual diagnosis?
The spiritual issue is a secondary cause of or affects the presenting psychological or physical diagnosis The spiritual issue leads to distress or suffering The spiritual issue is the cause of a psychological or physical diagnosis such as anxiety, depression or acute or chronic pain
Stage 3: The Active Life
This is described as the doing stage. We get involved, actively working for God, serving him and his people. We take responsibility by bringing our unique talents and gifts to serve Christ and others.
Stage 6: Transformed into love
This is the process and eventual goal of the spiritual journey, in which our love becomes the expression of the love of Christ towards those around us. Perfect love has cast our fear and we are surrendered to the purposes and will of God.
Stage 2: Discipleship
This stage is characterized by learning about God and what it means to be a follower of Christ. We become part of a Christian community and begin to get rooted in the disciplines of the faith.
Stage 1: Life-Changing Awareness of God
This stage is the beginning of the journey with Christ as we become aware of his reality. We realize our need for mercy and begin our relationship with him.
Stage 4: The Wall and Journey Inward
This stage is the point of crisis or obstruction which causes us to reevaluate who we are spiritually and ultimately discover a greater dependence upon God.
The greek term for "rule" of life refers to a ________ which helps a vine to grow upward thus making it more fruitful and productive.
Trellis
According to Pucalski and Ferrell, when HPs find themselves over-identifying with a patient's loss, or getting too bonded to a patient who reminds them of a loved one, they should be on guard so they don't use distancing as a means to cope.
True
According to Puchalski and Ferrell, HPs should be free to choose not to take part in futile care, for instance, care of a person who is on life-support, but is deemed medically to be "brain dead," yet whose family believes that God might still perform a miracle.
True
According to Puchalski and Ferrell, one of the main goals that would be found in spiritual care plans applicable for many patients is to help patients and/or family members to "restructure their thinking."
True
According to Scazzero, the idea that the church can be perfect is one of the illusions that people will lose and will need to grieve.
True
For Scazerro, emotional allergic reactions and triggers are the same thing.
True
In relation to medical treatment decisions physicians not disclosing their the religious beliefs could be considered a breach of medical ethics.
True
Often our bodies know our feelings before our minds do.
True
Puchalski and Ferrell argue that all members of the transdisciplinary team should have spiritual care experience, education, and training, including physical, occupational, respiratory therapists, health care aides, and pharmacists.
True
Puchalski and Ferrell argue that the data suggesting a link between religiosity and positive health care outcomes do not provide sufficient warrant for making recommendations to patients encouraging religious involvement.
True
Telling someone you think what they was the right thing to do and you are proud of them can be a communication roadblock.
True
The trials that we encounter in everyday life are not a part of the dark night of the soul, but are instead simply everyday struggles.
True
True or False: According to Puchaslki and Farrell, The various data concerning the benefits of spiritual care and the patient's preference for spiritual care are not enough to constitute a moral imperative for spiritual care.
True
You can find God in darkness as well as in the light, this is part of the mystery of God.
True
In advocating for person-centered care, Puchalski and Ferrell argue in which of the following ways?
When we relate human-being to human-being, the humanity of each is elevated. By relating person to person, real healing can take place
The "implementation frameworks," which are provided by Puchalski and Ferrell to guide interprofessional teams in delivering spiritual care, incorporate a reflective preparation process. This process aims to promote which of the following?
an openness to the care giver's own, as well as the patients' transformation through their encounters with patients, the team members' awareness of their personal sense of transcendence, call to service, and connection to others, a capacity to act in intentional ways to partner with their patients to restructure their thinking about their situation
Which of the following is a common pitfall that HPs often fall into that leads them unintentionally to spiritually harm patients?
assuming a patient is religious in emergency situations without taking the time to ask about it
Religious ______ is the use of religious beliefs or practices to reduce the emotional _____ caused by loss or change.
coping, distress
Patient-centered spiritual care practice should be based on which of the following principles, according to Puchalski and Ferrell?
dignity and compassion
What is the biblical definition for family?
entire extended family over three to four generations
When a patient refuses part of the medical treatment plan based on R/S beliefs the HP should:
find ways to recommend treatment in harmony with the patients religious tradition, engage with the patients worldview
Scazzero states that people often use authentic spiritual experiences as a protective layer against emotional maturity. Doing things like prayer, bible study, worship, etc. make people believe they are doing fine even though their relational life and interior world are:
fractured and disordered
According to Puchalski and Ferrell, all but which of the following are characteristic of an effective team?
having a team-leader that outshines his or her peers in technical competence
According to Scazerro emotional health and spiritual maturity are:
inseparable
The claim that HP inquiry about R/S beliefs or issues can potentially cause spiritual harm should
motivate HPs to obtain more training in this area
According to Guy Winch we need to pay attention to our emotional __________
pain
Which of the following groups does Koenig see as particularly useful in medical, surgical, and psychiatric outpatient settings for providing spiritual care?
pastoral counselors
Which of the following three ethical concepts or principles are essential for guiding palliative care (along with medical care in general) according to Puchalski and Ferrell?
patient-centeredness respect inclusivity
A Rule of life is an intensional conscious _______ to keep God at the center of everything we do.
plan
According to Koenig, after doing a spiritual assessment there are further activities he recommends in order to adequately address the spiritual needs of patients. These include all but which of the following?
prescribing religious activities to patients who are not religious
According to Puchalski and Ferrell, "compassion fatigue" is
probably a misnomer, since when compassion is practiced fully, and the health care professional is supported by a spiritual practice and appropriate boundaries, there is no fatigue.
The example that Guy Winch used of the young woman who went on a date, experienced rejection, and then berated herself with negative messages is an example of how not to:
protect your self-esteem
According to Daniel Goleman's definition of emotion a feeling includes which of the following things?
psychological state biological state propensities to act
Why is documentation and on-going evaluation essential to effective teamwork on complex cases addressing key spiritual goals?
so that all team members may have access to important and current information about their patient's needs, values, and wishes to prevent unnecessary over-lapping of roles to facilitate communication and collaboration among team members seeking to meet the patients needs in conjunction with others dedicated to meeting the whole-person needs of the patient so that consistent attention is given to the patient's goals by all team members
Which of the following is true about patients who are religious/spiritual? (mark all that are correct)
the quality and likelihood of good social support is higher more likely to live longer More likely to have a have greater meaning and purpose in their lives
According to Puchalski and Ferrell which of the following usually does not do a spiritual history in in-patient settings?
the registaration receptionist
Which of the following is true of chaplain assessment tools?
they are always patient-centered
Chaplains are trained to provide spiritual care to which of the following groups?
those from any faith group those who might have non-religious spiritual needs patients, family members, and staff from their own religious tradition
Given the "deep intimacy" often entailed in inviting patients to engage the spiritual domain, Puchalski and Ferrell recommend which of the following for HPs?
to exercise confidentiality and restraint in offering spiritual support
If a patient is non-religious, as an alternative to asking questions found in standard spiritual assessment tools, an HP might ask which of the following questions?
what gives the pateint's life meaning and purpose in his or her current situation how the patient is coping what cultural beliefs of theirs might influence health care decisions
Referral to a certified spiritual counselor would be important to include as an intervention in a spiritual care plan in which of the following cases
when a patient is struggling with psychiatric issues intensified by a spiritual issue, or visa versa
assessing from conversation with the patient if he or she is dropping clues that religion or spirituality is important to him or her
A spiritual history
Authentic peacemaking
After being yelled at by her parent for not putting her clothes a way, a teenage daughter finds some time to respectfully let her dad know how it makes her feel when he yells at her.
Stage 5: The Journey Outward
After passing through the crisis, in this stage we return to the external activities of serving others, but our activity is now grounded more in God than in ourselves. A deep, inner stillness now begins to characterize our work for God.
At what point should a HP refer a patient to a chaplain?
After performing a spiritual history and assessing the problem that the patient is having, After telling the patient what it is that the chaplain will do for them, After telling the patient why they are planning to refer them to a chaplain
The three levels of Reflection are:
1. Simple repetition 2. Partial Rephrasing 3. Whole Rephrasing, Adding meaning
Four of the eight main families of emotion are:
Anger, Sadness, Fear, Enjoyment
The three temptations we face to define ourselves falsely are:
I am what I do, I am what I have, I am what others think of me
According to Scezzaro: Why does the compartmentalization of our spirituality from the rest of our lives become necessary?
Because there is so little integration of the spirituality with the patterns of our family of origin.
Growing into Spiritually Mature Adults according to EHS means:
Being able to practically apply loving skills in order to engage in relationships by living out Christian principles
According to Scazerro the statistics that Christian marriages breaking up just as easily as non-christian marriages, domestic violence levels being the same, and the general lack of moral change in a believer's life is a demonstration of which of the following symptoms of emotional unhealthy spirituality.
Dividing Life into "secular" and "sacred" compartments
Which of the following does Koenig say should be avoided when seeking to offer spiritual support and promote coping abilities of patients admitted to the hospital?
Doing a spiritual history whenever patients come into the ER for critical emergency treatment.
Before implementing a spiritual history, what should the HP be sure to do?
Explain to the patient why they are being asked this history.
What do the Letters in the FICA spiritual history stand for?
Faith Important Church Address
A sign of emotional health is completely denying yourself as an individual and only wanting what God wants.
False
According to Scazerro negative emotions like fear, anger, and depression should be avoided.
False
According to Scazerro, everyone should do the daily office in the same way because there really is no variance in this basic spiritual discipline.
False
According to Scazerro, the wall is something we only encounter one time in our lives. It is a stage that we go through, rather than a season that comes back around.
False
Affirming someone through reflective listening is the same thing as agreeing with that person on what they have just said.
False
Chaplains and local community clergy who volunteer at the hospital have the same level of training.
False
Family will most likely fully support you when you are attempting to become your true self.
False
It's not possible to rewrite your story because you will always have the patterns of your family of origin in your life.
False
Reflective listening is really all there is to spiritual care, not just the first step.
False
Scazzero believes that the coping mechanism of defensive walls are always wrong even for a child of abuse.
False
The practice of praying for the salvation of non-religious or non-Christian patients, on the Christian HP's own time, Puchalski & Ferrell would always encourage.
False
Times of Crisis when you should not take a initial spiritual history means that you should not offer spiritual care during this time.
False
When faced with the wall, the responsible emotionally healthy individual sets aside their negative emotions and continues to serve God with praise songs on their lips and demonstrate that they are OK because God is working things out for their good.
False
Telling someone, "What I would do..." is and example of what type of communication roadblock?
Giving Advice
False peacemaking
Graciously accepting the same gift from your spouse each anniversary without saying a word even though you don't really like it
Roadblocks to listening are obstacles to effective communication that have the effect of _____ or stopping the person from communicating, which limits _____
Interrupting, understanding
What is true about oncology patients and doctors in terms of the importance of religious beliefs in making treatment decisions.
Physicians ranked religious belief as the least important influence for making treatment decisions Patients ranked religious beliefs as the 2nd most important factor for making treatment decisions
Listening means being willing to give up something. To know other people better, to understand their meaning and their perception of the world, you are voluntarily _________ from inserting you own material into the process.
Refraining
The idea that Christianity/religion is simply a way in which people cope with their pain, it is an opiate for the masses directly contradicts which understanding taught by Scazzero?
Spiritual life is an absolute commitment to reality, Christianity is a process of new birth that only comes through real death, we need to be fully aware of the things which we need to grieve in this life
Who created the rule of life that has shaped Western monasticism for the late 1500 years?
St. Benedict
Match the foundational qualities of the biblical Sabbath with their definitions:
Stop - Recognizing my limits: God is the creator, I am a creation - the world can run without my effort Rest - Participating in something that delights or replenishes you Delight - Participating in healthy play and look for opportunities to enjoy the people around you Contemplate -Pondering the love of God and looking forward to the eternal Sabbath with God
What is the heart of the Daily Office and the Sabbath?
Stopping to surrender to God in Trust
Which of the following is not one of Koenig's recommendations regarding Health Care Provider-initiated prayer?
The HP should never initiate prayer with a person from a faith tradition different from one's own.
The Casita Resilience Building model of the essentials needed in order for resilience to grow among patients, family, team members, and communities, regards which of the following as foundational?
a basic acceptance of person(s) and networks of relations
The Spiritual and Contemplative Practice Model of patient care emphasizes all but which of the following?
a hierarchical approach to patient care
Which of the following would not necessarily be considered an indicator for a diagnosis of spiritual distress?
a patient's desire to share a new spiritual insight that has come about due to their experience of illness and suffering
How is discipleship defined in Emotionally healthy spirituality?
replacing the sinful patterns of our families of origin and being transformed into the patterns of Christ's family
When patients choose not to comply with prescribed treatment plans because of religious beliefs, what does Koenig recommend for HPs to do
seek to understand their specific beliefs and consult with patients' clergy members
