Sherpath - Ch. 35: Spiritual Health

Which is an actual nursing diagnostic label related to spirituality? Select all that apply. Risk for Impaired Religiosity Spiritual Distress Readiness for Enhanced Spiritual Well-Being Decisional Conflict Moral Distress

- Spiritual Distress - Decisional Conflict - Moral Distress

Which are elements of the SPIRIT framework of spiritual assessment? Select all that apply. Spiritual belief system Personal spirituality Importance of faith Regular practice of faith Terminal-events planning

- Spiritual belief system - Personal spirituality - Terminal-events planning

Which statement is true regarding parish nursing? Select all that apply. Parish nursing was designated as a specialty area of practice by the ANA in 2007. The Reverend Dr. Granger-Westberg's work in the mid-1980s was the stimulus for Parish nursing. Parish nurses act in roles such as health advisers, advocates, and liaison to faith and community resources Holistic care focusing on the mind, body, and spirit is provided by parish nurses Many faith traditions exclude parish nursing as part of their recognized spiritual communities.

- The Reverend Dr. Granger-Westberg's work in the mid-1980s was the stimulus for Parish nursing. - Parish nurses act in roles such as health advisers, advocates, and liaison to faith and community resources - Holistic care focusing on the mind, body, and spirit is provided by parish nurses

The nurse is caring for a patient who os refusing an important treatment based on religious beliefs. Which is the best action for the nurse to take?

Ask the patient how they need to incorporate their beliefs into their care.

Which nursing action is most important in demonstrating concern for the various cultural differences surrounding illness and death?

Asking about patient preferences and accommodating those requests as much as possible

A patient states he does not believe in the existence of God. Which belief does this statement indicate about the patient?

Atheist

When the nurse asks about religious preference, the patient states, "I do not believe that God exists." Which religion will the nurse record as the patient's religious preference?

Atheist

Which action by the nurse is an intervention to promote reflection?

Be physically present and actively listen when the patient speaks

Which life event is commonly celebrated in most religions?

Birth and death

In which religion is Karma considered a strong belief?

Buddhism

The nurse questions a Jehovah's Witness patient about his faith belief system and whether or not members of his faith community need to be involved in his care. Which spiritual assessment framework is being used for this patient?

FICA

Which concept related to spiritual health is a patient experiencing when she states that she knows her husband loves her even when he cannot be by her side?

Faith

What are two characteristics of spirituality?

Faith and hope

A patient states, "My religion does not permit me to bathe todays." Which nursing action would be most appropriate?

Request clarification of the patient's beliefs and adapt a plan for bathing accordingly

Which nursing action(s) are most effective to assist a typical adult male patient to make health care decisions related to spirituality?

Researching and providing factual information

Which dimension of spirituality includes "a sense of authentically connecting to one's inner self?"

Self-transcendence

Religious leaders and families participate in making medical decisions mostly in which system of beliefs?

Sikhism

The nurse is caring for a patient newly diagnosed with cancer. Which statement made by the patient is an example of faith?

"I am sure this has happened to me for a reason and someday I will understand why."

Which patient statement supports a nursing diagnosis of spiritual distress related to a diagnosis of chronic illness?

"I feel like I have nothing to live for anymore."

A 62-year-old male patient has just been told he has a terminal illness. Which statement indicates that the patient is spiritually distressed because of the diagnosis of terminal illness?

"I have nothing to live for now."

The nurse is talking with the spouse of a patient who is having emergency surgery. Which statements, if made by the spouse, would demonstrate hope?

"I know my spouse will survive this surgery because the surgeon is one of the best in the country."

The nurse is providing care to patient who states, "I practice the Chinese religion of Confucianism." Which question should the nurse include when conducting a spiritual assessment for this patient?

"Is acupuncture a treatment you want to explore?"

Which statement made by a Native American patient recovering from chemotherapy treatment indicates the diagnosis of Readiness for Enhanced Religiosity?

"It is important for me to make dietary choices according to the tribal beliefs of my community."

The nurse is educating the student nurse on the legal and ethical responsibilities of providing spiritual care. Which statement made by a student nurse signifies the need for additional training?

"Religious beliefs have no place in health care."

Which statement complies with The Joint Commission's (JCAHO) requirements to incorporate spiritual health into the patient's care? Select all that apply. "Does your spouse believe the same as you?" "How often do you attend any religious gatherings?" "Do you have family in the area?" "Is there anyone that you would like to call?" "Do you belong to a faith community?"

- "Do you have family in the area?" - "Is there anyone that you would like to call?" - "Do you belong to a faith community?"

In order to incorporate spirituality into the plan of care, which questions, based on the HOPE framework; will the nurse ask an end-of-life patient? Select all that apply. "How do you personally practice spirituality?" "Can you tell me how important your faith is to you?" "I see you're crying. Would you like me to call the chaplain?" "Do you want me to call your family?" "Why do you believe in God?"

- "How do you personally practice spirituality?" - "I see you're crying. Would you like me to call the chaplain?"

Which intervention promotes connectedness with others for a patient who seems more quiet than usual? Select all that apply. Be physically present and actively listen when the patient speaks Assess and promote supportive social contacts Allow time and opportunity for self-disclosure by the patient Integrate the family into spiritual practices, as appropriate Refer the patient to a support group or for counseling

- Assess and promote supportive social contacts - Integrate the family into spiritual practices, as appropriate - Refer the patient to a support group or for counseling

When caring for a person who is suffering from a serious illness, the nurse encourages the patient to follow his or her spiritual practices. How does spirituality help in healing? Select all that apply. Decreases the risk of infection in the patient Helps treat without any medication Increases the pain threshold of the patient Decreases stress and increases the immune response Reduces perception of pain and anxiety

- Increases the pain threshold of the patient - Decreases stress and increases the immune response - Reduces perception of pain and anxiety

When treating a patient who is Muslim, which factor would the nurse keep in mind? Select all that apply. Muslims consume alcohol in moderation Muslims do not eat pork Muslims do not pray 5 times a day Muslims do not eat meat on Fridays During Ramadan, Muslims eat only after sunset

- Muslims do not eat pork - During Ramadan, Muslims eat only after sunset

Nurses are likely to refer chaplains to which care areas? Select all that apply. Oncology units Intensive care Emergency department Hospice Critical care unit

- Oncology units - Intensive care - Hospice - Critical care unit

A patient with lung cancer states he has not prayed in years because he never thought it would do any good, but now wants to start going to church. Which goals are appropriate goals for this patient? Select all that apply. Patient will report the ability to pray after counsel by the hospital chaplain. Patient will attend religious services within two weeks of discharge. Patient will speak with a spiritual counselor within one week of admission. Patient will consult with the family members about his desire to go to church. Patient will start praying in one day.

- Patient will report the ability to pray after counsel by the hospital chaplain. - Patient will attend religious services within two weeks of discharge. - Patient will speak with a spiritual counselor within one week of admission.

Which intervention should the nurse determine once the cue for spiritual care is recognized? Select all that apply. Reflection Faith Rituals Meditation Connection with others Change in environment

- Reflection - Faith Rituals - Connection with others

In the FICA assessment tool for evaluating spirituality, what does the letter A stand for?

Address

The nurse is obtaining a spiritual health history from a patient admitted with renal failure. Which factor influences a patient's spirituality? Select all that apply. Age Gender Culture Religion Education

Age Gender Culture Religion Education

The nurse recognizes that the patient would benefit from reflection. Which action promotes reflection?

Allow time and opportunity for self-disclosure by the patient

The nurse says to the patient when her family arrives, "Let me give you privacy." What is being promoted by the nurse?

Connectedness to others

Which action must the nurse take for the patient to accept spiritual care?

Create an environment of compassion and care.

Which action would the nurse take to address the "F" portion of the FICA assessment tool during an assessment of a patient's spiritual needs?

Determine the patient's belief in a higher power

Which nursing action demonstrates appropriate spiritual care for a school-age child whose parent is terminally ill?

Discussing with the child the permanence of the child-parent relationship and that the illness is not caused by anything the child did.

A patient is suffering from spiritual distress. Of which patient feeling would the nurse be aware? Select all that apply. Doubt Being cheated Loneliness Loss of faith Desire to kill others

Doubt Loneliness Loss of faith

What is the meaning of spirituality?

Expression of significant and purpose in life

Which belief does an atheist profess?

God does not exist

A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I have yet to tour the world." Which kind of spiritual belief does this patient exhibit?

Hope

A patient is hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. Of which concept is this an example?

Hope

What does illness in the Native American culture represent?

Imbalance

A patient states that he would like to go to church every week, but due to immobility limitations, is unable. Which diagnosis is correct for this patient?

Impaired Religiosity

What does the "I" stand for in the FICA Spiritual Assessment Framework?

Importance of faith

Who can the nurse contact to provide spiritual care in the absence of a personal spiritual advisor identified by the patient?

Interfaith chaplain

Which religion's health practices include a preference for same-gender caregivers?

Islam

Which spirituality-related goal written by a student suggests the student needs additional teaching?

Patient will start going to church daily after discharge and will report back to the nurse.

A patient is a Jehovah's Witness and does not want a blood transfusion, but her health care provider told her she would risk her life without it. Which diagnosis is appropriate for this patient?

Moral distress

Who makes the most referrals to a hospital chaplain?

Nurses

The nurse is planning care to meet the spirituality needs of a patient. How should the nurse involve the chaplain with this patient's care?

Nurses should make chaplaincy referrals when a patient demonstrates or verbalizes a need for spiritual care.

Which goal is appropriate for a patient with a nursing diagnosis of Readiness for Enhanced Religiosity?

Patient will contact estranged family members to arrange for a combined meeting with a spiritual counselor within two weeks.

Which is a patient-centered goal regarding spirituality?

Patient will report the ability to pray after counsel by the hospital chaplain.

An emergency department nurse is caring for a patient who was severely injured in a car accident. The patient's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're felling. What can I do to help you feel more at peace right now?" Which concept is the nurse demonstrating in this example?

Presence

The nurse is performing a spiritual assessment on a patient admitted for trauma following an auto accident. What should the nurse include in the spiritual assessment?

Questions about the patient's specific preferences

Which is a health-promotion nursing diagnosis related to spiritual health?

Readiness for Enhanced Religiosity

Which intervention assists a patient with connectedness to others?

Refer the patient to, or arrange for, the patient to engage in a support group or counseling

Which type of spiritual practice connection occurs when the nurse states, "This must be a difficult time for you. What are you thinking?"

Reflection

What are three types of spiritual practices?

Reflection, relationship, and faith rituals

Which is an example of a health practice to heal an illness under Hindusim?

Removing external toxins through fasting

Which statement is true regarding spirituality?

Spirituality has five overlapping constructs. Rationale: Spirituality has 5 distinct but overlapping constructs: transcendence and self-transcendence, connectedness, meaning and purpose in life, inner strength and peace, and faith and hope.

Which statement is true about religion?

Spirituality is often expressed through religion

Which entity affirms the importance of spirituality and spiritual well-being with regard to improved patient outcomes?

The Joint Commission

Buddhist's believe that life is suffering. Which concept is represented by this?

The four noble truths

Which response best describes why a patient would use reflection in spirituality?

To find meaning prior to a life-changing event

Why is it most important for nurses to know the patient's end-of-life religious and spiritual preferences for a patient receiving hospice care?

To have compassion for various patient beliefs

Which process/communication/belief describes moving beyond the present and into the future?

Transcendence

A senior nurse is talking with student nurses about spirituality. Which conceptual element is included in spirituality? Select all that apply. Transcendence Faith and hope Inner strength and peace Meaning and purpose in life Connectedness Culture

Transcendence Faith and hope Inner strength and peace Meaning and purpose in life Connectedness

Match the religion with the correct belief.

listening, seeing, and peace are central to life - Native American Rebirth occurs until a person reaches nirvana - Buddhism The trinity is the Father, Son, and Holy Spirit as one - Christianity Life is a gift from God and is precious - Judaism Higher powers do not exist - atheist