45 - The Nurse in the Faith Community Flashcards
A nurse is practicing in faith community nursing. Which of the following best describes the goal of this type of practice?
a. ) Enhance spirituality of communities
b. ) Initiate primary prevention activities
c. ) Develop and sustain health ministries
d. ) Act as a health referral source for churches
c.) Develop and sustain health ministries
The goal of faith community nursing is to develop and sustain health ministries within faith communities. Activities are implemented at all three levels of prevention. There are multiple roles that the nurse serves and only one of these roles is a referral agent. The role of the faith community nurse is to enhance the spirituality of the population served.
Where is faith community nursing practiced?
a. ) In all United States
b. ) Only in North America
c. ) In the United States and other countries
d. ) In every country in the world
c.) In the United States and other countries
Today, there are approximately 15,000 faith community nurses serving in a variety of faith settings across the United States and in 23 countries around the world such as Canada, Australia, New Zealand, Germany, Swaziland, Ukraine, and Pakistan, to name a few. This number is a conservative estimate and is based on the number of nurses reporting taking an International Parish Nurse Resource Center (IPNRC)-affiliated foundations course in faith community nursing and does not reflect the individuals who have completed nonaffiliated IPNRC programs or who practice without additional education in the specialty area.
A faith community nurse encourages participation in political activities that impact the health and wellbeing of the faith community. Which of the following roles is the nurse implementing?
a. ) Counselor
b. ) Developer of support groups
c. ) Integrator of faith and health
d. ) Advocate
d.) Advocate
The faith community nurse who encourages participation in political activities that impact the health and wellbeing of the faith community is functioning as an advocate.
The faith community nurse who holds discussions for targeted groups is functioning as a health educator.
As a counselor, the faith community nurse discusses health problems and recommends interventions as necessary.
As an integrator of faith and health, the faith community nurse assists others to improve spiritual and physical health. As the developer of support groups, the faith community nurse establishes and facilitates support groups.
A nurse is employed as a faith community nurse. Which of the following elements of practice should be considered at all times?
a. ) Confidentiality
b. ) Personal faith
c. ) Health care needs
d. ) Fellowship
a.) Confidentiality
Confidentiality is of the utmost importance in faith community nursing practice. The faith community nurse values client confidentiality, but at the same time delicately assists the client and client’s family at the appropriate time to “share” concerns with pastoral staff or fellow congregants. Personal faith, health care needs, and fellowship are addressed as the nurse maintains client confidentiality.
A faith community nurse is available for health counseling with teens before and after youth activities. Which of the following levels of prevention is being implemented?
a. ) Primary prevention
b. ) Secondary prevention
c. ) Tertiary prevention
d. ) Assessment
b.) Secondary prevention
Secondary prevention focuses on early detection and prompt treatment of disease, injury, or disability—providing health counseling with teenagers (an at risk population). Primary prevention aims to prevent disease, injury, or disability before it occurs. Tertiary prevention aims for rehabilitation and treatment. Assessment is not a level of prevention.
A faith community nursing program is created in an individual community of faith. The nurse is paid by the congregation and is accountable to the congregation and its governing body. Which model of faith community nursing is being used?
a. ) Paid congregational
b. ) Paid institutional
c. ) Unpaid congregational
d. ) Unpaid institutional
a.) Paid congregational
In the paid congregational model, the development of a faith community nurse/health ministry program arises from the individual community of faith. The nurse is accountable to the faith community and its governing body.
In the paid institutional model, the nurse is supported by a health care institution where nurses are paid either by the institution or shared salary with the congregation over time.
In the unpaid congregational model, the nurse is governed by the congregation with no contractual support from any sponsoring health care institution. The nurse may negotiate financial support for expenses.
In the unpaid institutional model, the institution provides soft support in the form of continuing education and spiritual development; however, the nurse is not paid a salary and is governed by the congregation, who budgets for some expenses.
Which dimension is central to the practice of parish nursing?
a. ) Physical
b. ) Psychological
c. ) Spiritual
d. ) Social
c.) Spiritual
The spiritual dimension is central to the practice of parish nursing. Parish nursing includes all four dimensions shown above, but focuses on intentional and compassionate care that stems from the spiritual dimension of all humankind.
A nurse is concerned with the body, mind, and spirit relationship in a constantly changing environment. Which of the following types of nursing care is being provided?
a. ) Faith community nursing
b. ) Community health nursing
c. ) Primary care
d. ) Holistic care
d.) Holistic care
A nurse concerned with the body, mind, and spirit relationship in a constantly changing environment is practicing holistic care.
Primary care focuses on the services provided at a physician’s office.
Faith community nursing is a recognized nursing specialty practice focusing on working with individuals, families, and faith communities to coordinate programs and services that significantly affect health, healing, and wholeness.
Community health nursing focuses on all care provided outside of a hospital.
A faith community nurse is implementing a primary prevention strategy. Which of the following activities would the nurse most likely implement?
a. ) Providing health assessments and counseling during a home visit for a client who just had surgery
b. ) Writing house of worship newsletter articles about healthy food choices
c. ) Assisting in making behavioral changes for a person who is abusing alcohol
d. ) Doing blood pressure screenings after church one Sunday
b.) Writing house of worship newsletter articles about healthy food choices
Writing house of worship newsletter articles informing the faith community about healthy food choices would classify as primary prevention. Providing health assessments and counseling for a client who just had surgery and assisting in making behavioral changes for a person who is abusing alcohol are examples of tertiary prevention (treatment and rehabilitation). Doing blood pressure screenings after church one Sunday is an example of secondary prevention (screening).
A faith community nurse is working with a health ministry. Which of the following activities would most likely be performed?
a. ) Conducting worship services in occupational areas
b. ) Visiting the homebound
c. ) Providing nursing care to congregation members who are acutely ill
d. ) Participating in mission trips
b.) Visiting the homebound
Health ministry services may be provided by a professional or layperson. These services include visiting the homebound, providing meals for families in crisis or when a family member returns home after hospitalization, participating in prayer circles, serving “healthy heart” meals, or holding regular grief support groups. Conducting worship services in occupational areas, providing nursing care, and participating in mission trips are not typical roles of a health ministry.
A faith community nurse is acting as a health advocate. Which of the following best describes the action being taken by the nurse?
a. ) Encourage individuals to implement healthy lifestyles
b. ) Provide referrals to health care and social services
c. ) Provide opportunities for others to learn about health care issues
d. ) Assist clients to connect to faith-based services
a.) Encourage individuals to implement healthy lifestyles
As a health advocate, the faith community nurse encourages individuals to implement healthy lifestyles and provides outreach services for less-mobile members, nonmembers, and vulnerable populations. As a referral agent, the faith community nurse provides referrals to health care and social services. As an educator, the faith community nurse provides opportunities for others to learn about health care issues. As an integrator of faith and health, the faith community nurse assists clients to connect to faith-based services.
A faith community nurse would like to be certified in this specialty. Which of the following best describes the eligibility criteria for this exam?
a. ) Have served as a preceptor for faith community nurses
b. ) Have completed academic credits in the specialty area of faith community nursing
c. ) Have completed 1,000 practice hours in the specialty area of faith community nursing over the past 3 years
d. ) Have completed 20 hours of continuing education over the past 2 years
c.) Have completed 1,000 practice hours in the specialty area of faith community nursing over the past 3 years
Nurses seeking certification must meet eligibility criteria to apply: current, active RN license; 1,000 practice hours in the specialty area of faith community nursing over the past 3 years; 30 hours of continuing education over the past 3 years; and fulfill two additional professional development categories to be selected from academic credits, publication or research, preceptor, presentations, or professional service.
A nurse wants to know the functions of a faith community nurse. Which of the following resources would the nurse consult?
a. ) Board of Nursing
b. ) Scope and Standards
c. ) Health Cabinet
d. ) Individual faith community
b.) Scope and Standards
A nurse wanting to know the function of a faith community nurse would look to the Scopes and Standards.
The Health Cabinet assists with evaluating assets and areas of need in order to plan services that will attain outcomes congruent with goals established by the congregation and faith communities served.
The Board of Nursing regulates nursing practice, larger than the scope of faith community nursing.
The individual faith community may be able to provide information to the nurse about what their specific needs are, but this will not define the scope and standards of practice.
A faith community nurse holds discussions for targeted groups in the congregation. Which of the following roles is the nurse implementing?
a. ) Counselor
b. ) Integrator of faith and health
c. ) Health educator
d. ) Developer of support groups
c.) Health educator
The faith community nurse who holds discussions for targeted groups is functioning as a health educator. As a counselor, the faith community nurse discusses health problems and recommends interventions as necessary. As an integrator of faith and health, the faith community nurse assists others to improve spiritual and physical health. As the developer of support groups, the faith community nurse establishes and facilitates support groups.
A nurse is practicing in a faith community. Which of the following best describes an aspect of the faith community that a nurse must be knowledgeable about?
a. ) How clergy are trained and their areas of expertise
b. ) The economic status of the parishioners and their ability to pay the nurse
c. ) The policies and procedures of the religious order in which they practice
d. ) Lines of authority and channels of communication in the faith community
d.) Lines of authority and channels of communication in the faith community
Faith community nurses must be knowledgeable about lines of authority and channels of communication, as well as personnel decisions and how these are made in the congregation. It is important for faith community nurses to serve in collaborative relationships with the clergy to effectively implement programs. It is typically not the responsibility of the nurse to request payment for services from parishioners. There are typically not policies and procedures as part of a religious order.
