Chapter 35 Spiritual Health

Question 1

Spirituality:

Answer 1

an awareness of one’s inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself

Question 2

Spirituality has different

Answer 2

meanings for different people

Question 3

Current Concepts in Spiritual Health:

Answer 3

Spirituality
Spiritual well-being
Faith
Religion 
Hope

Question 4

Self-transcendence:

Answer 4

sense of authentically connecting to one’s inner self

Question 5

Transcendence:

Answer 5

the belief that a force outside of and greater than the person exists beyond the material world
ex. looking at sunsets, feeling of awe when holding a baby

Question 6

Connectedness:

Answer 6

Intrapersonally (w/ one’s self)
Interpersonally (w/ others and env.)
Transpersonally (w/ higher power, god)

Question 7

Through connectedness, people are able to move beyond

Answer 7

stressors of everyday life and find comfort

Question 8

Agnostic:

Answer 8

believe there is no known ultimate reality

Question 9

atheist:

Answer 9

do not believe in the existence of God

Question 10

Spiritual well-being:

Answer 10

having two dimensions

1. Vertical
2. Horizontal

Question 11

Spiritual well-being: Vertical dimension=

Answer 11

supports transcendent relationship between a person and God or some other higher power

Question 12

Spiritual well-being: Horizontal dimension=

Answer 12

positive relationships and connections that people have with others

Question 13

Faith:

Answer 13

cultural or institutional religion that has a relationship with a higher power or spirit that incorporates a reasoning
-manner in which someone chooses to live

Question 14

Religion:

Answer 14

associated with a specific system pf practices associated with a particular denomination, sect, or form of worship
-organized beliefs

Question 15

Hope:

Answer 15

When a person has the attitude of something to live for and look forward to

Question 16

Spiritual Health:

Answer 16

finding a balance between their values, goals, and beliefs and their relationships w/in themselves and others

Question 17

Factors Influencing Spirituality:

Answer 17

Acute and Chronic Illness
Terminal Illness
Near Death Experiences (NDE)

Question 18

Spiritual distress:

Answer 18

the impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than yourself

Question 19

Terminal illness commonly causes

Answer 19

fears of physical pain, isolation, the unknown, and dying

Question 20

Chronic illnesses commonly threatens the person’s

Answer 20

independence

Question 21

What role is important in nursing?

Answer 21

helping role

Question 22

Assessment:

Answer 22

Assess faiths and beliefs
Review their view of life
Assess the extent of the patient’s fellowship and community
Review if the patient practices religion and rituals

Question 23

BELIEF:

Answer 23

B-Belief system
E-Ethics and values
L-Lifestyle
I-Involvement in a spiritual community
E-Education
F-Future events

Question 24

SWB:

Answer 24

Spiritual Well Being scale has 20 items that assess the individual’s view of life

Question 25

Fellowship:

Answer 25

type of relationship that an individual has with other persons

Question 26

Potential nursing diagnosis for spiritual health=

Answer 26

``` Anxiety Ineffective coping Fear Complicated grieving Hopelessness Powerlessness Readiness for enhanced spiritual well being Spiritual distress Risk for spiritual distress ```

Question 27

Planning:

Answer 27

Collaborate w/ patient and family on choice pf interventions Consult w/ pastoral care or other clergy as appropriate Incorporate spiritual rituals and observations

Question 28

Goals and Outcomes:

Answer 28

The patient will express an acceptance of illness The patient will report the ability to rely on family members for support The patient will initiate social interactions w/ family and friends

Question 29

Health Promotion:

Answer 29

Establishing presence | Supporting a healing relationship

Question 30

3 Factors are evident when healing relationship develops

Answer 30

1. Mobilize hope for nurse and patient 2. Finding an interpretation or understanding of the illness, pain, etc 3. Helping patient use social, env., spiritual resources

Question 31

Acute Care:

Answer 31

Support Systems Diet Therapies Supporting Rituals

Question 32

Restorative and Continuing Care:

Answer 32

Prayer Meditation Supporting Grief Work

Question 33

Evaluation:

Answer 33

Review patient's perceptions Review patient's view of life Discuss w/ family the patient's connectedness Ask if patient's expectations are met