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Nursing 120, chapter 34 > Chapter 46 > Flashcards

Chapter 46 Flashcards

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1
Q

identify three spiritual needs believed to be common to all people

A
  1. need for meaning and purpose
  2. need for love and relatedness
  3. need for forgiveness
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2
Q

influences of spirituality on everyday living, health and illness

A

daily living habits (diet, birth-control)
source of support( church, prayer, devotional reading)
source of strength and healing ( family,)
source of conflict( blood transfusion, punishment)

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3
Q

life-affirming influences of religious beliefs

A

enhance life, give meaning and purpose to existence, strengthen one’s feelings of self-worth, encourage self-actualization, and health giving and life sustaining.

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4
Q

Life denying influences of religious beliefs

A

restrict or enclose life patterns, limit experiences and associations, place burdens of guilt on individuals, encourage feelings of unworthiness and are generally health denying and life inhibiting

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5
Q

identify five factors that influence spirituality

A
  1. Developmental considerations
  2. Family
  3. ethnic background
  4. formal religion
  5. life events
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6
Q

identify appropriate interview questions and observation skills in performing a nursing assessment of spiritual health

A 
Spiritual belief system
Personal spirituality
Integration and involvement in a community
Ritualized practices and restrictions
Implications for medical care
Terminal events planning
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7
Q

Develop basic nursing Dx that correctly identify spiritual problems

A 
Readiness for enhances spiritual well-being
spiritual distress
spiritual guilt
impaired religiosity 
fear
hopelessness
self-esteem disturbance
ineffective individual coping
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8
Q

Spiritual Distress

A

Impaired ability to experience and integrate meaning and purpose in life through one’s connectedness with self, others, art, music, literature, nature, or a power greater than oneself.

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9
Q

how can religious influences affect a person

A

Life affirming

Life denying

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10
Q

Life affirming

A

enhance life, give meaning and purpose to existence

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11
Q

Life denying

A

restrict or enclose life patterns, limit experiences and associations place burdens of guilt on individuals.

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12
Q

anything that pertains to a person’s relationship with a nonmaterial life force or higher power

A

spirituality

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13
Q

confident belief in something for which there is no proof or material evidence

A

faithd

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14
Q

one who holds that nothing can be know about the existence of a higher power.

A

Agnostic

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15
Q

A person who denies the existence of a higher power

A

Atheist

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16
Q

An organized system of beliefs about a higher power characterized by set forms of worship, spiritual practices and codes of conduct

A

Religion

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17
Q

The ingredient in life responsible for a positive outlook in even life’s bleakest moments

A

Hope

18
Q

The condition that exists when the universal spiritual needs for meaning and purpose, love and belonging, and forgiveness are met

A

Spiritual health and healing

19
Q

How to enhance spiritual health of patient

A

being sensitive, giving meaning and purpose, love, relatedness
patient expressing satisfaction

20
Q

How to address spiritual distress

A

Individualize care

explore the origin of beliefs and identify factors in life that challenge spiritual beliefs

21
Q

Implementing spiritual care

A

be open to patients expression of loneliness and powerlessness
encourage chapel service if desired
encourage use of spiritual resources if desired
refer to spiritual advisor of patients choice
be available to listen to patients feelings
be open to patients feelings about illness and death

22
Q

facilitating the practice of Religion

A

respect patient need for privacy or quiet during periods of prayer
attempt to meet patients religious dietary restriction
arrange for patients minister, priest or rabbi to visit

23
Q

counseling patients spiritually

A

articulate spiritual beliefs
develop spiritual beliefs and purpose, care and relatedness, forgiveness
explore the origin of the patient’s spiritual beliefs and practices

24
Q

Room preparation for spiritual counselor visit

A

make the counselor feel welcome
answer questions about patient
direct the counselor to the patient, ensure patient is ready for counselor
The room should be orderly and free of unnecessary equipment and items
The bedside table should be free of items
Provide privacy

25
Q

Evaluating expected outcomes for spirituality

A

patient will be able to identify some spiritual belief that gives meaning and purpose to everyday life
move toward a healthy acceptance of the current situation: illness, pain, suffering, impending death.
Develop mutually caring relationships
reconcile any interpersonal differences causing the patient anguish

26
Q

believe in the individual’s choice and God’s sovereignty (body is the temple of God)
The taking of all narcotics and stimulants is prohibited
Saturday is the sabbath
Approach to healthcare is holistic

A

Adventist

27
Q

Members are encourage to obtain healthcare provided by members of the black community
extreme cleanliness
prohibitions against pork and alcohol

A

American Muslim Mission

28
Q

believe in a basic harmony between religion and science
seek competent medical care and pray for health
19 day fast
obligatory prayers, holy days
permanent sterilization is prohibited and abortion is discouraged

A

Baha’i international community

29
Q

accepts modern science
the doctrine of avoidance of extremes is applied to the use of drugs, blood, vaccines
does not condone taking lives of any form
check with patient about any special diet restrictions and the observance of holy days

A

Buddhism

30
Q

Christian scientist

A

They deny the existence of health crises; sickness and sin are errors of human mind and can be overcome by altering thoughts
they will use orthopedic services to set a bone
decline drugs and other medical or surgical procedures
Alcohol and tobacco are not use

31
Q

Disapprove of alcohol, tobacco, and caffeinated beverages
Special undergarment worn by some members should be removed only in an emergency.
believe in divine healing “laying on of hands”
many do not prohibit medical therapy

A

Church of Jesus Christ of Latter Day Saints (Mormons)

32
Q

appreciate life and desire to keep the body from untimely or unnecessary death
emphasized public health solutions to impending health problems

A

confucianism

33
Q

knowing and living a natural life, fellowing the Tao is the secret of both health and sagehood
“medicinal” concern for maintaining and prolonging human health and life

A

Daoism(Taoism)

34
Q

doctrine of “karma”
believed to be significant in promoting health or causing disease
avoid touching patient’s lips
disposal of the body is by cremation

A

Hinduism

35
Q

blood transfusions violate God’s laws and, not allowed

oppose the “false teaching” of other sects

A

Jehovah’s witnesses

36
Q

The Hebrew bible is the authority
Treatment and procedures should not be schedule on the sabbath
For the observant: special needs in the areas of diet, birth rituals, male, female contact and death

A

Judaism

37
Q

Islam beliefs and select healthcare practices

A

must be able to practice the five Pillars
may have a fatalistic view of health
eating pork and drinking alcohol are forbidden,
some women are not allowed to make independent decisions; husbands may need to be present when consent is sought.

38
Q

believe in reincarnation or transcendent .
medicine men and women have specialized spirits from whom they receive the mission to cure.
common therapeutic measures: sucking, blowing, and drawing out with a feather fan.

A

Native American Religions

39
Q

Care of sick encouraged. Most accept modern medical science.
prayer, fait healing, “laying on of hands” and anointing.
Sacraments: baptism, communion, confirmation

A

Protestantism

40
Q

Roman Catholicism beliefs and healthcare practices

A

private devotions and Mass attendance on sunday.
seven sacraments(importance of baptism, eucharist, penance, and the anointing the sick).
dietary habits, sexual ethical norms.
only natural means of birth control, abortion, euthanasia, and sterilization are forbidden.

41
Q

most members are still healthy young adults.

little informations available on their interactions with healthcare

A

Unification church

42
Q

The inherent worth and dignity of every person is affirmed.

free to accept what they take to be best for their health.

A

Unitarian Universal Association of Churches and fellowships

Nursing 120, chapter 34 (10 decks)

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