Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Concepts Exam 2 > Lecture 1 > Flashcards

Lecture 1 Flashcards

1
Q

Spirituality

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Faith

A

allows people to have firm beliefs despite lack of physical evidence.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hope

A

refers to an energizing source that has an orientation to future goal and outcomes. Spirituality and faith bring hope. Hope is valuable resource when facing difficult losses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Benefits of Spiritual Well-Being

A 
Experience more joy
Able to forgive themselves and others
Accept hardship and mortality
Improved quality of life
Positive sense of physical and emotional well-being
Provides peace
A sense of purpose and harmony
Extended survival in chronic illness (such as cancer)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Spiritual Distress

A

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 oneself.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hopelessness

A

have no hope, having no expectation of good or success, incapable of redemption or improvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Isolation

A

feeling alone in dealing with tremendous obstacles or loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Fear

A

Fear of the unknown, of death, or of abandonment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Religion

A

system of organized beliefs and worship that a person practices to outwardly express spirituality.

State of doing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A client asks the nurse to explain spirituality. What is the nurse’s best response?

A

It is awareness of one’s inner self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Know thyself

A

Understand your own beliefs and values
Perform spiritual assessment on yourself to know how you define and use spirituality and religion
Do not impose or assume own beliefs on others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spiritual Assessment

A

Assess your patient’s spiritual well-being

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nursing Interventions

A

Be present, use therapeutic touch, active listening
Mobilize hope: don’t give false hope
Help patient use spiritual, social, and emotional resources
Be available whenever needed
Ask open ended questions, Encouraging words of support and calm
If participates in formal religion, involve members of clergy or church/temple/mosque/synagogue in the plan of care
Involve family and significant others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Nursing interventions cont

A

Encourage prayer; Offer to pray with patient
Teach relaxation, guided imagery and meditation
Encourage open communication
Encourage reading inspirational or religious texts
Encourage journaling, expression through art, music, other creative form
Encourage listening to religious music
Respect religious icons
Understand and facilitate cultural implications with spirituality, support rituals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A nurse is taking care of a client in Spiritual distress. Which is the best intervention that the nurse could implement for this patient?

A

Use therapeutic touch and communication to build caring relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Loss

A

Involuntary separation from something we have possessed and may even have treasured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Maturational loss

A

Necessary loss in normally expected life changes

ex: empty nesters, high school to college

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Situational loss

A

Sudden unpredictable external events

ex: paralyzed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Actual loss

A

A person can no longer feel, hear, see, or know a person or object
ex: tornado loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Perceived loss

A

Uniquely defined by the person experiencing the loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Grief

A

emotional response to loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Mourning

A

social expression of grief and the behaviors associated with loss

ex: wake, funeral

23
Q

Bereavement

A

includes both grief and mourning

24
Q

Anticipatory Grief

A

Process of disengaging before actual loss or death occurs

ex: patients with terminal disease, “I wont be able to wall my daughter down the aisle”

25
Q

Complicated Grief

A

Prolonged or significantly difficult time moving forward after a loss

26
Q

Disenfranchised Grief

A

Unsupported grief when the relationship to the deceased person is not socially sanctioned, cannot be openly shared or seems of lesser significance.

ex: same sex relationships, nurses losing patients

27
Q

Kubler-Ross’s Stages of Dying

Most common

A

Denial: this can’t be happening
Anger: higher being, anger at one self, the person who killed someone
Bargaining: “If I can just live to see my child walk, I’ll go to church everyday”
Depression: struggling to move on, sad
Acceptance: able to move on and rebuild

28
Q

Bolwby’s Attachment Theory

A

Numbing: this isn’t happening, out of body experience
Yearning and Searching: find answers, why did this happen
Disorganization and Despair: cannot think right, suddenly crying
Reorganization:

29
Q

Bolwby’s Attachment Theory

A

Numbing: this isn’t happening, out of body experience
Yearning and Searching: find answers, why did this happen
Disorganization and Despair: cannot think right, suddenly crying
Reorganization

30
Q

What is the nurse’s role when client experiences loss or grief?

A

Help the patient accept that the loss is real
Support efforts to live without deceased person or in face of disability
Allow time to grieve
Reassure patient that grief is not linear or occur in ordered stages
Interpret “normal” grief
Provide continuing support
Be alert for signs of ineffective coping

31
Q

Feelings

A

Sorrow, Anger, Fear, Guilt, Anxiety, Loneliness, Fatigue, Helplessness/Hopelessness, Yearning, Relief

32
Q

Thought Patterns

A

Disbelief, Confusion/memory problems, inability to concentrate or make decisions, feeling the presence of decease

33
Q

Physical Sensations

A

Headaches, nausea and appetite disturbances, tightness in the chest and throat, insomnia, oversensitivity to noise, sense of depersonalization, feeling short of breath, muscle weakness, lack of energy, dry mouth

Common ones: GI tract (diarrhea)

34
Q

Behaviors

A

Crying, distancing from people, absentmindedness, dreams of deceased, keeping deceased’s room intact, loss of interest in regular life events, wearing objects that belonged to the deceased

35
Q

What affects how People grieve?

A

Stage of Development (Age): how old they are affects how they grieve, toddlers don’t really understand, older kids understand a little more
Personal Relationships: how close you are to them
Nature of the Loss: sudden vs chronic, how you lost them, suicide/murder
Coping Strategies: journaling, support groups, drinking
Socioeconomic Status: may not be a tied together
Culture and Ethnicity: some cultures are not allowed to speak of deceased, others celebrate
Spiritual and Religious Beliefs: going to heaven, allows know background so you can support

36
Q

A client who recently lost her spouse complains of loss of appetite, unable to make decisions, and insomnia. What is the Best response by the nurse?

A

“You are having normal grieving symptoms. What are you doing to take care of yourself now?”

37
Q

Palliative Care

A

Provides relief from pain and other distressing symptoms
***Goal is to achieve the best possible quality of life
Neither hastens nor postpones death
Offers a support system to help patients live as actively as possible until death
Offers a support system to help families cope during the patient’s illness and their own bereavement

***goal is about quality of life

38
Q

Hospice Care

A

Hospice is a philosophy of care…not a setting for care
Hospice care is palliative care for individuals with a terminal illness and a prognosis of less than 6 months to live
Priorities: managing pain, comfort, and quality of life

39
Q

How do I take care of a dying client?

A

Alleviate Symptoms Associated with Dying
Promote Spiritual Comfort and Hope
Provide Presence
Support the Family in this Process

40
Q

Alleviate Symptoms Associated with Dying

A 
Pain
Skin and mucous membrane discomfort
Corneal irritation
Fatigue
Anxiety
Constipation
Diarrhea
Urinary incontinence
Altered nutrition
Dehydration
Ineffective breathing patterns
Noisy breathing
41
Q

How do I take care of a client that has died?

A

Federal and state laws require institutions to have policies and procedures for certain events that occur after death: Requesting organ or tissue donation
Autopsy
Certifying and documenting the occurrence of a death
Providing safe and appropriate postmortem care

Postmortem Care: A human body deserves the same respect and dignity as a living person
Needs to be prepared in a manner consistent with the patient’s cultural and religious beliefs

42
Q

Which intervention can be delegated to an unlicensed assistive personnel (UAP)?

A

Contacting Organ Center

43
Q

Which intervention can be delegated to an unlicensed assistive personnel (UAP)?

A

Providing postmortem bath

44
Q

Advance Directives

A

Two Basic Types

Both are based on values of informed consent, patient autonomy over end-of-life decisions, truth telling, and control over the dying process.

45
Q

Living Will

A

Written documents that direct treatment in accordance with a person’s wishes in the event of a terminal illness or condition
If heath care professionals follow the directions of the living will, they are immune from liability

Person is able to declare which medical procedures he/she wants or does not want when terminally ill or in a persistent vegetative state
Can be difficult to interpret
Sometimes not clinically specific in unforeseen circumstances

46
Q

Durable Power of Attorney

A

Legal document that designates a person of one’s choosing to make HC decisions when the patient is no longer able to make decisions on his/her own behalf.
This person then makes healthcare decisions based on the patient’s wishes

47
Q

Full code

A

Uses CPR (compressions, intubation, medications, defibrillator) to restart patient’s heart
Code Blue: Medical emergency in adults
Code Purple: Medical emergency in children

Everything we can to get them back

48
Q

DNR

Do Not Resuscitate

A

Withhold medical treatment if patient should stop breathing or heart stop beating

49
Q

DNR with Full support

A

Perform all life sustaining treatment until the patient’s heart stops beating

50
Q

Do Not Intubate (DNI)

A

Do everything (compressions, medications) but do not intubate

51
Q

Chemical Code

A

Only give medications but not compressions or intubation

52
Q

DNR with Comfort Care

A

Cease all current life-sustaining treatments and focus on comfort

53
Q

Which legal documents helps healthcare providers determine end of life decisions? Select all that apply.

A

Living Will

Durable Power of Attorney

Concepts Exam 2 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions