Nursing Exam 2 Content Flashcards
What does it mean to be religious?
It means to share beliefs, practices, and traditions that are tied to a particular religion
What does it mean to be spiritual?
It means to have something that gives an individual peace and meaning to who they are. But is not always tied to religious affiliation
Does every person have Spirituality?
Yes, every person has spirituality regardless of religious identity
How do a person’s values impact decisions, and what is important in your life?
A person’s values impact their decisions because they are going to act based on what they think is most important to them
What is the UPSONHI definition of spirituality?
The SONHI definition of Spirituality is “ A search for the sacred, transcendent, enabling a person to discover the essence of one’s deepest self”
What is the scope of Spirituality?
The scope of spirituality is from wellbeing to a state of despair
What are the attributes of Spirituality?
The attributes of spirituality include beliefs and practices, importance and influence, and community
What does the beliefs and practices attribute mean?
It is what an individual believes and what they decide, and practice based on their spirituality
What does the importance and influence attribute mean?
It means what someone values the most and who or what can influence those beliefs and associated behaviors
What does the community attribute mean?
It is the people and places that someone has to support their spirituality
What are some examples of formal communities for spirituality?
Some examples would include anything that is affiliated with an oraganized religion. ex church, volunteer groups, youth groups
What are some examples of informal communities for spirituality?
Some examples would include families, friends, teams, and clubs
How the attributes appear in our daily lives?
They appear in what we do on a daily basis and how we interact with others.
What makes an experience spiritual?
Something that gives someone peace and a feeling of transcendence
What is transformative learning theory?
It is when you experience something that changes your world view and/ or your identity
When might you experience the transformative learning theory?
During nursing school, probably during clinicals
Why is spirituality important in nursing?
It is important as a step of providing holistic care for patients and provides them comfort when facing personal challenges over the course of their treatment.
What does the code of ethics say about spiritual care in nursing?
It says that a part of nursing care is to include spiritual care and that as a nurse it is your responsibility to take care of your own spirituality as well outside of work
What does the Oregon Nurse State Board of Nursing say about spirituality?
It requires that nurses provide spiritual care for patients
What is the nursing metaparadigm?
It represents the four main aspects of nursing
What are the four main aspects of the nursing metaparadigm?
1) Person
2) Health
3) Environment
4) Nursing
What does person refer to in the nursing metaparadigm?
It means the recipients of care including a patient and their family/ those there to support them
What does health refer to in the nursing metaparadigm?
An idea that is based on the patient’s condition and views of what health means for them and what it means to be healthy.
What does environment refer to in the nursing metaparadigm?
It includes internal and external factors that could impact conditions and care. Including external factors like location, politics, and police. Or internal factors, like genes, mental health, and diet.
What does nursing mean in the nursing metaparadigm?
What the nurse knows about the patient and their condition, along with what a nurse does to provide care.
What does holistic mean?
All-encompassing or every aspect of a person.
Who defines health?
The patient based on their condition and perspective of health.
What are examples of internal and external factors of the environment?
External could be the hospital room or the community where the hospital is located. Internal could be genetics and mental health.
What is the continuity of the spiritual self?
It’s the idea that spirituality is something that continues and grows throughout someone’s life.
What are the qualities of a spiritual experience as described by the continuity theory of spritulaity?
Deep inner silence, Insight, compassion, connection, transcendence, wonder, and transformation
What does deep inner silence mean?
A state that does not depend on senses
What does insight mean?
A deep understanding of person or a thing
What does compassion mean?
It means a sympathetic concern for the suffering of others
What does connection mean?
It means a connection to the ground of being a connection to the divine or transcendent
What does transcendence mean?
It means a transcendence of personal self or an out of body experience
What does wonder mean?
It means a feeling of surprise mingled with admiration caused by something beautiful, unexpected, unfamiliar, or inexplicable
What does transformation mean?
through or dramatic change
What does ADPIE stand for? And how does it apply to spiritual care?
Assessment, Diagnosis, Outcome Planning, Planning, Implementation, and Evaluation. This can guide thinking regarding spiritual care of the patient by implementing this creation and reassessment of a plan for spirituality.
What are the important elements of communication, especially if a patient is in spiritual distress?
Important elements of communication is verbal, non-verbal communication, and Environmental cues.
What are ways for the nurse to build patient trust and rapport?
To ask open-ended questions of the patient, save the more difficult questions for the end, to be understanding, and making yourself seem approachable to the patient (ex eye contact, sitting by thier bed)
What are the best kinds of questions for the nurse to gain more understanding of patient feelings?
Open- ended questions.
What is the difference between an open ended and a closed ended question?
With an open-ended question the person can answer is however they want and share whatever they want, or think is relevant. Meanwhile a close ended questions is more like answering a question on a test.
What kind of non-verbal communication should the nurse be attentive to
How the patient presents themselves via expressions, movements, posture, and grooming. Along with environmental to see if they have anything with them that represents something meaningful to them.
Who on the health care team has a role in spiritual care?
Anyone who enters the patient’s room could provide spiritual care for a patient so anyone on the team can.
What are some health system resources to support patient spirituality?
Some healthcare resources that are available to support the patient’s spirituality for an inpatient setting include a chaplain, music, art, and pet therapies. Healing gardens, and Child life specialists. Meanwhile outpatient can refer patients to support groups, or therapy options.
What are some characteristics of ‘Being there’?
Being attentive, receptive, and understanding of the patient is saying. Being on the patient’s level, having eye contact, and letting the patient talk.
What are some factors in health care systems that prevent nurses from being ‘truly present” with patients?
Sufficient staffing for nurses to have time to provide spiritual care.
What are some factors of the Biopsychosocial Spiritual model of care?
The factors a part of biopsychosocial spiritual care is social, physical, and emotional.
What kinds of things can nurses do in the health care system to support spirituality?
Ask open ended questions of the patient and find resources for the patient as needed.
How might a nurse recognize that a patient is in spiritual distress
They are overwhelmed or stressed, they could also be sad and despondent. Or neglect thier grooming needs or established habits. Might take those feelings out on members of the healthcare team.
What are some ideas on how to respond to an angry patient?
Understanding, asking open-ended questions to see what is going on. Or in some cases asking the charge nurse for assistance.
How much of communication is non-verbal?
80-90%
