Nursing Exam 2 Content

Question 1

What does it mean to be religious?

Answer 1

It means to share beliefs, practices, and traditions that are tied to a particular religion

Question 2

What does it mean to be spiritual?

Answer 2

It means to have something that gives an individual peace and meaning to who they are. But is not always tied to religious affiliation

Question 3

Does every person have Spirituality?

Answer 3

Yes, every person has spirituality regardless of religious identity

Question 4

How do a person’s values impact decisions, and what is important in your life?

Answer 4

A person’s values impact their decisions because they are going to act based on what they think is most important to them

Question 5

What is the UPSONHI definition of spirituality?

Answer 5

The SONHI definition of Spirituality is “ A search for the sacred, transcendent, enabling a person to discover the essence of one’s deepest self”

Question 6

What is the scope of Spirituality?

Answer 6

The scope of spirituality is from wellbeing to a state of despair

Question 7

What are the attributes of Spirituality?

Answer 7

The attributes of spirituality include beliefs and practices, importance and influence, and community

Question 8

What does the beliefs and practices attribute mean?

Answer 8

It is what an individual believes and what they decide, and practice based on their spirituality

Question 9

What does the importance and influence attribute mean?

Answer 9

It means what someone values the most and who or what can influence those beliefs and associated behaviors

Question 10

What does the community attribute mean?

Answer 10

It is the people and places that someone has to support their spirituality

Question 11

What are some examples of formal communities for spirituality?

Answer 11

Some examples would include anything that is affiliated with an oraganized religion. ex church, volunteer groups, youth groups

Question 12

What are some examples of informal communities for spirituality?

Answer 12

Some examples would include families, friends, teams, and clubs

Question 13

How the attributes appear in our daily lives?

Answer 13

They appear in what we do on a daily basis and how we interact with others.

Question 14

What makes an experience spiritual?

Answer 14

Something that gives someone peace and a feeling of transcendence

Question 15

What is transformative learning theory?

Answer 15

It is when you experience something that changes your world view and/ or your identity

Question 16

When might you experience the transformative learning theory?

Answer 16

During nursing school, probably during clinicals

Question 17

Why is spirituality important in nursing?

Answer 17

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.

Question 18

What does the code of ethics say about spiritual care in nursing?

Answer 18

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

Question 19

What does the Oregon Nurse State Board of Nursing say about spirituality?

Answer 19

It requires that nurses provide spiritual care for patients

Question 20

What is the nursing metaparadigm?

Answer 20

It represents the four main aspects of nursing

Question 21

What are the four main aspects of the nursing metaparadigm?

Answer 21

1) Person
2) Health
3) Environment
4) Nursing

Question 22

What does person refer to in the nursing metaparadigm?

Answer 22

It means the recipients of care including a patient and their family/ those there to support them

Question 23

What does health refer to in the nursing metaparadigm?

Answer 23

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.

Question 24

What does environment refer to in the nursing metaparadigm?

Answer 24

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.

Question 25

What does nursing mean in the nursing metaparadigm?

Answer 25

What the nurse knows about the patient and their condition, along with what a nurse does to provide care.

Question 26

What does holistic mean?

Answer 26

All-encompassing or every aspect of a person.

Question 27

Who defines health?

Answer 27

The patient based on their condition and perspective of health.

Question 28

What are examples of internal and external factors of the environment?

Answer 28

External could be the hospital room or the community where the hospital is located. Internal could be genetics and mental health.

Question 29

What is the continuity of the spiritual self?

Answer 29

It’s the idea that spirituality is something that continues and grows throughout someone’s life.

Question 30

What are the qualities of a spiritual experience as described by the continuity theory of spritulaity?

Answer 30

Deep inner silence, Insight, compassion, connection, transcendence, wonder, and transformation

Question 31

What does deep inner silence mean?

Answer 31

A state that does not depend on senses

Question 32

What does insight mean?

Answer 32

A deep understanding of person or a thing

Question 33

What does compassion mean?

Answer 33

It means a sympathetic concern for the suffering of others

Question 34

What does connection mean?

Answer 34

It means a connection to the ground of being a connection to the divine or transcendent

Question 35

What does transcendence mean?

Answer 35

It means a transcendence of personal self or an out of body experience

Question 36

What does wonder mean?

Answer 36

It means a feeling of surprise mingled with admiration caused by something beautiful, unexpected, unfamiliar, or inexplicable

Question 37

What does transformation mean?

Answer 37

through or dramatic change

Question 38

What does ADPIE stand for? And how does it apply to spiritual care?

Answer 38

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.

Question 39

What are the important elements of communication, especially if a patient is in spiritual distress?

Answer 39

Important elements of communication is verbal, non-verbal communication, and Environmental cues.

Question 40

What are ways for the nurse to build patient trust and rapport?

Answer 40

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)

Question 41

What are the best kinds of questions for the nurse to gain more understanding of patient feelings?

Answer 41

Open- ended questions.

Question 42

What is the difference between an open ended and a closed ended question?

Answer 42

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.

Question 43

What kind of non-verbal communication should the nurse be attentive to

Answer 43

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.

Question 44

Who on the health care team has a role in spiritual care?

Answer 44

Anyone who enters the patient’s room could provide spiritual care for a patient so anyone on the team can.

Question 45

What are some health system resources to support patient spirituality?

Answer 45

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.

Question 46

What are some characteristics of ‘Being there’?

Answer 46

Being attentive, receptive, and understanding of the patient is saying. Being on the patient’s level, having eye contact, and letting the patient talk.

Question 47

What are some factors in health care systems that prevent nurses from being ‘truly present” with patients?

Answer 47

Sufficient staffing for nurses to have time to provide spiritual care.

Question 48

What are some factors of the Biopsychosocial Spiritual model of care?

Answer 48

The factors a part of biopsychosocial spiritual care is social, physical, and emotional.

Question 49

What kinds of things can nurses do in the health care system to support spirituality?

Answer 49

Ask open ended questions of the patient and find resources for the patient as needed.

Question 50

How might a nurse recognize that a patient is in spiritual distress

Answer 50

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.

Question 51

What are some ideas on how to respond to an angry patient?

Answer 51

Understanding, asking open-ended questions to see what is going on. Or in some cases asking the charge nurse for assistance.

Question 52

How much of communication is non-verbal?

Answer 52

80-90%