Spirituality

Question 1

Why is spirituality such an important concept in nursing?

Answer 1

Spirituality allows you to understand the patient a little more, and if it is not addressed, then it could lead to poor patient outcomes

Question 2

Can someone be spiritual without being religious?

Answer 2

Yes, just because someone is spiritual does not mean they are religious.

Question 3

How would nature-based spiritual people feel about being in a hospital?

Answer 3

They may feel very uneasy in a hospital setting

Question 4

Is spirituality subjective or objective?

Answer 4

Subjective

Question 5

Is religion subjective or objective?

Answer 5

objective

Question 6

What 3 three things classify religion based on the lecture?

Answer 6

1. institutional
2. beliefs
3. Rituals

Question 7

What are some important aspects of spiritual care?

Answer 7

1. honoring and recognizing religious beliefs and practices
2. can also be shared laughter or tears
3. keeping a vigil with the family or crying with the family.

Question 8

What are the three distinct approaches that are included in spirituality?

Answer 8

1. communication
2. action
3. presence

Question 9

What differences in spirituality can include an approach to medicine?

Answer 9

EX: Jehovah’s Witnesses do not accept blood transfusions

Question 10

What are holy days?

Answer 10

Days set aside for religious observances

Question 11

Give examples of holy days

Answer 11

Sabbath, fasting, extended prayer (several times/day)

Question 12

What are sacred writings?

Answer 12

Sacred, authoritative scriptures

Question 13

Give examples of different types of holy writings

Answer 13

1. Bible
2. Torah and Talmud
3. Koran
4. Vedas

Question 14

What things can be considered sacred symbols?

Answer 14

1. jewelry
2. medals
3. Amulets
4. Icons
5. totems, etc.

Question 15

Why are sacred symbols typically worn?

Answer 15

For protection and to pronounce faith

Question 16

What is the significance of prayer?

Answer 16

It is a type of communication with divine spiritual. It provides a comfort to the individual and it is usually linked with religion.

Question 17

Is meditation a for of prayer?

Answer 17

Yes, it is the act of focusing one’s thoughts or engaging in self-reflection or contemplation

Question 18

What are some characteristics of Judaism in health care?

Answer 18

1. participate actively in care
2. Seek treatment from Western doctors
3. May keep a kosher diet
4. Use all care necessary to extend their life
5. Bury dead as soon as possible (within 24 hours if possible)

Question 19

What are some important considerations with Muslims in Health care?

Answer 19

1. View health events as a direct result of God’s will
2. Pray 5 times/day
3. Cleanliness and modesty is very important
4. Nurses should be of the same gender

Question 20

What are some important considerations of Roman Catholicism in healthcare?

Answer 20

1. generally, participate in Western medicine

2. Anointing of the sick (Last Rites)

Question 21

What are some important considerations of Protestant Christianity?

Answer 21

1. Includes many religions
2. Generally, embrace Western medicine
3. May differ in views about birth control and end-of-life care

Question 22

What are some considerations for Hinduism in healthcare?

Answer 22

1. typically embrace western medicine (however, they do like alternative therapies)
2. Generally do not eat mean
3. Believe that they have more than one life (may not mourn as much)
4. They have ceremonial rites for dying right after death

Question 23

What are some considerations of Buddhism in healthcare?

Answer 23

1. Generally prefer eastern medicine (cure through mind, herbs, and acupuncture)
2. may use traditional therapies in addition

Question 24

What are some alternative therapies from the Hindi culture?

Answer 24

1. homeopathic
2. supplements
3. acupuncture

Question 25

What are some considerations of Jehovah's Witnesses in healthcare?

Answer 25

1. Prohibit blood transfusion | 2. organ donation and transplantation are viewed as personal decisions

Question 26

What things need to be addressed for an assessment of spirituality?

Answer 26

1. diet and nutritional restrictions based on beliefs 2. Prayers observed and what times 3. Use of sacred objects or texts during prayers 4. Prohibition regarding medical procedures 5. other medical-related requirements

Question 27

What are some nursing diagnosis' that are for a patient who has had their ability to exercise religion threatened by medical situations?

Answer 27

1. risk for impaired religiosity 2. Impaired religiosity 3. Readiness for enhanced religiosity 4. Interrupted family processes 5. Rediness for an enhanced family coping 6. Risk for compromised human dignity 7. Risk for powerlessness

Question 28

What should be implemented during the planning stage of the nursing process for spirituality?

Answer 28

Attempt to preserve client's/family's observance of religious observances

Question 29

Give an example of what could be stated during the planning stage for spirituality

Answer 29

Client will: 1. Be able to participate in religious observances, including communion 2. Be able to participate in prayer at prescribed times without interruption 3. Receive meals in keeping with the religious diet restrictions 4. Have access to religious resources

Question 30

What is an important implementation for spirituality?

Answer 30

Assisting clients with prayers

Question 31

How could nurses implement assisting clients with prayers?

Answer 31

1. clients may choose private or group prayer 2. adjust nursing care to accommodate for times of prayer 3. Ensure a quiet environment 4. the client may ask the nurse to pray with the client only if it is a mutual agreement

Question 32

How would a nurse evaluate if a patient's spiritual needs are met?

Answer 32

1. Determine whether the client was provided with the opportunity to practice religious rituals 2. Determine whether the dietary staff made appropriate considerations regarding restrictions 3. Determine whether client successfully maintained connection with religious practices, a community of faith

Question 33

What are symptoms of religious distress?

Answer 33

1. fear 2. chronic or situational low self-esteem 3. Disturbed sleep pattern 4. Ineffective coping 5. Decisional conflict

Question 34

What does the nurse need to address religious distress?

Answer 34

1. help the client explore feelings and work through distress 2. provide a spiritual leader for guidance

Question 35

How does a nurse assess for religious distress?

Answer 35

ask open-ended questions about: 1. spiritual beliefs 2. practices, etc.

Question 36

What should the nurse plan for the client to do to get out of spiritual distress?

Answer 36

1. fulfill religious obligations 2. draw on/use inner resources more effectively 3. maintain or establish a personal relationship with a supreme being in the face of unpleasant circumstances 4. Find meaning in existence/present situation 5. Feel a sense of hope 6. have access to spiritual resources as needed

Question 37

How should the nurse refer for spiritual counseling?

Answer 37

1. work through the hospital chaplain's office 2. identify spiritual resources in the community 3. Get resources to the patient when the nurse's spiritual beliefs conflict with the client's 4. Work together with a counselor in cases of spiritual distress

Question 38

What are the four features of presencing?

Answer 38

1. giving of self in present moment 2. being available with all of self 3. Listening and being aware of the privilege of doing so 4. being there in a way meaningful to others

Question 39

What are the four ways of being present?

Answer 39

1. presence 2. partial presence 3. full presence 4. Transcendent presence

Question 40

How would the nurse evaluate that a patient has come out of religious distress?

Answer 40

Client will: 1. participate in religious observances 2. Articulates a sense of hopefulness about future 3. articulates faith in a higher power 4. Articulates how to access spiritual resources 5. Finds meaning and existence in the present situation