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Unit 5C - Spirituality
Test 2
23
Nursing
Undergraduate 3
06/20/2014

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Term
What is religion?
Definition
A “map” that outlines essential beliefs, values, and codes of conduct into a manner of living

Many of the world’s religions hold common beliefs
Term
What is spirituality?
Definition
A “journey” that takes place over time and involves the accumulation of life experiences and understanding

An attempt to find meaning, value, and purpose in life
Term
What are common beliefs of all religions?
Definition
Theology- theories r/t God
Sacred writings
Notion of created order or purpose
Definition of human being
Notion of sin
Explanation of the origin of evil
Conception of salvation or enlightenment
Doctrines about the human soul r/t death, judgment and eternal life
Purpose of human existence
Term
What is the nurse's role in spirituality?
Definition
Recognize and respect the different ways that patients understand religion and spirituality
Your primary goal is to support healing, not convert them to a different view
Recognize situations when patients experience spiritual distress
Referral to professionals with more specialized training
Term
The nurse notes on the admission form that the client has indicated “no religious preference.” He understands that

a. The client does not follow the tenets of a specific faith
b. The client is in denial about his religious beliefs
c. The client does not believe in God or a “higher power”
d. The client will not want to pray or visit with the chaplain
Definition
Correct answer: A

While the client may not follow the rituals and customs ascribed to a certain religion, there is no data to suggest that the client does not believe in God or that he would not want to pray with the chaplain.
Term
What is faith>
Definition
our effort to make sense of our lives and purpose for being
Term
What is hope?
Definition
Includes our basic human need to achieve, create, and shape something of our life that will endure
Term
What is love?
Definition
Active love opens us up to joy; gives life meaning
Also the certainty of heartbreak with loss of loved one
Term
What are faith struggles?
Definition
common among people experiencing illness and significant loss: feelings of anger, guilt, self-judgment, and worthlessness.
Joys of faith exhibit a sense of self, as well as insight into their gifts and talents
Term
What are the spiritual beliefs and health?
Definition
Research suggests religion has a positive influence over physical and mental health

Research does not answer how or why religion affects health
Term
What should nurses do with spirituality/
Definition
Gain self knowledge.
Be open to diverse thinking
Welcome challenging experience that allow for self growth
Take time to reflect on how your actions and biases affect the care of others
Spiritual care demands nonjudgmental
attitudes and open thinking
Term
What are barriers to spiritual care?
Definition
Lack of awareness of spirituality in general

Lack of awareness of your own spiritual belief system

Differences in spirituality between nurse and client

Fear that your knowledge base is insufficient

Fear of where spiritual discussions may lead
Term
What is a lack of spirituality in general?
Definition
Nurses focus on the physical needs to the exclusion of spiritual needs.
Term
What is a lack of awareness of your own spiritual beliefs?
Definition
Are our religious beliefs and practices superior to all others?
This thinking limits the range of care you provide to the patient who believes differently.
Spiritual care demands nonjudgmental attitudes and an open manner of thinking that invites rather than excludes.
Term
What is difference in spirituality b/w nurse and client?
Definition
Be careful not to impose your beliefs on the patient or discount the importance of the patient’s beliefs and rituals.
If you have similar beliefs take care not to make false assumptions about his spiritual needs.
Term
What is the spiritual assessment?
Definition
Start the conversation (without being the expert and know the ‘fix’)
Avoid seeing the patient’s story through YOUR lens
Refer to recommended counselors for spiritual expertise
Seek to hear what is not communicated in words
Be empowered in your own spirituality.
Term
What are the tools of spiritual assessment?
Definition
JAREL Spiritual Well-Being Scale
SPIRIT Model- comprehensive spiritual assessment
HOPE-an open ended exploration of spiritual resources and concerns
Term
What are the levels of spiritual assessment?
Definition
Initial data is limited: church, clergy, emergency contact
Over time a trusting relationship evolves leading to more information
Term
What are the sources of information about spirituality?
Definition
Client and family interviews
Client environment
Client questions
Nonverbal communication
Term
What are the nursing diagnoses r/t spirituality?
Definition
Moral distress
Spiritual distress

Risk for spiritual distress

Readiness for enhanced spiritual well-being
Impaired Religiosity
Risk for Impaired Religiosity
Readiness for Enhanced Religiosity

Spiritual Pain (non-NANDA)
Term
What are the NIC standardized outcomes for interventions?
Definition
Anxiety level, comfortable death, comfort status, dignified life closure, hope, loneliness severity, personal resiliency, personal well being, quality of life, spiritual health, will to live
Ex: potential spiritual issues are assessed, identified, and explored.
Shares spiritual and religious concerns
Term
What are the prayer guidelines for nurses?
Definition
Ask how client prefers to address the Divine

Ask client if any rituals or religious items are needed before prayer

Always feel free to pray or not to
Do not be compulsive about praying or avoiding prayer

Know there are appropriate times and places for prayer
When a client asks for prayer, know how to reply

Focus the prayer around the client’s request
Know prayers that are realistic

If composing prayer is difficult, use existing prayers from religious text
Include request for divine help involving health-care team

Thank client for being asked to participate in prayer
Term
Would this statement by the nurse would be correct?
“We should pray to God that your cancer goes into remission.”

a. Yes
b. No
Definition
Correct answer: B

The nurse should not be stating the intent of the prayer session. The client should do that.
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