A patient states that he does not believe in the existence of god. this patient most likely is an

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    Terms in this set (45)

    An emergency department nurse is caring for a patient who was severely injured in a car accident. The patient's family is in the waiting room. They are crying softly. The nurse sits down next to the family, takes the mother's hand, and says, "I can only imagine how you're feeling. What can I do to help you feel more at peace right now?" In this example the nurse is demonstrating:
    1 Prayer.
    2 Presence.
    3 Coaching.
    4 Iinstilling hope.

    2 Presence.

    A patient states that he does not believe in the existence of God. This patient most likely is an:
    1 Academic.
    2 Atheist.
    3 Agnostic.
    4 Anarchist.

    2 Atheist.

    As the nurse cares for a patient in an outpatient clinic, the patient states that he recently lost his position as a volunteer coordinator at a local community center. He expresses that he is angry with his former boss and with God. The nurse knows that the priority at this time is to assess the patient's spirituality in relation to his:
    1 Vocation.
    2 Life satisfaction.
    3 Fellowship and community.
    4 Connectedness with his family and co-workers.

    1 Vocation.

    A patient who is hospitalized with heart failure states that she sees her illness as an opportunity and a challenge. Despite her illness, she is still able to see that life is worth living. This is an example of:
    1 Hope.
    2 Faith.
    3 Values.
    4 Connectedness.

    1 Hope.

    Which of the following statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse?
    1 "I planted a tree at church in my husband's honor."
    2 "I have been unable to talk with my children lately."
    3 "My friends think that I need to go to a grief support group."
    4 "I believe that someday I'll meet my husband in heaven."

    2 "I have been unable to talk with my children lately."

    Which of the following nursing interventions support(s) a healing relationship with a patient? (Select all that apply):
    1 Praying with the patient
    2 Giving pain medications before a painful procedure
    3 Telling a patient that it is time to take a bath before family arrive to visit
    4 Making the patient's bed following hospital protocol
    5 Helping a patient see positive aspects related to a chronic illness

    1 Praying with the patient
    5 Helping a patient see positive aspects related to a chronic illness

    A patient expresses the desire to learn how to meditate. What does the nurse need to do first?
    1 Answer the patient's questions
    2 Help the patient get into a comfortable position
    3 Select a teaching environment that is free from distractions
    4 Encourage the patient to meditate for 10 to 20 minutes 2 times a day

    3 Select a teaching environment that is free from distractions

    An older adult is receiving hospice care. Which nursing intervention(s) help the patient cope with feelings related to death and dying? (Select all that apply.)
    1 Teaching the patient how to use guided imagery
    2 Encouraging the family to visit the patient frequently
    3 Taking the patient's vital signs every time the nurse visits
    4 Teaching the patient how to manage pain and take pain medications
    5 Helping the patient put significant photographs in a scrapbook for the family

    1 Teaching the patient how to use guided imagery
    2 Encouraging the family to visit the patient frequently
    5 Helping the patient put significant photographs in a scrapbook for the family

    Which of the following questions would best assess a patient's level of connectedness?
    1 What gives your life meaning?
    2 Which aspects of your spirituality would you like to discuss right now?
    3 Who do you consider to be the most important person in your life at this time?
    4 How do you feel about the accomplishments you've made in your life so far?

    3 Who do you consider to be the most important person in your life at this time?

    A nurse is using the B-E-L-I-E-F tool to complete a spiritual assessment on a 12-year-old male who has recently been diagnosed with acute lymphocytic leukemia. Which of the following questions would the nurse use to assess the child's involvement in the spiritual community?
    1 Which church do you attend?
    2 Which sports do you like to play?
    3 Are there any foods you cannot eat?
    4 In which church activities do you participate?

    4 In which church activities do you participate?

    A nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice?
    1 Islam
    2 Sikhism
    3 Hinduism
    4 Catholicism

    1 Islam

    A Catholic patient with diabetes receives the following items on his meal tray on the Friday before Easter. For which of the foods does the nurse offer to substitute?
    1 Apple sauce
    2 Cheese and crackers
    3 Spaghetti with meat sauce
    4 Tossed salad with ranch dressing

    3 Spaghetti with meat sauce

    A nurse is working in a health clinic on a Navajo reservation. He or she plans care for the patients knowing which of the following is true?
    1 The patients may not be on time for their appointments.
    2 The patients most likely do not trust the doctors and nurses.
    3 The patients probably are not comfortable if they have to remove their undergarments.
    4 Terminally ill patients probably want to receive the sacrament, the anointing of the sick.

    1 The patients may not be on time for their appointments.

    A 62-year-old male patient has just been told he has a terminal illness. Which of the following statements supports a nursing diagnosis of spiritual distress related to diagnosis of terminal illness?
    1 "I have nothing to live for now."
    2 "What will happen to my wife when I die?"
    3 "How much longer do I have to live?"
    4 "I need to go to church and pray for a miracle."

    1 "I have nothing to live for now."

    Which of the following would be the most appropriate outcome for a patient who has a nursing diagnosis of spiritual distress related to loneliness?
    1 Encourage the patient to meditate 2 to 3 times a week.
    2 The patient will set up a time to speak to a close friend in 1 week.
    3 Encourage the patient to phone his brother and set up a time to go out for dinner.
    4 The patient will experience greater connections with family members in 2 months.

    2 The patient will set up a time to speak to a close friend in 1 week.

    When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals...
    A. Maintain their belief systems and worship practices.
    B. Develop a relationship with a higher being.
    C. Establish a cultural connectedness with the purpose of life.
    D. Achieve the balance needed to maintain health and well-being.

    A. Maintain their belief systems and worship practices.

    To assess, evaluate, and support a patient's spirituality, the best action a nurse can take is to...
    A. Assist the patient to use faith to get well.
    B. Refer the patient to the health care facility chaplain.
    C. Provide the patient with a variety of religious literature.
    D. Determine the patient's perceptions and belief system.

    D. Determine the patient's perceptions and belief system.

    Mourning

    outward, social expressions of grief and the behavior associated with loss. Is a period involved when coping with grief.

    Actual Loss

    occurs when a person can no longer feel, hear, see, or know a person or object.

    Situational Loss

    sudden, unpredictable external events

    Maturational Loss

    is a form of necessary loss and includes all normally expected life changes across the life span

    Perceived Loss

    is uniquely defined by the person experiencing the loss and is less obvious to other people

    Autopsy

    the surgical dissection of a body after death.

    Bereavement

    encompasses both grief and mourning and includes the emotional responses and outward behaviors of a person experiencing loss.

    Grief

    is the emotional response that a loss, manifested in ways unique to an individual and based on personal experiences, cultural expectations, and spiritual beliefs.

    Describe Compassion Fatigue

    Described as physical, emotional, and spiritual exhaustion resulting from seeing patients suffer, leads to a decreased capacity to show compassion or empathize with suffering people.

    Spirituality

    awareness of one's inner self

    Self-transcendence

    sense of authentically connecting to one's inner self

    Atheist

    who do not believe in God

    Agnostic

    there is no known ultimate reality

    Hope

    energizing source;
    orientation to future goals and outcomes

    Faith

    cultural or institutional religion;
    Is also a relationship with a divinity, higher power, authority, or spirit that incorporates a reasoning faith (belief) and a trusting faith (action)

    Connectedness

    Intrapersonally (connected within oneself);
    Interpersonally (connected with others and the environment);
    Transpersonal (connected with the unseen, God, or a higher power)

    Holistic

    establish a helping role and a healing relationship;
    Mind, body, and spirit

    Transcendence

    belief that theres a greater outside force

    Spiritual well-being

    people who experence it feel a connected to others and are able to find meaning or purpose in their lives.
    2 dimensions-- vertical and horizontal

    Vertical dimension

    supports the transcendent relationship between a person and God or some other higher power.

    Horizontal dimension

    describes positive relationships and connections that people have with others

    Spiritual distress

    "impaired ability to experience and integrate meaning and purpose in like through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself

    Jehovah's witnesses

    member avoid for prepared with or containing blood

    Native Americans

    individual tribal beliefs influence food practices

    Buddhism

    some are vegetarians and do not use alcohol. may fast on Holy Days

    Hinduism

    some sects are vegetarians. the belief is not to kill any living creature

    Prayer offers

    *an opportunity to renew person faith and belief in a higher being in a specific, focused way that is either highly ritualized and formal or quite spontaneous and informal
    *effective coping resource for physical and psychological symptoms
    *alternatives: listening to music or reading a book, poetry, or other inspirational text

    Meditation Creates

    A relaxation response that reduces daily stress. It reduces blood pressure, reduces stress and pain, and enhances the function of the immune system

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