A patient expresses the desire to learn how to meditate What does the nurse need to do first Quizlet
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this patient? 3 The nurse should be sensitive to a patient's personal beliefs and should not impose her personal beliefs and assumptions on patients. When the nurse arranges a visit by a clergy person for an atheist patient, he or she may offend the patient's personal beliefs and principles. This would negatively affect the therapeutic relationship and could lead to undesired outcomes. When planning interventions such as group meetings, the nurse should include the patient and should respect the patient's beliefs. The family and those closest to the patients should also be included and consulted. Learning and practicing meditation and relaxation techniques may help the patient reduce stress and achieve inner peace and tranquility. A patient states, "My religion does not permit me to bathe today." What would be the most appropriate nursing action? 4 Buddhists accept modern medical science and believe that health is an integral part of life. Buddhists prefer not to visit hospitals and may refuse treatments on holy days. They believe that nonhuman spirits invade the body and cause illness. There is no indication that Buddhists would refuse conventional treatments in favor of alternative treatments. Muslims, rather than Buddhists, are likely to request female practitioners if they are female. The nurse is caring for a patient who refuses to eat until after the sun sets. Which religion does this patient most likely practice? 1 Patients who practice Islam do not eat until after the sun goes down during the month of Ramadan. A patient experienced asystole because of an acute heart attack. The patient recovered due to prompt resuscitative measures. What statements made by the patient would suggest that the patient had a near-death experience (NDE)? Select all that apply. 1, 2, 5 Which
statements made by an older adult whose husband recently died most indicates the need for follow-up by the nurse? 2 Feelings of connectedness are important for the older adult; this statement indicates that this woman is having difficulty staying connected with her children, who are potentially an important resource for the woman. A Catholic patient with diabetes receives the following items on his meal tray on the Friday before Easter. Which of the foods does the nurse offer to substitute? 3 Most Catholics do not eat meat on Good Friday. A patient who was severely injured in a motorcycle accident underwent surgery 3 days ago for multiple bone fractures. The nurse teaches the patient interventions that will help the patient recover while instilling hope and support. What are the interventions that the nurse should mention? Select all that apply. 1, 2, 5 Food and nutrition are the most important parts of patient care. Dietary therapies help maintain the proper nutrition needed by the patient after surgery. Meditation helps reduce the patient's stress and relax the patient. This helps the patient regain peace of mind. Offering prayers in a group or with family enhances connectedness and hope for a better life. It also helps the patient cope with the physical and psychological symptoms of the injury. Home-cooked food that does not violate the dietary restrictions of the patient should be allowed. Physiotherapy is not recommended for a patient who has undergone a major surgery until the pain reduces and the stitches heal to some extent. A patient who experienced a stomach ache was diagnosed with stomach cancer. The nurse finds that the patient is sad
and feels hopeless about health and the future. What nursing interventions would be helpful for this patient? Select all that apply. 1, 2, 3 Setting important goals helps alleviate depression. Spending time and teaching coping strategies provide social, emotional, and moral support for the patient. Hopelessness is associated with suicidal tendencies; therefore, the nurse should look for suicidal signs in the patient. Listening to music may help in reducing anxiety but does not help in providing hope. Hopelessness is not a risk factor for the patient to become psychotic. A Muslim patient is scheduled
for transplant surgery. The patient asks the nurse to postpone the operation for an hour so that the evening prayers can be completed before the operation. How should the nurse respond to such a request? 4 The nurse should allow time for the patient's religious rituals, prayers, spiritual visitations, and attendance in religious services. These are integral parts of the patient's spiritual well-being. Followers of Islam have specific timing for prayers and should not be asked to pray early. The nurse may offer to pray with the patient but not on his behalf, because the nurse may not know the prayer ceremonies the patient prefers. The nurse should not ask the family to persuade the patient to be on time for the operation if that means he misses his prayer time. 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?" What is the nurse demonstrating in this
example? 2 The nurse demonstrates presence in this situation by establishing a therapeutic relationship and being with the mother during a particularly stressful time. A 62-year-old male patient has just been told he has a terminal illness. Which statements indicate that the patient is spiritually distressed due to diagnosis of
terminal illness? 1 Patients with spiritual distress verbalize a lack of hope and meaning. The nurse wants to include spiritual care when planning care for a sick patient. What actions should the nurse perform?
Select all that apply. 1, 2, 3 To support spiritual activities, the nurse must allow the patient to read religious books, and listen to slow religious music or classical music. These activities help to build a healthy environment. Family members can also plan a prayer session without disturbing the patient's normal activities. Reading religious books continuously can disturb the patient's schedule of rest. Fasting or missing medication cannot be allowed even occasionally. The nurse evaluates a patient for achievement of goals related to spiritual well-being and finds that the patient does not display positive
outcomes. What questions should the nurse ask to develop an appropriate modification to the care plan for such a patient? Select all that apply. 2, 4 When appropriate outcomes are not met, the nurse should ask the patient about strategies to reach positive outcomes. Asking about what is holding the patient back and if the patient wants his wife to talk to him may help the nurse determine appropriate continued care. Asking blunt questions, such as "What is the problem with you?" and "Why hasn't your family shown up?" may prompt the patient to stop talking. Opting for medication use when dealing with health-related stress is not recommended. A female Muslim patient is in the terminal stage of leukemia. What nursing interventions are appropriate considering the patient's religion? Select all that apply. 1 1, 2, 5 The Islamic religion promotes a sense of hope and does not encourage discussing death. Female Islamic patients prefer female health care providers. In Islam, family and friends usually visit ill people; hence, this should be permitted within medically accepted limits. Islam often does not permit life-support measures. A patient expresses the desire to learn how to meditate. What
does the nurse need to do first? 3 A quiet environment without distractions enhances learning and is essential for meditation. A senior nurse is talking with student
nurses about spirituality. What are the different conceptual elements in spirituality? Select all that apply. 1, 2, 3, 4, 5 Spirituality has five constructs or conceptual elements. Transcendence is the belief that there is an external force beyond the material world. Faith refers to the firm belief despite any evidence of physical presence. Hope is a source that gives energy to move forward in life. Inner strength is a source of positive energy that drives a person in difficult times. Inner peace provides a calm, positive, and peaceful feeling. A spiritual person strives to find meaning and purpose in order to live a meaningful life. Connectedness refers to feeling connected with oneself, with others, and with an unseen force. Culture is not a part of spirituality. Which questions would best assess a patient's level of connectedness? 3 Connectedness refers to feelings about relationships with the self, others, and God; this question asks about connectedness with others. A patient is diagnosed with end-stage renal disease. The patient tells the nurse, "I know I am going to be all right, and I will be healthy again. I believe in God, and He will make things right. My spouse and I are yet to tour the world." What kind of spiritual belief does this patient exhibit?
1 1 Hope is a belief that something positive is going to happen. It exists when faith and spirituality are present. Hope is comforting and energizing to people facing extreme emotional and physical distress, hardships, and personal challenges. It is a valuable resource motivating a person to achieve. Self-transcendence is a feeling and a sense of connecting to one's inner self. Transcendence is a feeling or experience beyond normal and above the material world. Agnosticism is a belief that there is no known ultimate reality. An elderly patient complains of severe pain in both lower extremities. The patient becomes tearful when describing the pain and states that it is intolerable. How should the nurse develop a healing relationship with the patient? Select all that apply. 1, 2, 4 To establish a healing relationship and a helping role, the nurse should not just look at the patient's leg pain as a medical problem. The nurse should also try to understand how it affects the patient's daily life and spirituality, and work to improve the patient's overall well-being. By informing the patient about various methods to alleviate pain, the nurse mobilizes hope in the patient. The nurse should also help the patient use social resources, such as friends and family, who can help the patient deal with his or her health condition. Asking the patient to be strong and deal with the pain may decrease spirituality and increase stress and anxiety. The nurse should focus on more than just prescribing medications and exercise to develop a healing relationship. Which nursing interventions support(s) a healing relationship with a patient? Select all that apply. 1, 5 Praying with patients and mobilizing the patient's hope create a healing relationship. A patient is brought to the emergency department with multiple burn injuries. What nursing actions build trust and establish a caring presence? Select all that apply. 1, 2, 3 In an acute care setting, the nurse should establish presence and build trust with the patient by using supportive touch and words of hope and encouragement. The patient is often confused and overwhelmed with the sudden and unexpected change in his or her physical and spiritual well-being, so the nurse should be calm, confident, and have a decisive approach. While focusing on the treatment, the nurse should also be there for the patient and family. Talking to the patient and family is never a waste of time. Although a patient's family may be present, the nurse should not leave the patient's side. A patient comes to a rheumatology clinic for pain in her knees due to osteoarthritis. The orthopedic surgeon advises her to undergo knee replacement surgery. The patient practices Buddhism. Which patient statement reflects her religious beliefs? Select all that apply. 3, 4, 5 Buddhists accept modern medical science and believe that health is an integral part of life. Buddhists prefer not to visit hospitals and may refuse treatments on holy days. They believe that nonhuman spirits invade the body and cause illness. There is no indication that Buddhists would refuse conventional treatments in favor of alternative treatments. Muslims, rather than Buddhists, are likely to request female practitioners if they are female. In a case in which a patient suffers from spiritual distress, of what patient feelings should the nurse be aware? Select all that apply. 1, 3, 4 One of the common symptoms observed in a patient experiencing spiritual distress is having doubts about the self and others. The patient also feels lonely or abandoned and suffers from a loss of faith. The feeling of being cheated and the desire to kill others are not found commonly. Thus, when caring for such a patient, the nurse needs to be cautious. Spiritual distress also occurs when there is conflict between a person's beliefs and the treatment prescribed for health. Some treatment regimens may not be acceptable to patients from certain cultures or religions. When caring for a patient who is suffering from a serious illness, the nurse encourages the patient to follow his spiritual practices. How does spirituality help in healing? Select all that apply. 3, 4, 5 Nurses who support the spirituality of their patients realize that the patients' spirituality enables them to heal faster because such thinking increases the pain threshold. It decreases stress, increases the immune response, and reduces perception of pain and anxiety. Spirituality does not decrease the infection nor treat without medication. Treatment of infection is through administration of medications to kill the microorganisms. A patient just gave birth to a beautiful baby. The mother says, "It's like a miracle. I don't have words to explain this feeling. My baby is perfect, like something out of this world. Thank you, God." What kind of feeling did the patient just experience? 1 2 Transcendence is a feeling or experience beyond normal and above the material world. It induces positive feelings by allowing people to have new experiences and new perspectives that are beyond the ordinary. Self-transcendence is a feeling and a sense of connecting to one's inner self. Through connectedness, a person feels connected to himself or herself, to others, and to a Supreme Being or God. Hope is a feeling of expectation or desire for positive things to happen. The nurse is assessing a patient to identify spiritual needs. What questions would help the nurse assess the patient's spirituality? Select all that apply. 1, 2, 3 When assessing a patient's spirituality, the nurse should inquire about the patient's feelings and views on life, the level of connectedness with the self and others, and the practice of religion. Asking if the patient attends church (religious practice), the one person the patient is closest to (connectedness), and the patient's goal in life (view of life) would help the nurse identify the patient's spiritual needs. The assignment of a power of attorney and the desire to change professions would not shed light on the patient's spirituality. A patient states that he does not believe in the existence of God. What does this statement indicate about the patient? 2 Atheists do not believe in the existence of God. The spouse of a patient who is terminally ill is in spiritual distress. What other situations adversely affect the spirituality of an individual? Select all that apply. 1, 2, 5 Spirituality is significantly influenced by chronic illness, acute illness, and near-death experiences. The diagnosis of diabetes, a chronic illness, creates stress and anxiety in a person because that person will have to modify his or her lifestyle and diet. A person who experiences a major motor vehicle accident may be in distress and confused, possibly leading to spiritual distress. A patient who had a near-death experience may feel that no one will believe his or her experiences. A successful surgery and the birth of twins likely would elevate the spirits of an individual. A tearful parent of a 10-year-old boy diagnosed with cancer is in the hospital lobby. The nurse comforts the parent, who says that life would be meaningless without the child. What trait is the parent exhibiting? 4 When a person loses the ability to integrate meaning and purpose in life, he or she is said to be in spiritual distress. It causes the person to lose faith, doubt religion, and lose hope. A person who loses belief in religion finds himself or herself in conflict with the self and the religious belief system. The parent does not exhibit a loss of belief in religion or a fear of death. Transcendence is a feeling or experience beyond normal and above the material world. Which dietary practice is followed by a Hindu patient? 4 Food and dietary practices are important components of some religious observations. The believers of some sects of Hinduism are vegetarians. They believe it is not right to kill any living creature for food. A patient who follows the Buddhism will fast on holy days. A patient who practices Mormonism abstains from alcohol and caffeine. Roman Catholic Christians often do not eat meat on Fridays, particularly during Lent. A patient who is spiritually distressed comes for a follow-up. What observations by the nurse indicate positive outcomes in the patient? Select all that apply. 1, 2, 3 When evaluating for goal-directed outcomes, the nurse should check for an increase in hope; a purpose in life; increased connectedness with the self, others, a god, or another spiritual state; and an increase in overall health. Goals set during the planning phase should be the benchmark for assessing the extent of positive outcomes of care. Patients who are hope for good health and who have an increased level of connectedness to their partners exhibit positive outcomes. The patient with positive outcomes tends to become compliant with the prescribed medication regimen. Patients who avoid family and friends and who remain at home with a single activity exhibit a further need for spiritual intervention. Nurses have an important role in patient care that is different from other health care providers. Patients seek out nurses to help them cope up with difficult situations during the course of an illness. What skills would help the nurse understand a patient's spiritual needs? Select all that apply. 2, 3, 4 A skilled nurse who applies concepts of critical thinking, integrates knowledge from past experiences, and is skilled in techniques of therapeutic communication can effectively assess the patient's spiritual needs and help the patient. Politeness and physical and psychological fitness may help in developing a therapeutic relationship with the patient but are not helpful in understanding a patient's spiritual needs. 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. What is the nurse's priority at this time? 1 Many people express their spirituality through their vocations, which can include volunteer positions. The nurse is working in a health clinic on a Navajo reservation. The nurse plans care for the
patients knowing which statement below is true? 1 In Navajo culture, punctuality is not important, thus Navajos may not always be on time for appointments. A young Hindu woman, who is a mother of two children, is admitted to the intensive care unit with myocardial infarction. The patient's family seems to be very sad and refuses to leave the patient. How can the nurse help the patient and her family cope with this difficult time? Select all that apply. 2, 3 To honor their religion, the patient and the family, being followers of Hinduism, should be allowed to chant prayers and hymns near the patient. The nurse should try to comfort the children, who may be in shock, by instilling hope that patients like their mother can recover in a matter of time. The family should be allowed to visit the patient. Denial of rituals may cause spiritual distress in the patient and the family. Therefore, the patient and the family should be allowed to perform religious rituals if safe for the patient. A female Hindu patient may not necessarily ask for a female health care provider. Which positive concept of spiritual health is a patient expressing when she states that her husband loves her? 1 Faith is confidence about something without firm physical evidence. The patient saying, "My husband loves me," indicates positive faith. Hope is a sense of motivation, which helps the patient to live for and look to the future during difficult times. Transcendence is a state of existence above and beyond the limits of material experience. Transcendence affects the spirituality and spiritual health of a person. Connectedness is described as a connection within oneself, with others, and with the environment. The patient's affirmation of his or her partner's love does not indicate hope, transcendence, or connectedness. A female Islamic patient died of leukemia. What nursing
interventions and medical practices are against the beliefs of the Islamic religion? Select all that apply. 1, 4 Organ donation and postmortem examination are against the Islamic religion. Cleaning the body, informing the family members, and praying in groups are allowed by most religions. A patient was diagnosed with cervical cancer and underwent a hysterectomy. During assessment in the recovery room, the patient tells the nurse, "I don't believe in God anymore. I can't believe I can never have a child. Why me? I can never be the same person again." What does this reaction suggest? 2 Spiritual distress results when the patient loses the purpose and meaning of life, loses hope, and loses connectedness with the self and, in this case, with God. A patient suffering from spiritual distress demonstrates a loss of belief in life, self, or God as a result of a health complication. Atheism, wherein a person does not believe in a god or another supreme being usually does not result from surgery or a health condition. The patient has lost her uterus and is upset about it. However, the reaction is more suggestive of spiritual distress. The patient is not in the at-risk stage of spiritual distress but is actually experiencing the spiritual distress. During a spiritual assessment, which question asked by the nurse assesses connectedness? 1 The nurse asks the patient direct questions during a spiritual assessment in order to make clinical decisions required for effective nursing care. Connectedness is described as connection within oneself, with others, and with the environment. To assess the connectedness of the patient, the nurse asks the patient about his or her feelings after prayer. To assess the concept of spirituality and spiritual health, the nurse asks the patient about the patient's source of energy during difficult times. The nurse asks the patient about his or her satisfaction with life, which is an aspect of spiritual assessment. The nurse asks the patient about role changes and the effects of these changes on the patient's life in order to assess the patient's own life and self-responsibility. A 38-year-old patient who is a Jehovah's
Witness is involved in a major motor vehicle accident. The patient was brought to the emergency department and was found to have lost too much blood, thus requiring a blood transfusion. What nursing action should be taken in such a situation? 4 The nurse should be aware that Jehovah's Witnesses do not accept blood and blood products, because they strongly believe in not ingesting blood in any form. A patient's beliefs and principles of life should be honored and the patient should be allowed to decide if he or she wants a transfusion or not. Making a decision on behalf of the patient that is against the patient's life principles or religious practices may significantly affect his or her spiritual well-being and purpose of life. The patient's family may be consulted, but the patient should be allowed to participate in decision making. No blood components, not even red blood cells, are accepted by Jehovah's Witnesses. An elderly patient who is a devout Christian is admitted to the hospital with partial paralysis. The patient's son visits the patient daily and is very supportive. What nursing actions demonstrate the nurse's caring
presence? Select all that apply. 1, 3, 4 Establishing a caring presence provides hope for recovery and contributes to physical, mental, and spiritual well-being. Behaviors that establish the nurse's presence include doing things that help the patient's physical and spiritual well-being such as reading a sacred text to the patient, involving the family in making decisions and planning care, and answering the patient's questions promptly. Simply checking vital signs and exchanging health information with the patient or health care provider is not being present to attend to the patient's spiritual needs. When treating a patient who is a Muslim, what factors should the nurse keep in mind? Select all that apply. 2, 5 Muslims do not eat pork; they consider it taboo. During Ramadan, they eat only after sunset and fast for the whole month. Islam prohibits alcohol consumption. Muslims usually pray 5 times a day. Followers of Islam have no restrictions regarding eating meat on Friday. Some Christians do not eat meat on Fridays during Lent. A female Islamic patient is in the terminal stage of leukemia. The patient wants to end her life due to her suffering and hopelessness. Furthermore, she is not responding to
pharmacological interventions. What should the nurse suggest to the caregivers to promote spirituality? Select all that apply. 1, 2 Muslims believe in faith healing, and therefore it should be promoted. The patient is in the terminal stages of illness. The nurse should promote spiritual health in the patient by permitting family and friends to visit. Muslims do not encourage euthanasia. They do not discuss death and hope for the best outcome. Therefore, the nurse should not discuss death but should encourage hope for a good outcome. The nurse understands that some people believe that there is no known ultimate reality. These people are referred to as agnostics.
What are the beliefs of an agnostic person? Select all that apply. 1, 3, 4 Agnostics believe that there is no ultimate reality; they tend to discover meaning in what they do and how they live. They are unable to find the ultimate meaning for the way things are. They believe that people bring meaning to what they do. An atheist does not believe in the existence of God and searches for the meaning of life through work and relationships with others. An elderly patient is suffering from a chronic illness with multiple medical conditions and has a poor
prognosis for recovery. What nursing actions are appropriate during the last hours of life before death? Select all that apply. 2, 3, 4 A patient in the last stages of life may greatly benefit from a visit from a member of the clergy. A meeting with a cleric might help the patient attain peace and tranquility. If the patient desires to meet someone in particular, the nurse should arrange for such a meeting. The nurse can help the patient get relief from pain and be comforted and relaxed with the help of guided imagery and other relaxation techniques. Spiritual interventions should be continued until the end of life. They prepare the patient to leave the world in peace. Withdrawal of life support should be a decision made by family or the patient and is definitely not the nurse's call. The nurse tries to calm down a patient diagnosed with cancer. The nurse asks the patient to have faith in God; however, the patient turns out to be an atheist. What does an atheist believe? 3 Atheists do not believe in God. They often seek meaning in life through whatever they do and how they treat others. Many people believe in God as the Supreme Being controlling the universe or a supernatural power that governs the universe. People following Hinduism believe that sins from the past have to be dealt with in the present or future life. |
