ANSWERS GRADED A+
✔✔Spirituality pt 1 - ✔✔-unique to each person
-principle, experience, attitudes and beliefs regarding a transcendence and the inner
person
-Quality of life, meaning, purpose, health, sense of wholeness/connectedness are
affected by spirituality
-internalized identity or experience
✔✔Religion - ✔✔outward expression of persons spiritual belief
-helps maintain their faith and spiritual needs
✔✔Religiosity - ✔✔-external expression in form of practicing faith/belief
-expression of moral beliefs
✔✔Attributes and criteria of spirituality - ✔✔-spirituality is universal
-illness impacts spirituality
-patient and or family must be willing to share and act on spiritual beliefs
-spiritual beliefs and practices are impacted by family and culture
✔✔Attributes and criteria of spirtuality - ✔✔-Nurse must be willing to assess and
integrate patient beliefs into care
-Nurse must be willing to consult with/refer to appropriate spiritual expert
-community-based religious organization can provide support /resources
✔✔puchalski's spiritual care implementation model - ✔✔
✔✔Atchelys continuity theory of the spiritual self - ✔✔-deep inner silence
-insight
-compassion
-connection with the ground of being
-transcendence of personal self
-wonder
-transformation
✔✔What mandates spiritual care to be provided - ✔✔-the joint commission
✔✔Nursing in holistic - ✔✔-we should assess all needs
✔✔Why nurses neglect spiritual care - ✔✔-Failure to recognize spiritual needs
-Feeling inadequate to meet the needs
-Insufficient focus on spirituality in nursing education
-Belief nurse must be personally "religious" to meet the spiritual needs of the patient
,-Personal discomfort by nurses discussing area that does not have concrete answers
✔✔Spiritual care begins with assessment - ✔✔-engaging in conversation conveys
openness to patients
-should be done on every patient , starting with general questions/ follow up with more
specific
✔✔Spirituality assessment tools - ✔✔FICA
-faith or beliefs
-importance or influence
-community
-address
HOPE (approach)
H-what are sources of hope
O-organized religion
P-personal spirituality and practice
E-effects on medical care and end of life issues
✔✔Interventions of providing spiritual care - ✔✔Communication- hearing verbal and
paying attention to nonverbal gestures
Action- implementing spiritual care/giving verbal support ; referral to Chaplin, prayer,
etc.
Presence- most important; demonstrating presence through active listening , empathy,
humility , vulnerability
✔✔Spirituality featured exemplars - ✔✔Faith
Hope
prayer
sacraments (Baptism, holy communion)
mindfulness ( mind, body, spirit)
✔✔Enculturation - ✔✔Process by which a person learns norms, values, and behaviors
of another culture similar to socialization
✔✔Acculturation - ✔✔process of acquiring new attitudes, roles, customs, or behaviors
as a result of contact with another culture
✔✔Assimilation - ✔✔process by which a person gives up his or her original identity and
develops a new cultural identity by becoming absorbed into the more dominant cultural
group
✔✔Biculturalism - ✔✔Individual has a dual pattern of identification and chooses which
aspects of the new culture he or she wishes to adopt and which aspects of the
individual's original culture he or she wishes to retain
, ✔✔Ethnicity - ✔✔refers to a common ancestry that leads to shared value and beliefs
✔✔religiosity - ✔✔is an organized and institutionalized practice associated with beliefs
✔✔spirituality - ✔✔is an individualistic connection to a higher power, which may or may
not entail belonging to an organized religion
✔✔cultural competence - ✔✔conveying acceptance of the patients health beliefs while
sharing information, encouraging self- efficacy, and strengthening the patient's coping
resoucres
✔✔Self-awareness - ✔✔involves identifying and understanding one's own culture
identity.
✔✔Faith - ✔✔refers to a specific religion tradition or belief in something that cannot be
touched or seen
✔✔Hope - ✔✔refers to wishes, beliefs, and actions taken in situations of uncertainty
✔✔Prayer - ✔✔conversation with a higher power, however that higher power is
conceived
✔✔Sacraments - ✔✔recognized by Christian faith, represents special occasions for
experiencing gods saving presence
✔✔Purpose of the physical examination - ✔✔-Triage for emergency care
-to admit a patient to a hospital or long-term facility
-routine screening to promote health and wellness
-To determine eligibility for; military, new job, health insurance
✔✔Use physical examination for - ✔✔-gather data about patients health status
-supplement, confirm, or refuse subjective data obtained in the nursing history
-Identify and confirm nursing diagnosis
-make clinical decisions
-evaluate the outcome of care
✔✔Physical examination allows nurse to refer to - ✔✔-physiological outcomes of care
-The normal range of physical findings
-Pattern of findings identified when the patient is first assessed
✔✔Complete assessment - ✔✔-includes complete health history and physical exam
and forms baseline database