Nursing Fundamentals 121 Final Exam
Questions With Verified Answers
assessment findings indicating pts see spirituality as a source of strength -
ANSWER -Religious symbol or book in the room
-Religious service televised in room
-Prayer before meals, reading religious material
-Verbalization of religion, fear of death, asking for clergy
-Minister or spiritual mentor visitor
manifestations of different types of spiritual distress, including treatment-
related, situational, physiologic, and psychologic - ANSWER Psychologic:
Fear, loss of connection with god, depression
Physiologic: Disturbed sleep pattern r/t spiritual distress, fatigue, weakness
Treatment-related: Decisional conflict between treatment plan and religious
belief
Situational: Inability to practice one's spiritual rituals ex: "why god"
Feelings of embarrassment
interventions to support client's specific religious practices - ANSWER -
Respect beliefs affecting diet
Jews: kosher diet (no shellfish/pork)
Catholics: avoid meat on Fridays
-Respect beliefs related to healing
-Respect beliefs related to dress
Do not cut pts body hair (for IV/surgery) if they have vowed to never cut
body hair for Khalsid Sikh
-Respect beliefs related to birth
-Respect beliefs related to death
-Allow time, privacy for worship, prayer, meditation
-Assess how pts religious needs can be met
,FICA assessment model - ANSWER F: faith or beliefs
"What spiritual beliefs are most important to you?"
I: implications or influence
"How is your faith affecting the way you cope now"
C: community
"Is there a group of like-minded people that you meet with regularly"
A: address
How can we support you spiritually
spiritual well-being assessment findings - ANSWER Trusting relationships,
inner strength, meaningfulness, motivation, commitment to higher values
such as hope, truth, trust, feeling alive, purposeful and fulfilled
spiritual distress assessment findings - ANSWER Lack of hope, meaning,
purpose, forgiveness, intimacy w the divine, anger or lack of interest about
spiritual nurturing people
relationship between religious views and stress and coping - ANSWER
Negative religious coping is associated w poor adjustment and outcomes
"God is punishing me" or "God/my church isn't there for me anymore"
Make appropriate referral, chaplain, if it is observed
specific rituals for various religions in regard to death and dying, such as
Muslim beliefs, Catholic beliefs, Protestant beliefs, etc. - ANSWER Pts fam
may need to observe their dying loved one get a ritual performed to feel
spiritually comforted
catholics and death/dying - ANSWER Receive "anointing of the sick" when
very sick or nearing death
Free of pain in order to die with comfort
muslims and death/dying - ANSWER Want to face Mecca and say a prayer
to be loyal to Allah
Bathe and prepare the body, Bury, (forbidden to cremate) within 24hrs after
death
jews and death/dying - ANSWER Burial w/in 24hrs of death except in the
Sabbath
, nuclear family - ANSWER Mother, father and their offspring (traditional
family usually married)
binuclear family - ANSWER When two biological parents divorce but
continue to raise their children in partnership with one another
Children spend significant time w both parents, going from one house to
the other on a schedule
Special consideration: ensure health promotion guidance and education for
care of child w acute/chronic condition are communicated effectively to
both biological parents
Extended family: - ANSWER Grandparents, aunts, uncles, cousins;
relatives of nuclear family
May live w or away from fam
May be source of emotional, financial support
May share household and childrearing responsibilities
May raise children when parents are unable to care for them
Extended-kin network family: - ANSWER Two nuclear families living in
close proximity to one another
Share chores, childrearing, services
Common in Latino community
Two-career families: - ANSWER Both partners are employed by choice or
necessity
May or may not have children
Have to address issues r/t child care, chores, spending time together
Single-parent family - ANSWER Family w one parent
Can result from divorce, separation, death, adoption, unplanned pregnancy
Poverty w women heads 40.7% living in poverty
Risk of poverty because of lack of child support, unequal pay, high costs of
child care
Nurses need to assess strengths and needs r/t providing care for family
Can also help connect families w available resources (school
breakfast/lunch programs and child care subsidy assistance)
Adolescent family - ANSWER Parent is an adolescent
Likely to face lower educational levels, lower income generation, more
reliance on welfare
Questions With Verified Answers
assessment findings indicating pts see spirituality as a source of strength -
ANSWER -Religious symbol or book in the room
-Religious service televised in room
-Prayer before meals, reading religious material
-Verbalization of religion, fear of death, asking for clergy
-Minister or spiritual mentor visitor
manifestations of different types of spiritual distress, including treatment-
related, situational, physiologic, and psychologic - ANSWER Psychologic:
Fear, loss of connection with god, depression
Physiologic: Disturbed sleep pattern r/t spiritual distress, fatigue, weakness
Treatment-related: Decisional conflict between treatment plan and religious
belief
Situational: Inability to practice one's spiritual rituals ex: "why god"
Feelings of embarrassment
interventions to support client's specific religious practices - ANSWER -
Respect beliefs affecting diet
Jews: kosher diet (no shellfish/pork)
Catholics: avoid meat on Fridays
-Respect beliefs related to healing
-Respect beliefs related to dress
Do not cut pts body hair (for IV/surgery) if they have vowed to never cut
body hair for Khalsid Sikh
-Respect beliefs related to birth
-Respect beliefs related to death
-Allow time, privacy for worship, prayer, meditation
-Assess how pts religious needs can be met
,FICA assessment model - ANSWER F: faith or beliefs
"What spiritual beliefs are most important to you?"
I: implications or influence
"How is your faith affecting the way you cope now"
C: community
"Is there a group of like-minded people that you meet with regularly"
A: address
How can we support you spiritually
spiritual well-being assessment findings - ANSWER Trusting relationships,
inner strength, meaningfulness, motivation, commitment to higher values
such as hope, truth, trust, feeling alive, purposeful and fulfilled
spiritual distress assessment findings - ANSWER Lack of hope, meaning,
purpose, forgiveness, intimacy w the divine, anger or lack of interest about
spiritual nurturing people
relationship between religious views and stress and coping - ANSWER
Negative religious coping is associated w poor adjustment and outcomes
"God is punishing me" or "God/my church isn't there for me anymore"
Make appropriate referral, chaplain, if it is observed
specific rituals for various religions in regard to death and dying, such as
Muslim beliefs, Catholic beliefs, Protestant beliefs, etc. - ANSWER Pts fam
may need to observe their dying loved one get a ritual performed to feel
spiritually comforted
catholics and death/dying - ANSWER Receive "anointing of the sick" when
very sick or nearing death
Free of pain in order to die with comfort
muslims and death/dying - ANSWER Want to face Mecca and say a prayer
to be loyal to Allah
Bathe and prepare the body, Bury, (forbidden to cremate) within 24hrs after
death
jews and death/dying - ANSWER Burial w/in 24hrs of death except in the
Sabbath
, nuclear family - ANSWER Mother, father and their offspring (traditional
family usually married)
binuclear family - ANSWER When two biological parents divorce but
continue to raise their children in partnership with one another
Children spend significant time w both parents, going from one house to
the other on a schedule
Special consideration: ensure health promotion guidance and education for
care of child w acute/chronic condition are communicated effectively to
both biological parents
Extended family: - ANSWER Grandparents, aunts, uncles, cousins;
relatives of nuclear family
May live w or away from fam
May be source of emotional, financial support
May share household and childrearing responsibilities
May raise children when parents are unable to care for them
Extended-kin network family: - ANSWER Two nuclear families living in
close proximity to one another
Share chores, childrearing, services
Common in Latino community
Two-career families: - ANSWER Both partners are employed by choice or
necessity
May or may not have children
Have to address issues r/t child care, chores, spending time together
Single-parent family - ANSWER Family w one parent
Can result from divorce, separation, death, adoption, unplanned pregnancy
Poverty w women heads 40.7% living in poverty
Risk of poverty because of lack of child support, unequal pay, high costs of
child care
Nurses need to assess strengths and needs r/t providing care for family
Can also help connect families w available resources (school
breakfast/lunch programs and child care subsidy assistance)
Adolescent family - ANSWER Parent is an adolescent
Likely to face lower educational levels, lower income generation, more
reliance on welfare
