Chapter 46

Question 1

identify three spiritual needs believed to be common to all people

Answer 1

1. need for meaning and purpose
2. need for love and relatedness
3. need for forgiveness

Question 2

influences of spirituality on everyday living, health and illness

Answer 2

daily living habits (diet, birth-control)
source of support( church, prayer, devotional reading)
source of strength and healing ( family,)
source of conflict( blood transfusion, punishment)

Question 3

life-affirming influences of religious beliefs

Answer 3

enhance life, give meaning and purpose to existence, strengthen one’s feelings of self-worth, encourage self-actualization, and health giving and life sustaining.

Question 4

Life denying influences of religious beliefs

Answer 4

restrict or enclose life patterns, limit experiences and associations, place burdens of guilt on individuals, encourage feelings of unworthiness and are generally health denying and life inhibiting

Question 5

identify five factors that influence spirituality

Answer 5

1. Developmental considerations
2. Family
3. ethnic background
4. formal religion
5. life events

Question 6

identify appropriate interview questions and observation skills in performing a nursing assessment of spiritual health

Answer 6

Spiritual belief system
Personal spirituality
Integration and involvement in a community
Ritualized practices and restrictions
Implications for medical care
Terminal events planning

Question 7

Develop basic nursing Dx that correctly identify spiritual problems

Answer 7

Readiness for enhances spiritual well-being
spiritual distress
spiritual guilt
impaired religiosity 
fear
hopelessness
self-esteem disturbance
ineffective individual coping

Question 8

Spiritual Distress

Answer 8

Impaired ability to experience and integrate meaning and purpose in life through one’s connectedness with self, others, art, music, literature, nature, or a power greater than oneself.

Question 9

how can religious influences affect a person

Answer 9

Life affirming

Life denying

Question 10

Life affirming

Answer 10

enhance life, give meaning and purpose to existence

Question 11

Life denying

Answer 11

restrict or enclose life patterns, limit experiences and associations place burdens of guilt on individuals.

Question 12

anything that pertains to a person’s relationship with a nonmaterial life force or higher power

Answer 12

spirituality

Question 13

confident belief in something for which there is no proof or material evidence

Answer 13

faithd

Question 14

one who holds that nothing can be know about the existence of a higher power.

Answer 14

Agnostic

Question 15

A person who denies the existence of a higher power

Answer 15

Atheist

Question 16

An organized system of beliefs about a higher power characterized by set forms of worship, spiritual practices and codes of conduct

Answer 16

Religion

Question 17

The ingredient in life responsible for a positive outlook in even life’s bleakest moments

Answer 17

Hope

Question 18

The condition that exists when the universal spiritual needs for meaning and purpose, love and belonging, and forgiveness are met

Answer 18

Spiritual health and healing

Question 19

How to enhance spiritual health of patient

Answer 19

being sensitive, giving meaning and purpose, love, relatedness
patient expressing satisfaction

Question 20

How to address spiritual distress

Answer 20

Individualize care

explore the origin of beliefs and identify factors in life that challenge spiritual beliefs

Question 21

Implementing spiritual care

Answer 21

be open to patients expression of loneliness and powerlessness
encourage chapel service if desired
encourage use of spiritual resources if desired
refer to spiritual advisor of patients choice
be available to listen to patients feelings
be open to patients feelings about illness and death

Question 22

facilitating the practice of Religion

Answer 22

respect patient need for privacy or quiet during periods of prayer
attempt to meet patients religious dietary restriction
arrange for patients minister, priest or rabbi to visit

Question 23

counseling patients spiritually

Answer 23

articulate spiritual beliefs
develop spiritual beliefs and purpose, care and relatedness, forgiveness
explore the origin of the patient’s spiritual beliefs and practices

Question 24

Room preparation for spiritual counselor visit

Answer 24

make the counselor feel welcome
answer questions about patient
direct the counselor to the patient, ensure patient is ready for counselor
The room should be orderly and free of unnecessary equipment and items
The bedside table should be free of items
Provide privacy

Question 25

Evaluating expected outcomes for spirituality

Answer 25

patient will be able to identify some spiritual belief that gives meaning and purpose to everyday life move toward a healthy acceptance of the current situation: illness, pain, suffering, impending death. Develop mutually caring relationships reconcile any interpersonal differences causing the patient anguish

Question 26

believe in the individual's choice and God's sovereignty (body is the temple of God) The taking of all narcotics and stimulants is prohibited Saturday is the sabbath Approach to healthcare is holistic

Answer 26

Adventist

Question 27

Members are encourage to obtain healthcare provided by members of the black community extreme cleanliness prohibitions against pork and alcohol

Answer 27

American Muslim Mission

Question 28

believe in a basic harmony between religion and science seek competent medical care and pray for health 19 day fast obligatory prayers, holy days permanent sterilization is prohibited and abortion is discouraged

Answer 28

Baha'i international community

Question 29

accepts modern science the doctrine of avoidance of extremes is applied to the use of drugs, blood, vaccines does not condone taking lives of any form check with patient about any special diet restrictions and the observance of holy days

Answer 29

Buddhism

Question 30

Christian scientist

Answer 30

They deny the existence of health crises; sickness and sin are errors of human mind and can be overcome by altering thoughts they will use orthopedic services to set a bone decline drugs and other medical or surgical procedures Alcohol and tobacco are not use

Question 31

Disapprove of alcohol, tobacco, and caffeinated beverages Special undergarment worn by some members should be removed only in an emergency. believe in divine healing "laying on of hands" many do not prohibit medical therapy

Answer 31

Church of Jesus Christ of Latter Day Saints (Mormons)

Question 32

appreciate life and desire to keep the body from untimely or unnecessary death emphasized public health solutions to impending health problems

Answer 32

confucianism

Question 33

knowing and living a natural life, fellowing the Tao is the secret of both health and sagehood "medicinal" concern for maintaining and prolonging human health and life

Answer 33

Daoism(Taoism)

Question 34

doctrine of "karma" believed to be significant in promoting health or causing disease avoid touching patient's lips disposal of the body is by cremation

Answer 34

Hinduism

Question 35

blood transfusions violate God's laws and, not allowed | oppose the "false teaching" of other sects

Answer 35

Jehovah's witnesses

Question 36

The Hebrew bible is the authority Treatment and procedures should not be schedule on the sabbath For the observant: special needs in the areas of diet, birth rituals, male, female contact and death

Answer 36

Judaism

Question 37

Islam beliefs and select healthcare practices

Answer 37

must be able to practice the five Pillars may have a fatalistic view of health eating pork and drinking alcohol are forbidden, some women are not allowed to make independent decisions; husbands may need to be present when consent is sought.

Question 38

believe in reincarnation or transcendent . medicine men and women have specialized spirits from whom they receive the mission to cure. common therapeutic measures: sucking, blowing, and drawing out with a feather fan.

Answer 38

Native American Religions

Question 39

Care of sick encouraged. Most accept modern medical science. prayer, fait healing, "laying on of hands" and anointing. Sacraments: baptism, communion, confirmation

Answer 39

Protestantism

Question 40

Roman Catholicism beliefs and healthcare practices

Answer 40

private devotions and Mass attendance on sunday. seven sacraments(importance of baptism, eucharist, penance, and the anointing the sick). dietary habits, sexual ethical norms. only natural means of birth control, abortion, euthanasia, and sterilization are forbidden.

Question 41

most members are still healthy young adults. | little informations available on their interactions with healthcare

Answer 41

Unification church

Question 42

The inherent worth and dignity of every person is affirmed. | free to accept what they take to be best for their health.

Answer 42

Unitarian Universal Association of Churches and fellowships