Portage Learning; MED Nursing Fundamentals Week 9 Exam and Summary/Definition in this one Document (Latest)

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Portage Learning; MED Nursing Fundamentals Week 9 Exam and Summary/Definition in this one Document (Latest) A student nurse is telling a faculty member that her patient talked about gaining spiritu... al comfort from being focused on her inner self, including her values and principles. The instructor explains that this is an example of: 1. Faith. 2. Community. 3. Interpersonal connection. 4. Self-transcendence. Health care agencies often have assessment tools to use in clarifying patient values and assess spirituality. Using the FICA assessment tool, match the criteria on the left with the appropriate assessment question on the right. 1. F—Faith ___ 2. I—Importance of spirituality ___ 3. C—Community ___ 4. A—Interventions to address spiritual needs ___ a. Tell me if you have a higher power or authority that helps you act on your beliefs b. Describe which activities give you comfort spiritually? c. To whom do you go for support in times of difficulty? d. Your illness has kept you from attending church. Is that a problem for you? A nurse is caring for a 78-year-old patient with chronic multiple sclerosis. The patient has severe fatigue, muscle weakness, severe muscle spasms, and difficulties with coordination and balance. Her disease will likely worsen. The nurse has gained the patient's trust and wants to assess her life satisfaction. Which of the following questions should the nurse ask? (Select all that apply.) 1. How often are you able to attend your synagogue? 2. What about your family makes you proudest? 3. What does your husband do for you at home? 4. Looking back, what is your greatest accomplishment? 5. How has your illness affected the way you live your life spiritually at home? You are caring for a hospitalized patient who is Muslim and has diabetes. Which of the following items do you need to remove from the meal tray when it is delivered to the patient? 1. Small container of vanilla ice cream 2. A dozen red grapes 3. Bacon and eggs 4. Garden salad with ranch dressing A 44-year-old male patient has just been told that his wife and child were killed in an auto accident while coming to visit him in the hospital. Which of the following statements are defining characteristics that support a nursing diagnosis of Spiritual Distress related to loss of family members? (Select all that apply.) 1. "I need to call my sister for support." 2. "I have nothing to live for now." 3. "Why would my God do this to me?" 4. "I need to pray for a miracle." 5. "I want to be more involved in my church." A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. You have cared for her for only 2 hours but have a good relationship with her. What might be the most appropriate intervention for support of her spiritual well-being at this time? 1. Make a referral to a professional spiritual care advisor 2. Sit down and talk with the patient; have her discuss her feelings and listen attentively 3. Move the patient's bible from her bedside cabinet drawer to the top of the over-bed table 4. Ask the patient if she would like to learn more about the implications of having this type of tumor A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation. Which of the following strategies are appropriate? (Select all that apply.) 1. Encourage family members to participate in the exercise. 2. Have patient identify a quiet room in the home that has minimal interruptions. 3. Suggest use of a quiet fan running in the room. 4. Explain that it is best to meditate about 5 minutes 4 times a day. 5. Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer. A student nurse is developing a plan of care for a 74-year-old-female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.) 1. Older adults do not routinely use complementary medicine to cope with illness. 2. Older adults dislike discussing the afterlife and what might have happened to people who have passed on. 3. Older adults achieve spiritual resilience through frequent expressions of gratitude. 4. Have the patient determine if her husband left a legacy behind. 5. Offer the patient her choice of rituals or participation in exercise. A patient states that he does not believe in a higher power but instead believes that people bring meaning to what they do. This patient most likely is an: 1. Academic. 2. Atheist. 3. Agnostic. 4. Anarchist. A nurse begins a night shift, assuming care for a critically ill patient who was resuscitated earlier in the day from cardiac arrest. He survived and is physically stable, alert, oriented, and responding appropriately to the nurse's questions. Knowing that the patient experienced a period when his heart stopped beating, what would be the best approach for the nurse to use with him? 1. Have family come to visit and focus discussion about their gratitude that the patient survived 2. Change the subject when the patient begins talking about entering a dark tunnel when the doctors were resuscitating him 3. Sit and encourage the patient to share what he experienced during resuscitation 4. Provide the patient the opportunity to have passages from the bible read to him A nurse is caring for a patient with a seriously advanced infection who asks to have a spiritual care provider come who can offer Blessing way, a practice that attempts to remove ill health. This patient is likely a member of which religion or culture? 1. Hinduism 2. Navajo 3. Sikhism 4. Judaism Evaluation of spiritual care is necessary to determine if a patient's level of spiritual health has changed following intervention. If the use of rituals was part of a nurse's care plan, which of the following questions is most appropriate to evaluate its efficacy? 1. Do you feel the need to forgive your wife over your loss? 2. What can I do to help you feel more at peace? 3. Were prayer or meditation helpful to you? 4. Should we plan on having your family try to visit you more often in the hospital? Summary/Definition(sample) Rapid Eye Movement (REM) Sleep ----Stage of sleep in which dreaming and rapid eye movements are prominent; important for mental restoration Rest ----Usually a feeling of being mentally relaxed, free from anxiety, and physically calm. Does not imply inactivity, although everyone often thinks of it as settling down in a comfortable chair or lying in bed. To be in a state of mental, physical, and spiritual activity that leaves them feeling refreshed, rejuvenated, and ready to resume the activities of the day Sedatives ----Medications that produce a calming effect by decreasing functional activity, diminishing irritability, and allaying excitement Sleep ----State marked by reduced consciousness, diminished activity of the skeletal muscles, and depressed metabolism Sleep Apnea ----Cessation of breathing for a time during sleep Sleep Deprivation ----Condition resulting from a decrease in the amount, quality, and consistency of sleep Sleep Hygiene ----Practices that a patient associates with sleep [Show More]

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