Psychosocial Wellbeing / Exam 5 / NUR 112 Questions With
Complete Solutions
- Acute illness
- Chronic illness
- Terminal illness
- Near death experience Correct Answers Spiritual problems:
- Applies to a group of people who share values and ways of
thinking and acting.
- Provides a framework in which illness is defined; People tend
to react differently to disease based on their cultural perspective.
- Some syndromes or illnesses are restricted to a culture or
group of people. Example: Tay-Sachs disease- Almost exclusive
to the Jewish population Correct Answers What is culture?
- Are there any religious practices that are important to you?
Please tell me about them.
- How will being sick interfere with your religious practices?
- How is your faith helpful to you?
- Would you like a visit from your spiritual counselor or the
hospital chaplain?
- What comforts you during hard times? Correct Answers
*Spiritual Assessment Questions*:
- Assess your feelings regarding death & dying and be able to
handle feelings appropriately.
- Coping with the loss of a client:
• Process feelings
• Seek support Correct Answers Care of Nurses, *The Nurse's
Response*
,- Call
- Cope
- Concerns
- Caused Correct Answers What are the 4 C's of Cultural
Assessment?
- Dyspnea (difficulty breathing)
- Hypotension
- Anorexia, Nausea, & Dehydration
- Altered LOC
- Pain
Treat the dying patient's symptoms. Focus on *comfort
measures*. Correct Answers Physiological Changes in the
Dying Client:
• *Communication patterns*—Be careful with nonverbal
(personal space, eye contact, touching)
• *Time orientation*— Perception of time (future time, present
time). Not all cultures value being on time or think of time in the
same way we do.
• *Caring beliefs and practices*—Determine your pt's definition
of caring and use it when working with patients and their
families.
• *Grief and loss* —Cultures assign different meanings to the
death of a child, young person, or an older adult.
, •Acknowledge cultural rites associated with dying and death.
Correct Answers Communication (Review):
• *Goals and outcomes*— Consider pt's supportive family
members, methods for coping, spiritual beliefs, and physical
energy.
•Setting priorities— Address pt's most urgent physical or
psychological needs first.
•Collaborative care— Interdisciplinary team (social worker,
spiritual care providers, nurses, hospice) Correct Answers
Planning:
• Advocate for your patient based on his/her world view.
• Respect cultural background & cultural practices.
• Plan/provide care that is safe, effective, & culturally sensitive.
Correct Answers Providing Culturally Competent Nursing
Care:
• Alternative medications
• Blood products
• Rituals
• Traditions
• Customs
• Values Correct Answers Spiritual Practices & Beliefs
Affecting Nursing Care:
• Clear communication is essential
• *Teach Back*- Used to confirm that you have explained what
a patient needs to know in a manner the patient understands.
Complete Solutions
- Acute illness
- Chronic illness
- Terminal illness
- Near death experience Correct Answers Spiritual problems:
- Applies to a group of people who share values and ways of
thinking and acting.
- Provides a framework in which illness is defined; People tend
to react differently to disease based on their cultural perspective.
- Some syndromes or illnesses are restricted to a culture or
group of people. Example: Tay-Sachs disease- Almost exclusive
to the Jewish population Correct Answers What is culture?
- Are there any religious practices that are important to you?
Please tell me about them.
- How will being sick interfere with your religious practices?
- How is your faith helpful to you?
- Would you like a visit from your spiritual counselor or the
hospital chaplain?
- What comforts you during hard times? Correct Answers
*Spiritual Assessment Questions*:
- Assess your feelings regarding death & dying and be able to
handle feelings appropriately.
- Coping with the loss of a client:
• Process feelings
• Seek support Correct Answers Care of Nurses, *The Nurse's
Response*
,- Call
- Cope
- Concerns
- Caused Correct Answers What are the 4 C's of Cultural
Assessment?
- Dyspnea (difficulty breathing)
- Hypotension
- Anorexia, Nausea, & Dehydration
- Altered LOC
- Pain
Treat the dying patient's symptoms. Focus on *comfort
measures*. Correct Answers Physiological Changes in the
Dying Client:
• *Communication patterns*—Be careful with nonverbal
(personal space, eye contact, touching)
• *Time orientation*— Perception of time (future time, present
time). Not all cultures value being on time or think of time in the
same way we do.
• *Caring beliefs and practices*—Determine your pt's definition
of caring and use it when working with patients and their
families.
• *Grief and loss* —Cultures assign different meanings to the
death of a child, young person, or an older adult.
, •Acknowledge cultural rites associated with dying and death.
Correct Answers Communication (Review):
• *Goals and outcomes*— Consider pt's supportive family
members, methods for coping, spiritual beliefs, and physical
energy.
•Setting priorities— Address pt's most urgent physical or
psychological needs first.
•Collaborative care— Interdisciplinary team (social worker,
spiritual care providers, nurses, hospice) Correct Answers
Planning:
• Advocate for your patient based on his/her world view.
• Respect cultural background & cultural practices.
• Plan/provide care that is safe, effective, & culturally sensitive.
Correct Answers Providing Culturally Competent Nursing
Care:
• Alternative medications
• Blood products
• Rituals
• Traditions
• Customs
• Values Correct Answers Spiritual Practices & Beliefs
Affecting Nursing Care:
• Clear communication is essential
• *Teach Back*- Used to confirm that you have explained what
a patient needs to know in a manner the patient understands.
