Question 1

What is the relationship between nursing practice and spiritual care?

Accepted Answer

RAT: The concept of providing spiritual care derives from an aspect of nursing theory that states humans are biological-psychological-spiritual beings.Nurses are aware that many clients have spiritual needs;however,the practice of spiritual care by nurses is often infrequent.

Question 2

What attitudes and behaviours can best help nurses to be culturally sensitive?

Accepted Answer

RAT: To be culturally sensitive,nurses need to be open and inquiring.Health care providers do not need to know everything but,instead,need to seek information and know where to find it.

Question 3

What are clients said to experience when feel they have lost their hopes and dreams following bad news,such as a terminal diagnosis?

Accepted Answer

RAT: There is often loss of hopes and dreams following bad news.This sense of loss may be experienced as anticipatory grief.As the illness progresses,the resulting series of losses can be experienced as intensified grief by both the client and family.

Question 4

Why is there no one definition of spirituality?

Accepted Answer

RAT: There is much debate about a definition of spirituality.Jones and others suggest that an individual's perception of spirituality is unique,and with this perspective believe that there can never be one universally accepted definition because spirituality means different things to different people.

Question 5

What are nurses seeing a client express when they participate in rituals and ceremonies such as prayer?

Accepted Answer

RAT: Religious beliefs are expressed through rituals and ceremonies.They are influenced by sacred writings and prescribe codes of behaviour within their community.

Question 6

In the Canadian context,what does the term cultural care encompass?

Accepted Answer

RAT: The term cultural care includes tolerance and is a concept understood by care providers in Canada.Culturally appropriate care includes the customs,traditions,and practices that are shared among a group of people.

Question 7

Which of these terms means "to remember one's value"?

Accepted Answer

RAT: Legacy means to remember one's value.Someone who is sick of being debilitated or ill may need to be reminded of their value.Family and friends need to let them know they will be remembered.The nurse can also provide validation by comments on how they uniquely contributed to the lives of children,grandchildren,and others.

Question 8

What should nurses be concerned about if they observe secretiveness,suppression of criticism,and inappropriate obedience?

Accepted Answer

RAT: Secretiveness,denial of rights and freedoms,suppression of criticism,and inappropriate obedience may be signs of spiritual abuse.This type of abuse can occur in cults,communal communities that restrict individual rights,allow abusive sexual relationships,overemphasize authority,and include fundamental perfectionism.

Question 9

What explanation helps nurses understand a connection between religion and spirituality?

Accepted Answer

RAT: Spirituality is expressed through a wide range of both formal and informal means.Religion is just one way of expressing spirituality reflected in the beliefs and practices that unite its adherents in the community.

Question 10

You are caring for a terminally ill client.What are you proactively obtaining when you determine the clients wishes regarding care after death and who will speak for them when they are no longer able?

Accepted Answer

RAT: A spiritual-cultural assessment should be conducted early on,preferably on admission.The nurse needs to know right away who is going to speak for the client;always assuming clients speak for themselves unless they are incapable or they have made another directive.The nurse needs to determine if there are special considerations for after-death care,including handling of the body and burial or cremation practices.

Question 11

What is the Canadian Nurses Association's (CNA)position on spirituality?

Accepted Answer

RAT: The Canadian Nurses Association (CNA)(2009)believes that spirituality is an integral dimension of human health and is an important part of nursing practice.

Question 12

Who is at the centre of the eight domains of palliative care?

Accepted Answer

RAT: The client and the family are at the centre of the eight domains of issues in hospice palliative care.The eight domain issues are these: disease management;physical,psychological,social,spiritual,practical,and end-of-life care;and loss and grief.

Question 13

What are two simple spiritual care practices every nurse can adopt?

Accepted Answer

RAT: Studies have shown that a nurse with a confident,focused,and compassionate presence can have a positive physical and emotional impact.Just showing up and simply entering the room can lower the anxiety of the client and decrease their blood pressure.The client feels that "the nurse will take care of me." Developing a trusting therapeutic relationship between client and care provider can greatly assist healing.It is important for clients to feel safe when experiencing vulnerability needs to feel safe.

Question 14

What is the main lesson from Maslow's Hierarchy of Needs?

Accepted Answer

RAT: Maslow's model teaches care providers that basic physical needs must be met first,before higher order needs.Nurses need to meet the physical needs such as food,water,sleep,and shelter and next security needs so that the client feels secure.When care providers such as nurses move upward in the model toward love and belonging,we increase the opportunity for supportive care such as companioning,affection,and spiritual care.

Question 15

Which of the following differentiates spirituality from religion?

Accepted Answer

RAT: The concepts of spirituality and religion are increasingly seen as distinct.Religion can be viewed as a system and social institution that is joined by individuals who share beliefs,traditions,and rituals.The main difference is that religions are readily defined by boundaries,whereas spirituality is not.

Question 16

What is the term for intentionally trying to convert others to your belief system?

Accepted Answer

RAT: When a member of staff or clergy seeks to convert clients to his or her own faith group,this is proselytizing and unethical.In most health facilities,community clergy are not allowed to make random hospital visits with the intent of converting clients.

Question 17

How can nurses benefit from use of the ASSET model?

Accepted Answer

RAT: The ASSET model provides an assessment tool that was created in response to a lack of education on spirituality.It encourages nurses and educators to become more self-aware and consider spirituality and the spiritual dimensions of practice.

Question 18

Who has developed a complete model for palliative care in Canada?

Accepted Answer

RAT: The Canadian Hospice Palliative Care Association (CHPCA)(2002)(see CHPCA website)has developed a complete model to guide care providers in providing high quality and effective hospice palliative care.

Question 19

Which type of issues related to spirituality includes privacy,the right to refuse treatment,and definitions of death?

Accepted Answer

RAT: Ethical concerns that might affect spiritual care include privacy and confidentiality issues,recent controversies about the definition of death,the right to refuse treatment,the role of parents in decision making for a pediatric client,and the withdrawal of treatment that may prolong life.These areas can cross over into spiritual or religious concerns,depending on the perspective of the client and family,and their beliefs and faith practices.

Question 20

According to the analysts in the text,what elements are encompassed in spirituality?

Accepted Answer

RAT: Guillory and other theorists believe that spirituality is our inner consciousness,and that it is the source of inspiration,creativity,and wisdom.Guillory further states that spirituality comes from within and goes beyond learned beliefs and values.

Quiz 19: Spirituality and the Profession of Nursing