Foundations of Nursing Chapters 14 and 15

Formalized system of belief, worship, and rituals.

Learned, shared, and dynamic aspects of identity.

Stages experienced after a loss, including disbelief/yearning/anger/depression & acceptance, peaking within 6 months

Family members may not assist with or perform the preparation of a loved one after death

May include impaired verbal communication, decisional conflict, and spiritual distress.

Denial, anger, bargaining, depression, and acceptance; individuals may move back and forth between stages

A philosophy of care for terminally ill patients and their families, focusing on comfort and quality of life

The responsibility of the nurse for the body after death, involving preparation and assistance for the family

Belief that illness is due to an imbalance in yin and yang

Orthodox, Conservative, Reform, and Reconstructionist with strict rules regarding hygiene, diet, and religious ceremony.

A nurse determines the cause of death

Irregular breathing pattern with alternating periods of deep/shallow breathing: indicating individual is close to death

Fastest growing religion emphasizing equality and social promotion.

Stereotyping, prejudice, racism, ethnocentrism, cultural imposition, and conflict.

Involves birth, diet, death, birth control, abortion, washing, privacy for prayer, and clothing.

Consider family/social support/culturally traditional health care practices/write outcomes/integrate practices

Belief in vegetarianism, illness as a consequence of sin, and authority of the eldest woman in health matters.

Kübler-Ross identified five stages of coping with death.

Which is not part of Kübler-Ross's Stages of Coping with Death

Concerns the spirit or soul, distinct from formalized religion.

Giving the patient control is a first priority

Based on achievement of expected outcomes, not the nurse's cultural orientation.

A patient can appoint a Power of Attorney to carry out their wishes in an advance directive.

Which of the following is a clinical sign that a patient is close to death?

When caring for Hispanic patients it is important to remember that:

When considering a patient's cultural background it is important to:

The transplanting of organs and tissues such as kidneys, livers, hearts, lungs, corneas, bone, and skin

Process of grieving before a loss occurs with potential dysfunction when a person seems trapped in a stage

Consider the patient's culture and spiritual orientation, obtain an interpreter, and conduct a spiritual assessment.

Use interpreter, flash cards, therapeutic diet, involve family, advocate for patient & quiet time for prayer/meditation.

Ending of another person's life to end suffering, with/without consent; includes passive, active, and assisted suicide

Which of the following patients would be ineligible for organ transplant donation?

When caring for the African-American patient, it is important to remember that:

A patient in Hospice is refusing IV fluids and antibiotics. This is an example of:

Communication, view of time, family organization, nutrition, death and dying, and health care beliefs.

The absence of brain activity, characterized by coma, absence of brain stem reflexes, and apnea

An inner positive life force, changing as the patient declines from hope for a cure to hope for a peaceful death

Care with respect for cultural/spiritual practices, involve family, provide cultural information, & patient fear/concern

Hospice is a philosophy of care for dying patient and family. Which of the following is not true regarding hospice care?

Documents spelling out patients' wishes for health care when they may be unable to indicate their choice

Awareness, sensitivity, and understanding of one's own values, attitudes, beliefs, and prejudices.

Active euthanasia is the act of administering a drug or treatment to kill the patient.

Involves baptism/holy communion/sacrament of the sick/death rituals/birth control/organ donation/religious articles.

Nursing care recognizing and respecting diverse cultural needs.

Knowledgeable and skillful symptom management can't eliminate the need for euthanasia or suicide.

A Catholic woman has just delivered a stillborn baby and requests the infant be baptized. Which statement is true?

Largest religion with divisions: Roman Catholic, Eastern Orthodox, and Protestant.

Aims to reduce or relieve disease symptoms without providing a cure, preserving life while accepting death

Belief in spiritual peace and liberation from anxiety through following Buddha's teachings.

The cornerstone of end-of-life care, aiming to eliminate the need for euthanasia or suicide