Nursing Foundations - Unit 4 (Value-Belief & Role-Relationship)

olanjones's version from 2016-04-10 03:22

Spirituality in Patient Care

Question Answer
What is the impact of the value-belief pattern on health?some people may find their beliefs are challenged by their health situation, or they may cling to beliefs more firmly and appreciatively
What is the nurse’s goal in caring for client’s spiritual needs?to seek basic understanding of patient’s spiritual needs, resources, and preferences; to follow patient’s wishes, provides assistance as requested by patient
What role does spirituality/hope play in a client’s ability to cope?positive spiritual coping helps the client adapt to illness, negative spiritual coping is associated with maladaptation
What are the most common nursing interventions desired by patients?Providing presence, Conversing about spirituality, Supporting religious practices, Assisting clients with prayer, Referring clients for clients for spiritual counseling
What is the overall goal in regards to spirituality in a nursing care plan?to maintain or restore spiritual well-being so that spiritual strengths and hopes are realized
What is the two-tiered approach to spiritual assessment?First asses if client accepts a spiritual reality. If yes, then ask client general questions about what beliefs are important to current condition and how/if they would like support from the health care team

Value-Belief Pattern NANDA labels

Question Answer
What constitutes Spiritual Distress?Impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a greater power
What are characteristics of Spiritual Distress?Expressing lack of hope, meaning, and purpose in life, feeling abandoned by or having anger toward God, Alienation from others
What outcome/intervention can be used with Spiritual Distress?Outcome: Client will express meaning and purpose in life, sense of connectedness Intervention: Promote sense of love, caring, and compassion in nursing encounters
What constitutes Decisional Conflict?Uncertainty about course of action to be taken when choice among competing actions involves risk, loss, or challenge to values and beliefs
What are characteristics of Decisional Conflict?Delayed decision-making, verbalizes feelings of distress while attempting a decision
What outcome/intervention can be used with Decisional Conflict?Outcome: Client will seek resources and information necessary for making an informed choice Intervention: Give client time and permission to express feelings associated with decision making

Role-Relationship Pattern

Question Answer
How do roles and relationships impact health?they provide a mechanism for accessing emotional, informational, and material resources that are essential to health and well-being
What are components of role relationships?role strain, role conflict, role overload, role transition
Role straininability to satisfactorily perform a role
Role conflictexpectations of one role is incompatible with another
Role overloadresources are lacking to perform the role
Role transitiontaking on a new role, modifying a current role, and/or relinquishing previous roles
What is the focus of role-relationship assessment?the satisfaction with performance of roles and quality of relationships; assess family relationships, work roles, social roles
Social supporta social network’s provision of psychological and material resources intended to benefit an individual when needed
Social integrationparticipation in a range of social relationships, identifying with one’s social roles/being actively engaged
Negative interactionaspects of social networks perceives as, or experienced as negative

Role-Relationship Pattern NANDA labels

Question Answer
What constitutes Ineffective Role Performance?Patterns of behavior and self-expression that do not match the environment context, norms, and expectations.
What are characteristics of Ineffective Role Performance?Altered role perception, anxiety, change in capacity to resume role, inadequate confidence, support, skills, inappropriate developmental expectations
What outcome/intervention can be used with Ineffective Role Performance? Outcome: Client acknowledge problems contributing to inability to carry out usual role Intervention: Reinforce the client’s strengths and internalized values
What constitutes Caregiver Role Strain?Difficulty in performing family caregiver role
What are characteristics of Caregiver Role Strain?Apprehension about recipient’s care if caregiver unable to provide care, dysfunctional change in caregiving activities, difficulty completing required tasks
What outcome/intervention can be used with Caregiver Role Strain?Outcome: Client will identify resources available to help in giving care or to support the caregiver to give care Intervention: Arrange for intervals of respite care for the caregiver; encourage use if available
What constitutes Interrupted Family Processes?Change in family relationships and/or functioning
What are characteristics of Interrupted Family Processes?Changes in assigned tasks, mutual support, participation, somatic complaints, ritual changes
What outcome/intervention can be used with Interrupted Family Processes? Outcome: Client will identify ways to cope effectively and use appropriate support system (family) Intervention: Acknowledge the range of emotions and feelings that may be experienced when the health status of a family member changes; counsel family members that it is normal to be angry and afraid

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