Questions and Answers
Spiritual despair is evidenced by expressions suggesting that there is no hope of ever having a relationship with God or of pleasing Him - a feeling that God no longer can or does care for one is a form of spiritual ________.
pain
Questioning one's relationship with God is a sign of spiritual ________.
distress
Two important Principles of Spiritual Interventions: 1. The provision of spiritual care cannot be derived from a procedure book of orders because the person has unique ________.
spirituality
Expressing anger toward God is a manifestation of spiritual ________.
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Regarding illness as God's punishment is an example of spiritual ________.
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Seeking spiritual assistance other than the usual support is a way to address spiritual ________.
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A terminally ill patient's experiencing a spiritual pain may verbalize a fear that he or she has not lived according to God's ______.
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Spiritual Alienation as evidenced by expressions of loneliness or the feeling of God seems very far away and remote from one's everyday life.- verbalization that one has to depend upon oneself in times of ______ or need.
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Spiritual Anxiety as evidenced by an expression of fear of God's wrath and ______.
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Spiritual Guilt as evidenced by expressions suggesting that one has failed to do the things which he or she should have done in life.- done thing which were not pleasing to ______.
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Spiritual anger as evidenced by expressions of frustration, anguish or outrage at God for having allowed illness or other trials.- comments about the ______ of God.
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Spiritual loss as evidenced by expressions of feelings of having temporary lost or terminated the love of God.- fear that one's relationship with God has been ______.
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I get angry at God for allowing 'bad things' to happen to me or to people I care about. This is a sign of spiritual __________.
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I feel that I have lost God's love. This is an indication of spiritual __________.
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I believe that there is no hope of obtaining God's love. This reflects a state of spiritual __________.
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High risk for spiritual distress related to confrontation with the unknown. This indicates potential spiritual __________.
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Alteration in faith is a sign of spiritual __________.
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Spiritual Pain as evidenced by expressions of discomfort or suffering relative to one's relationship with God. This is a form of spiritual _________.
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Study Notes
Spiritual Distress and Nursing Interventions
- Spiritual despair is characterized by feelings of hopelessness in having a relationship with God or pleasing Him.
Guidelines for Spiritual Care
- Respect and understand a patient's religious beliefs and practices.
- Allow patients to express their religious, ethical, or philosophical views.
- Be spiritually supportive by assisting patients to recognize their needs and seeking outside spiritual or ministerial counseling.
Principles of Spiritual Interventions
- Spiritual care cannot be derived from a procedure book of orders due to unique individual spirituality.
- Nurses must understand their own spirituality or relationship with God to intervene in patients' spiritual needs.
Nursing Interventions in Spiritual Distress
- Identify religious idols, guilt feelings, and somatic symptoms.
- Question the meaning and purpose of life.
- Express anger toward God.
- Refuse to participate in usual religious practices.
- Regard illness as God's punishment.
- Seek spiritual assistance other than usual support.
Types of Spiritual Distress
Spiritual Alienation
- Expressions of loneliness or feeling of God being distant.
- Verbalization of dependence on oneself in times of trial or need.
- Negative attitude toward receiving comfort or help from God.
Spiritual Anxiety
- Fear of God's wrath and punishment.
- Fear that God might not take care of one in the future.
- Worry about God's displeasure with one's behavior.
Spiritual Guilt
- Expressions of having failed to do things pleasing to God.
- Articulation of concerns about the kind of life one has lived.
Spiritual Anger
- Expressions of frustration, anguish, or outrage at God.
- Comments about the unfairness of God.
- Negative remarks about institutionalized religion and its ministers or spiritual caregivers.
Spiritual Loss
- Expressions of feelings of temporary loss or termination of God's love.
- Fear that one's relationship with God has been threatened.
- Feeling of emptiness with regard to spiritual things.
Nursing Diagnosis
- "Alteration in Spiritual Integrity" is used to label patient conditions that fall within the nurse's purview.
Early Nursing Diagnosis
- Alteration in faith (Gebbie, 1976)
- Nursing diagnosis related to spiritual distress (Campbell, 1978)
- High risk for spiritual distress related to confrontation with the unknown (Halloway, 1993)
- Potential for spiritual well-being and spiritual distress (Nanda, 1994)
Seven Nursing Diagnosis related to Alterations in Spiritual Integrity
- Spiritual Pain as evidenced by expressions of discomfort or suffering relative to one's relationship with God.
- Verbalization of feelings of having a void or lack of spiritual fulfillment and/or a lack of peace in terms of one's relationship to one's creator.
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Description
Test your knowledge on spiritual pain and alienation experienced by terminally ill patients. Explore common expressions and attitudes related to feeling distant from God and depending on oneself during times of need.
